Factors associated with Unintentional Injuries to Korean Adolescents at School: A Multilevel Study

Yu, Jungok; Kim, Myo Sung

doi:10.12799/jkachn.2016.27.4.337

Cited by 6 publications

(5 citation statements)

References 12 publications

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“…Consistent with other studies conducted among adolescents [ 15 , 20 , 22 , 26 ], the present study reported that participating in physical education at school was associated with higher odds of one or multiple injuries. As explained by Carmeli et al [ 38 ], lack of sufficient warm-up, poor playing grounds, unsuitable outfits, lack of safety precautions, and high extraneous exercises that have a high mechanical impact could account for the reported injuries among students who partake in physical education.…”

Section: Discussionsupporting

confidence: 92%

“…Evidence suggests that factors such as sociodemographic characteristics (male sex and low socioeconomic status) [ 14 , 17 , 18 , 19 , 20 , 21 , 22 ] substance use (alcohol, tobacco, smoking, drugs) [ 2 , 14 , 15 , 18 , 20 , 21 , 23 , 24 , 25 , 26 ], soft drinks consumption, physical education at school [ 15 , 20 , 22 ], psychological distress [ 15 , 20 , 22 , 23 ], being bullied [ 2 , 18 , 19 , 23 ], engaging in physical fight [ 2 , 18 , 19 , 25 ], truancy [ 14 , 20 , 22 , 25 ], ever had sex [ 20 , 21 ], depression [ 14 ], loneliness [ 14 , 24 , 25 ], and parental or guardian support and bonding [ 20 , 22 ] are associated with unintentional injuries among adolescents.…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and Correlates of Unintentional Injuries among In-School Adolescents in Ghana

Aboagye

Seidu

Bosoka

et al. 2021

IJERPH

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Injuries among adolescents pose significant public health problems. Unintentional injuries are the leading cause of adolescents’ mortality and disability with the largest burden in low-and middle-income countries. Yet, there is paucity of data in Ghana on adolescent injuries. The present study aimed to determine the prevalence and correlates of unintentional injuries among in-school adolescents in Ghana using data from the Global School-Based Health Survey. Cross-sectional data on 2058 adolescents in junior and senior high schools who randomly participated in the 2012 Global School-Based Health Survey were analyzed. Descriptive statistics were performed to determine the prevalence of unintentional injuriesacross the background characteristics of in-school adolescents. Binary logistic regression was employed to determine the factors associated with unintentional injuries. The results were presented as crude and adjusted odds ratios at a 95% confidence interval. The prevalence of one or more serious injuries in the past 12 months was 57.0%. The most commonly reported type and cause of injuries were “I had a cut or stab wound” (15.2%) and “I fell” (13.1%), respectively. In the adjusted regression, in-school adolescents aged 14–16 (aOR = 1.60, CI = 1.12–2.28) were more likely to report one or more serious injuries compared to their counterparts aged 13 or younger. In-school adolescents who participated in physical education (aOR = 1.27, CI = 1.03–1.58) had higher odds of reporting one or more serious injuries. The odds of being injured was higher among adolescents who were truant at school compared to those who were not truant (aOR = 1.42, CI = 1.14–1.77) In-school adolescents who were bullied were more likely to report being injured one or multiple times compared to their counterparts who were not bullied (aOR = 2.16, CI = 1.75–2.65). In addition, the odds of being injured once or multiple times were higher among adolescents who were physically attacked (aOR = 2.21, CI = 1.78–2.75), those that engaged in physical fighting (aOR = 1.94, CI = 1.54–2.45), and those who reported high psychological distress (aOR = 2.00, CI = 1.52–2.63) compared to their counterparts who were not. Conversely, adolescents in senior high schools were 39% less likely to be injured once or multiple times compared to those in junior high schools (aOR = 0.61, CI = 0.47–0.79). A relatively high prevalence of unintentional injuries was found among in-school adolescents in the study. The numerous factors identified in this study could be integrated into health promotion and injury prevention activities to help reduce the occurrence of injuries among in-school adolescents. Moreover, students who are susceptible to unintended injuries such as older adolescents, victims of bullying, those who participate in physical education, those who are often involved in fights, truants, and those who have psychological distress should be sensitized to take measures that will reduce their level of susceptibility. First aid treatment services should also be made available in schools to treat victims of unintended injuries.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Prevalence and Correlates of Unintentional Injuries among In-School Adolescents in Ghana

Aboagye

Seidu

Bosoka

et al. 2021

IJERPH

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“…[15] Yu-Jung Ok and Kim Myo Sung's study among 68,043 adolescents from 7 th to 12 th -grade findings show 22.9% of the adolescents had treatment experiences for unintentional injuries at school in the past 12 months and the significant factors associated with unintentional injuries at school included gender, grade, academic achievement, current smoking, alcohol consumption, frequency of high caffeine intake, depression, and relief of fatigue after sleep. [16] Fernandez et al on evaluating the Spanish National Health Survey highlighted boys suffered unintentional injuries 1.64 more times than girls (OR = 1.64; 95% CI 1.48-1.82) and adolescents aged 15-18 years (OR = 1.24; 95% CI 1.07-1.42) had a higher probability of reporting an unintentional injury when compared to children aged 6-10 years. [17] Shi et al on conducting a cross-sectional study in three main colleges in Wenzhou, China found falls were the leading cause of unintentional injury, followed by traffic injuries, animal/insect bites, and male students were more likely to be injured than female students [18].…”

Section: Discussionmentioning

confidence: 98%

Unintentional Injury and its Determinants among Adolescents

Pundhir

Gupta

2021

Journal of Public Health Research

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Background: Globally, unintentional injury has been a documented public health problem among adolescents having debilitating consequences and accountable for economic burden. The study was undertaken to estimate the prevalence of unintentional injury, identify the determinants and consequences among adolescents.Design and Methods: This cross-sectional study recruited 222 adolescents using systematic random sampling from a site covered under UHTC Srinagar Garhwal, Uttarkhand. Binary and multivariate logistic regression was used to compute crude and adjusted odds ratio [95% CI] for establishing an association between risk factors and unintentional injury. Descriptive measures (causes, consequences, etc.) describing injuries were presented in tabular, graphical form in proportions.Results: 73.1% of the adolescents suffered from unintentional injury. The risk factors associated (statistically insignificant) with Unintentional Injury was males (AOR =1.019, 95% CI =.524-1.979) , living in nuclear family (AOR = 1.540, 95% CI =.766-3.093) , smoked tobacco (AOR = 2.797, 95% CI :.227-34.4377) , visually impaired (AOR =1.629 95% CI :.548 - 6.458) and living in house with overcrowding(AOR =1.66,95% CI:.818-3.395) . 5 % of those affected with unintentional injury had disability.Conclusions: Health education addressing causes, risk factors, consequences of unintentional injury among adolescents, parents, school, and district health authorities should be mandated for the formulation of policy to prevent unintentional injuries.

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“…[18] The variables that did not appear to be directly related to the occurrence of the injury or that did not show any statistical correlation were excluded. Finally, based on literature evidence [19] and the expert opinion of the investigators, three items were selected that likely have a direct impact on the incidence of injury: 1) current alcohol consumption (cAlc) defined as alcohol intake more than once within the last 30 days (excluding alcohol use related to ancestral rites or sacraments); 2) victims of violence or bullying (VicVB) defined as being treated by a doctor for physical violence within 12 months; and 3) having undergone formal education on injury prevention (Edu-IP) defined as safety education (about danger and preventive behaviour, first aid, and emergency evacuation and rescue) at school more than once within 12 months. The first two variables were risk behaviours, while the third was considered preventive behaviour.…”

Section: Methodsmentioning

confidence: 99%

The influence of behavioural and socioeconomic factors on the community injury rates of adolescents assessed by the south Korean emergency medical services: an ecological approach

et al. 2019

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Background Aim of this study is to determine if peer group risk behaviors and neighbourhood socioeconomic status (SES) would ecologically affect injury incidence according to place and gender among adolescents (aged 13–15) in South Korea. Methods Three variables from the Korea Youth Risk Behavior Survey (2014) were used to represent peer group risk behaviours; current alcohol consumption (cAlc), the experience of violence or bullying (VicVB), and having undergone education for injury prevention (Edu-IP). The Korea Census Data (2010) was used for neighborhood SES; the degree of urbanization, the proportion of high educational attainment, and the proportion of low residential environment. The nationwide and regional Incidence-Rates of Injury assessed by EMS (IRI-EMS) were calculated according to age and gender based on the number of injuries from EMS record (2014). A linear regression model was used to examine associations. Results The nationwide total and inside-school IRI-EMS were 623.8 and 139.3 per 100,000 population, respectively. The range of the regional IRI-EMS showed a maximum of about 4 times the difference from 345 to 1281 per 100,000 population depending on the region. The low residential environment had a significant effect on the increase of total IRI-EMS (β = 7.5, 95% CI 0.78–14.21). In the case of boys, the IRI-EMS inside-school was increased as the percentage of VicVB was higher (β = 17.0, 95% CI 1.09–32.91). In the case of girls, the IRI-EMS outside-school was increased in rural compared to urban location (β = 211.3, 95% CI 19.12–403.57). Conclusion The incidence rate of outside-school was higher than that of inside-school, and incidence rate of boys was higher than that of girls. Peer group risk behaviors were significant only in the injury of boys. Among the SES factors, rural area was a significant factor in girls, especially outside-school injury. Moreover, the rate of households not in an apartment was significant in all outside-school injury and outside-school injury of boys. Our study suggests that among native South Korean adolescents, neighbourhood SES and peer group risk behavior have different effects depending on the injury context such as place of occurrence or gender.

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Factors associated with Unintentional Injuries to Korean Adolescents at School: A Multilevel Study

Cited by 6 publications

References 12 publications

Prevalence and Correlates of Unintentional Injuries among In-School Adolescents in Ghana

Prevalence and Correlates of Unintentional Injuries among In-School Adolescents in Ghana

Unintentional Injury and its Determinants among Adolescents

The influence of behavioural and socioeconomic factors on the community injury rates of adolescents assessed by the south Korean emergency medical services: an ecological approach

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