Unintentional injuries in school-aged children and adolescents: lessons from a systematic review of cohort studies

Abstract

Descriptive epidemiology and risk factors for injury were derived from prospective cohort studies, but few studies used the full potential of their design. Opportunities to use repeated measures to assess temporal changes in injury occurrence, and the exploration of risk factors, particularly those related to the child's environment, have rarely been undertaken. Few studies were conducted in low/middle-income countries where the burden of injury is greatest. These findings should be considered when planning future research and prevention initiatives.

Unintentional Injury and Social Correlates among In-School Adolescents in Seven Caribbean Countries

“…Substance usages (smoking and alcohol use) and psychological distress (anxiety or worried and suicide ideation) were, as in previous studies (Mytton et al, 2009;Pickett et al, 2002), to be associated with injury in adolescents. There seems to be some evidence that young people, who report behavioural problems, are more likely than those, who did not report behavioural problems, engage in injury related behaviour such as engaging in a physical fight, get involved in risk behaviour (e.g., swimming) after drinking, and rarely or never use seat belts (Barrios, Everett, Simon, & Brener, 2000;Starkuviene & Zaborskis, 2005).…”

“…Finally, the analysis was limited to the risk factors included in the GSHS. There are some other potentially important risk and protective factors (Mytton et al, 2009;Pickett et al, 2006) that could be associated with the occurrence of injury that were not measured.…”

“…Childhood injuries may be related to human and environmental factors (Pickett et al, 2005) including socioeconomic status (male gender, lower economic status) (Balan & Lingam, 2012), behavioural (substance use) factors (Mytton, Towner, Brussoni, & Gray, 2009;Pickett et al, 2002), psychological distress (Mytton et al, 2009;Pickett et al, 2002), home and school environment (Mytton et al, 2009). There is a lack of national data regarding injury and its social correlates among in-school adolescents in the Caribbean.…”

Injury Among Children and Young Adults With Epilepsy

“…3 Unintentional injuries are an important public health problem in the United States, 4 with an incidence of 2000 medically attended injuries per 10 000 person-years 5 and a total lifetime cost in ,25-year-olds of $130 billion in 2000. 5 The epidemiology of injury varies by age, [6][7][8][9] and boys are more likely than girls to sustain injuries, especially as teenagers. [9][10][11] Fractures are common, with incidence estimates ranging from 133 to 201 per 10 000 person-years in children [12][13][14] to 254 per 10 000 person-years in all ages 5 for medically attended fractures.…”

“…5 The epidemiology of injury varies by age, [6][7][8][9] and boys are more likely than girls to sustain injuries, especially as teenagers. [9][10][11] Fractures are common, with incidence estimates ranging from 133 to 201 per 10 000 person-years in children [12][13][14] to 254 per 10 000 person-years in all ages 5 for medically attended fractures. Thermal injuries are common in children and young adults, 15,16 with an incidence in the United States of 34 medically attended injuries per 10 000 personyears in ,25-year-olds and a total lifetime cost of $440 million in 2000.…”