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2018 ; 5
(ä): 66
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Factors Associated With Bites to a Child From a Dog Living in the Same Home: A
Bi-National Comparison
#MMPMID29780810
Messam LLM
; Kass PH
; Chomel BB
; Hart LA
Front Vet Sci
2018[]; 5
(ä): 66
PMID29780810
show ga
We conducted a veterinary clinic-based retrospective cohort study aimed at
identifying child-, dog-, and home-environment factors associated with dog bites
to children aged 5-15?years old living in the same home as a dog in Kingston,
Jamaica (236) and San Francisco, USA (61). Secondarily, we wished to compare
these factors to risk factors for dog bites to the general public. Participant
information was collected via interviewer-administered questionnaire using proxy
respondents. Data were analyzed using log-binomial regression to estimate
relative risks and associated 95% confidence intervals (CIs) for each
exposure-dog bite relationship. Exploiting the correspondence between X%
confidence intervals and X% Bayesian probability intervals obtained using a
uniform prior distribution, for each exposure, we calculated probabilities of the
true (population) RRs???1.25 or ?0.8, for positive or negative associations,
respectively. Boys and younger children were at higher risk for bites, than girls
and older children, respectively. Dogs living in a home with no yard space were
at an elevated risk (RR?=?2.97; 95% CI: 1.06-8.33) of biting a child living in
the same home, compared to dogs that had yard space. Dogs routinely allowed
inside for some portion of the day (RR?=?3.00; 95% CI: 0.94-9.62) and dogs
routinely allowed to sleep in a family member's bedroom (RR?=?2.82; 95% CI:
1.17-6.81) were also more likely to bite a child living in the home than those
that were not. In San Francisco, but less so in Kingston, bites were inversely
associated with the number of children in the home. While in Kingston, but not in
San Francisco, smaller breeds and dogs obtained for companionship were at higher
risk for biting than larger breeds and dogs obtained for protection,
respectively. Overall, for most exposures, the observed associations were
consistent with population RRs of practical importance (i.e., RRs???1.25 or
?0.8). Finally, we found substantial consistency between risk factors for bites
to children and previously reported risk factors for general bites.