Does health-related quality of life predict injury event?

Background: unintentional injury is a leading threat to children's health. some human factors havebeen determined as predictor of unintentional injury. association between health-related qualityof life (hrqol) as a human factor and unintentional injuries is unclear. the objective of study is toexamine the association between hrqol and unintentional injuries among primary schoolchildren.methods: this study was a cross-sectional conducted in ahwaz, a city in iran. overall, 3375children aged 6-10 years were randomly selected from primary school. hrqol was measuredby 56 items taken from seven domains of netherlands organization for applied scientificresearch academic medical center (tno azl) child quality of life (tacqol) parent form.parents were interviewed to collect information about incidence, cause and a brief description ofinjury within the past 12 months prior to the study.results: the response rate was 3375 of 3792 (89%). there was a significant trend for increasingoccurrence of injury with decreasing of hrqol score (p<0.001). adjusted or for injury wassignificantly higher in very low (2.38, 95% ci: 1.45-3.86), low (2.18, 95% ci: 1.34-3.56), andmedium (1.73, 95%ci: 1.06-2.83) hrqol groups compared to reference group (very highhrqol). the median of total hrqol (p<0.001) and all its domains (p=0.017) (exceptautonomous functioning) was lower in injured group compared to uninjured one.conclusions: this study found an association between hrqol and unintentional injury amongprimary school children. this is a preliminary finding and further investigations with a well-definedanalytical design are needed.