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Pengpid S, Peltzer K. Prevalence and correlates of unintentional nonfatal injuries among school-going adolescents in Central America. Int J Adolesc Med Health 2024; 36:69-77. [PMID: 38098186 DOI: 10.1515/ijamh-2023-0124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/15/2023] [Accepted: 12/04/2023] [Indexed: 03/02/2024]
Abstract
OBJECTIVES The aim of this study is to report on the frequency of serious physical injuries (SPI) among adolescents in Central America during the previous decade, 2009-2018. METHODS In total, 15,807 school adolescents (14.4 years mean age; SD=1.4) from six Central American countries participated in cross-sectional Global School-based Student Health Surveys in 2009-2018 (ranging from 1,779 students in Honduras in 2012 to 4,374 students in Guatemala in 2015). RESULTS The prevalence of SPI was 33.8 % (22.9 % once, 7.4 % 2 or 3 times and 3.6 % 4 or more times), ranging from 31.8 % in Guatemala to 45.0 % in Belize and 45.6 % in Panama. The most frequent causes of SPI included fall (11.4 %, ranging from 6.9 % in Costa Rica to 15.6 % in Panama), and the type of SPI was fracture/dislocation (5.7 %, ranging from 4.3 % in Costa Rica to 6.7 % in Panama). In adjusted Poisson regression, male sex, food insecurity, a history of alcohol intoxication, soft drink consumption, fast food intake, truancy, multiple sexual partners, psychological distress, physical fight, physically attacked, bullied, and suicide attempt were significantly associated with a higher number of injury event counts. CONCLUSIONS Overall, about one in three adolescents in Central America had sustained unintentional injuries in the past 12 months and several contributing factors were identified which if addressed could aid injury prevention among adolescents.
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Affiliation(s)
- Supa Pengpid
- Department of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Bangkok, Thailand
- Department of Public Health, Sefako Makgatho Health Sciences University, Pretoria, South Africa
- Department of Healthcare Administration, College of Medical and Health Science, Asia University, Taichung, Taiwan
| | - Karl Peltzer
- Department of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Bangkok, Thailand
- Department of Psychology, University of the Free State, Bloemfontein, South Africa
- Department of Psychology, College of Medical and Health Science, Asia University, Taichung, Taiwan
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Sarfo JO, Amoadu M, Obeng P, Kordorwu PY, Adams AK, Gyan TB, Osman AG, Asiedu I. Prevalence and factors associated with serious injuries and aggressive behaviours among in-school adolescents in Panama. DIALOGUES IN HEALTH 2023; 2:100103. [PMID: 38515484 PMCID: PMC10953970 DOI: 10.1016/j.dialog.2023.100103] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/19/2022] [Revised: 12/28/2022] [Accepted: 01/15/2023] [Indexed: 03/23/2024]
Abstract
Introduction Injuries during adolescence cause lifelong harm and death. Our study used a nationally representative sample to examine the prevalence and risk factors associated with serious injuries among in-school adolescents in Panama. Methods We analysed Panama's 2018 Global School-Based Student Health Survey data using SPSS. Percentages were used to summarise the results of the prevalence of serious injuries. Binomial logistic regression analysis was performed to examine the risk factors of serious injuries. The results were presented as an adjusted odds ratio (AOR) at a 95% confidence interval (CI). Results The prevalence of serious injury among in-school adolescents in Panama is 45%. Furthermore, the study found that males (AOR= 1.495, CI=1.272--1.756), truancy (AOR=1.493, CI=1.249--1.785), overweight (AOR= 1.246, 95% CI=11.057--1.469), drinking alcohol (AOR= 1.397, CI=1.151--1.695), experiencing physical attack (AOR= 2.100, CI=11.646--2.681), engaging in a physical fight (AOR=1.586, CI=1.289--1.952) and bullied outside school (AOR=1.276, CI=1.005--1.621) significantly predict serious injuries among adolescents in Panama. Conclusion Multidisciplinary approaches targeting the correlates observed will help reduce the high prevalence of serious injuries among in-school adolescents in Panama.
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Affiliation(s)
| | | | - Paul Obeng
- University of Cape Coast, Cape Coast, Ghana
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Sarfo JO, Obeng P, Gbordzoe NI, Debrah TP, Ofori COB, Hagan JE. In-school adolescents' sociodemographic correlates of serious unintentional injuries in Saint Vincent and the Grenadines: A cross-sectional study. Health Sci Rep 2023; 6:e1722. [PMID: 38028691 PMCID: PMC10667840 DOI: 10.1002/hsr2.1722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2023] [Revised: 07/04/2023] [Accepted: 11/02/2023] [Indexed: 12/01/2023] Open
Abstract
Background As a public health concern, serious adolescent injuries constitute considerable global morbidity and mortality. Despite the proliferation of literature on this problem, the evidence on the determinants of injuries among in-school adolescents in Saint Vincent and the Grenadines (SVG) is insufficient. Method The study analyzed data from the 2018 Global School-based Student Health Survey to examine the prevalence and determinants of serious injuries in a nationwide adolescent sample in SVG. χ 2 And binomial logistic regression analyses were carried out, along with an adjusted odds ratio and a 95% confidence interval. Results Serious injuries among this population were estimated at 50.5%. Student grades, gender, truancy, amphetamine or methamphetamine use, marijuana or alcohol use, cigarette smoking, physical assault, physical fight, cyberbullying, suicidal behavior (ideation, plan, and attempt), parental or guardian tobacco use, and multiple sexual partners were significantly associated with serious injuries. After adjusting for other variables, being a male, having experienced a physical attack, fighting physically, attempting suicide, and having multiple sexual partners predicted serious injuries among in-school adolescents in SVG. Conclusion The use of integrative health promotion and injury prevention programmes (e.g., antiviolence campaigns) and educational measures could help minimize or eradicate this menace in SVG.
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Affiliation(s)
- Jacob O. Sarfo
- Department of Health, Physical Education and RecreationUniversity of Cape CoastCape CoastGhana
| | - Paul Obeng
- Department of Health, Physical Education and RecreationUniversity of Cape CoastCape CoastGhana
| | | | - Timothy P. Debrah
- Department of NursingKwame Nkrumah University of Science and TechnologyKumasiGhana
| | | | - John E. Hagan
- Department of Health, Physical Education and RecreationUniversity of Cape CoastCape CoastGhana
- Neurocognition and Action‐Biomechanics‐Research Group, Faculty of Psychology and Sports ScienceBielefeld UniversityBielefeldGermany
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Jin Z, Han B, He J, Huang X, Chen K, Wang J, Liu Z. Unintentional injury and its associated factors among left-behind children: a cross-sectional study. BMC Psychiatry 2023; 23:478. [PMID: 37386383 PMCID: PMC10308661 DOI: 10.1186/s12888-023-04964-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Accepted: 06/15/2023] [Indexed: 07/01/2023] Open
Abstract
BACKGROUND Unintentional injuries among children and adolescents are a major public health problem worldwide. These injuries not only have negative effects on children's physiology and psychology, but also bring huge economic losses and social burdens to families and society. Unintentional injuries are the leading cause of disability and death among Chinese adolescents, and left-behind children (LBC) are more prone to experience unintentional injury. The purpose of this study was to evaluate the type and incidence of unintentional injury among Chinese children and adolescents and explore the influences of personal and environmental factors by comparing the differences between LBC and not left-behind children (NLBC). METHODS This cross-sectional study was conducted in January and February 2019. Additionally, 2786 children and adolescents from 10 to 19 years old in Liaoning Province in China were collected in the form of self-filled questionnaires, including Unintentional Injury Investigation, Unintentional Injury Perception Questionnaire, Multidimensional Subhealth Questionnaire of Adolescent (MSQA), Negative life events, "My Class" questionnaire and Bullying/victim Questionnaire. Multiple logistic regression analysis was used to explore the factors associated with unintentional injury among children and adolescents. Binary logistic regression analysis was used to explore the factors affecting unintentional injuries between LBC and NLBC. RESULTS The top three unintentional injuries were falling injuries (29.7%), sprains (27.2%) and burns and scalds (20.3%) in our study population. The incidence of unintentional injuries in LBC was higher than that in NLBC. Burn and scalds, cutting injury and animal bites in LBC were higher than those in NLBC. The results show that junior high school students (odds ratio (OR) = 1.296, CI = 1.066-1.574) were more likely to report multiple unintentional injuries than primary school students. Girls (OR = 1.252, CI = 1.042-1.504) had higher odds of reporting multiple unintentional injuries. The odds of multiple injuries in children and adolescents with low levels of unintentional injury perception were higher than those in children and adolescents with high levels of unintentional injury perception (OR = 1.321, C = 1.013-1.568). Children and adolescents with a higher levels of mental health symptoms (OR = 1.442, CI = 1.193-1.744) had higher odds of reporting multiple unintentional injuries. Compared with teenagers who had never experienced negative life events, teenagers who had experienced negative life events many times (OR = 2.724, CI = 2.121-3.499) were more likely to suffer unintentional injuries many times. Low-level discipline and order (OR = 1.277, CI = 1.036-1.574) had higher odds of reporting multiple unintentional injuries. In-school adolescents who were bullied were more likely to report being injured multiple times than their counterparts who were not bullied (OR = 2.340, CI = 1.925-2.845). Low levels of unintentional injury perception, experienced negative life events and bullying had greater impacts on LBC than on NLBC. CONCLUSION The survey found that the incidence of at least one unintentional injury was 64.8%. School level, sex, unintentional injury perception, subhealth, negative life events, discipline and order and bullying were associated with incidents of unintentional injury. Compared with NLBC, LBC had a higher incidence of unintentional injury, and special attention should be given to this group.
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Affiliation(s)
- Zhiyu Jin
- Department of Social Medicine, School of Health Management, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, Liaoning, People's Republic of China
| | - Bingsong Han
- Department of Social Medicine, School of Health Management, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, Liaoning, People's Republic of China
| | - Jing He
- Department of Social Medicine, School of Health Management, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, Liaoning, People's Republic of China
| | - Xinyuan Huang
- Department of Social Medicine, School of Health Management, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, Liaoning, People's Republic of China
| | - Kun Chen
- Department of Social Medicine, School of Health Management, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, Liaoning, People's Republic of China
| | - Jiana Wang
- Department of Social Medicine, School of Health Management, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, Liaoning, People's Republic of China.
| | - Zhuang Liu
- Journal Center of China Medical University, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, Liaoning, People's Republic of China.
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Oppong Asante K, Onyeaka HK, Kugbey N, Quarshie ENB. Self-reported injuries and correlates among school-going adolescents in three countries in Western sub-Saharan Africa. BMC Public Health 2022; 22:899. [PMID: 35513863 PMCID: PMC9074264 DOI: 10.1186/s12889-022-13315-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Accepted: 04/28/2022] [Indexed: 11/25/2022] Open
Abstract
Background Unintentional injuries among adolescents constitute a significant public health problem globally. Injured adolescents may face negative outcomes ranging from poor academic performance to short- and long-term physical and psychosocial health struggles, and even death. The aim of this study was to estimate the prevalence and describe the correlates and most frequent causes of injuries among school-going adolescents in three West African countries – Benin, Ghana, and Liberia. Methods We analysed self-reported data provided by 8,912 school-going adolescents who participated in the Global School-based Student Health Survey in Ghana (2012), Benin (2016), and Liberia (2017). Students responded to questions on sociodemographic factors, family involvement factors, mental health factors, school environment factors and injury behaviours. Results The overall 12-month prevalence estimate of serious injuries in adolescents was 40.9% (Benin = 27.3%; Ghana = 46.1%; Liberia = 49.2%). The most frequently reported injury type was a broken bone or dislocated joint (33% in Benin), cuts or stab wounds (31.7% in Ghana), and non-specified injuries (35.2% in Liberia). Prevalence of serious injuries was higher among males and increased with age. In the multivariable logistic regression analysis, interpersonal aggression outside the family context (bullying victimisation, engaging in physical fights, and having been physically attacked) emerged as key correlates of increased odds of serious injuries. Conclusion The relatively higher prevalence estimates of serious injury reported in this study underscore the need for the included countries to develop interventions aimed at reducing and preventing physical injuries among adolescents. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-13315-5.
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Affiliation(s)
- Kwaku Oppong Asante
- Department of Psychology, School of Social Sciences, University of Ghana, University of Ghana, P. O. Box LG 84, Legon, Accra, Ghana. .,Department of Psychology, University of the Free State, Bloemfontein, South Africa.
| | - Henry K Onyeaka
- Department of Psychiatry, Massachusetts General Hospital/Mclean, Boston, USA
| | - Nuworza Kugbey
- University of Environment and Sustainable Development, Somanya, Eastern Region, Ghana
| | - Emmanuel Nii-Boye Quarshie
- Department of Psychology, School of Social Sciences, University of Ghana, University of Ghana, P. O. Box LG 84, Legon, Accra, Ghana.,School of Psychology, University of Leeds, Leeds, UK
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Aboagye RG, Mireku DO, Nsiah JJ, Ahinkorah BO, Frimpong JB, Hagan JE, Abodey E, Seidu AA. Prevalence and psychosocial factors associated with serious injuries among in-school adolescents in eight sub-Saharan African countries. BMC Public Health 2022; 22:853. [PMID: 35484506 PMCID: PMC9047327 DOI: 10.1186/s12889-022-13198-6] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2021] [Accepted: 04/08/2022] [Indexed: 11/10/2022] Open
Abstract
Background Injury is one of the major causes of death and illness among children and adolescents worldwide. We sought to investigate the prevalence of serious injury and its associated factors among in-school adolescents in eight countries in sub-Saharan Africa. Methods A sample of 14,967 in-school adolescents was drawn from the Global School-based Student Health Surveys conducted from 2012 to 2017 in eight sub-Saharan African countries. Data were collected using self-administered structured questionnaires. The prevalence of serious injuries was calculated using proportions while multivariable binary logistic regression analysis was carried out to determine the factors associated with serious injuries. Results Approximately 45% of in-school adolescents had experienced serious injuries during the past 12 months to the survey in the eight sub-Saharan African countries, with variations from 32.3% in Mauritius to 68.2% in Liberia. Adolescents who experienced bullying [aOR = 2.37, CI = 2.10, 2.68], those who engaged in physical fight [aOR = 2.14, CI = [1.87, 2.44], those who experienced an attack [aOR = 1.96, CI = [1.73, 2.22], those who felt anxious [aOR = 1.47, CI = 1.22,1.77], those who attempted suicide [aOR = 1.38, CI = 1.14, 1.65], truants [aOR = 1.33, CI = [1.17,1.51], current tobacco users [aOR = 1.42, CI = [1.01, 2.01] and current marijuana users [aOR = 1.78, CI = 1.08, 2.93] had higher odds of experiencing serious injuries. However, those whose parents or guardians respected their privacy had lower odds of experiencing serious injuries [aOR =0.78, CI = [0.68, 0.88] compared to those whose parents or guardians did not respect their privacy. Conclusion A relatively high prevalence of serious injuries among in-school adolescents was identified in the eight sub-Saharan African countries studied. Programs and interventions that target the reduction of injuries in educational institutions should take a keen interest in the factors identified in this study. To deal with injury victims, first aid services should be provided in school settings. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-13198-6.
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Affiliation(s)
- Richard Gyan Aboagye
- Department of Family and Community Health, School of Public Health, University of Health and Allied Sciences, Hohoe, Ghana.
| | - Dickson Okoree Mireku
- Directorate of Academic Planning and Quality Assurance, University of Cape Coast, Cape Coast, Ghana
| | - John Jackson Nsiah
- Department of Real Estate Management, Takoradi Technical University, Takoradi, Ghana
| | - Bright Opoku Ahinkorah
- School of Public Health, Faculty of Health, University of Technology Sydney, Sydney, Australia
| | - James Boadu Frimpong
- Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana
| | - John Elvis Hagan
- Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana.,Neurocognition and Action-Biomechanics-Research Group, Faculty of Psychology and Sport Sciences, Bielefeld University, Bielefeld, Germany
| | - Eric Abodey
- Department of Education and Psychology Studies, University of Cape Coast, Cape Coast, Ghana
| | - Abdul- Aziz Seidu
- Department of Real Estate Management, Takoradi Technical University, Takoradi, Ghana.,Centre for Gender and Advocacy, Takoradi Technical University, Takoradi, Ghana.,College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, Australia
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Le PA, Hoang VM, Tran TTH, Khuong QL, Takeuchi M, Nguyen TL, Pham TQN, Le VT, Tran QB, Park K. Violence and non-fatal injuries among Vietnamese in-school adolescents: national prevalence estimates and associated factors. Int J Inj Contr Saf Promot 2021; 29:197-206. [PMID: 34547990 DOI: 10.1080/17457300.2021.1979046] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
School violence and injury are major public health problems worldwide. The data of this study were from the Viet Nam Global School-based Student Health Survey (GSHS) - a nationally representative survey conducted in 2019, with a sample size of 7690 students aged 13-17 years old. We found the prevalence of violence and non-fatal injury to be 14.5% and 21.4%, respectively. Factors related to higher odds of violence and non-fatal injuries in both sexes included smoking cigarettes, drinking alcohol, having mental health problems (loneliness, worrying and suicidal thinking), and truancy. In contrast, parental monitoring was associated with lower odds of violence, and parental respect was a protective factor of both violence and non-fatal injuries. Students who experienced violence had a higher likelihood of having non-fatal injuries in both sexes. Future policies should consider individual factors and parent-child bonding, to mitigate the burden of violence and injury among in-school adolescents in Viet Nam.
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Affiliation(s)
- Phuong-Anh Le
- World Health Organization, Country Office for Viet Nam, Ha Noi, Viet Nam
| | - Van Minh Hoang
- Center for Population Health Science, Ha Noi University of Public Health, Ha Noi, Viet Nam
| | - Thi Tuyet Hanh Tran
- Department of Environmental Health, Ha Noi University of Public Health, Ha Noi, Viet Nam
| | - Quynh Long Khuong
- Center for Population Health Science, Ha Noi University of Public Health, Ha Noi, Viet Nam
| | - Momoe Takeuchi
- World Health Organization, Country Office for Viet Nam, Ha Noi, Viet Nam
| | - Tuan Lam Nguyen
- World Health Organization, Country Office for Viet Nam, Ha Noi, Viet Nam
| | - Thi Quynh Nga Pham
- World Health Organization, Country Office for Viet Nam, Ha Noi, Viet Nam
| | - Van Tuan Le
- Department of Student Affairs, Ministry of Education and Training, Ha Noi, Viet Nam
| | - Quoc Bao Tran
- General Department of Preventive Medicine, Ministry of Health, Ha Noi, Viet Nam
| | - Kidong Park
- World Health Organization, Country Office for Viet Nam, Ha Noi, Viet Nam
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Aboagye RG, Seidu AA, Bosoka SA, Hagan JE, Ahinkorah BO. Prevalence and Correlates of Unintentional Injuries among In-School Adolescents in Ghana. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18136800. [PMID: 34202752 PMCID: PMC8297100 DOI: 10.3390/ijerph18136800] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Revised: 06/19/2021] [Accepted: 06/21/2021] [Indexed: 11/27/2022]
Abstract
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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Affiliation(s)
- Richard Gyan Aboagye
- Department of Family and Community Health, School of Public Health, University of Health and Allied Sciences, Hohoe PMB 31, Ghana;
| | - Abdul-Aziz Seidu
- Department of Population and Health, University of Cape Coast, Cape Coast PMB TF0494, Ghana;
- College of Public Health, Medical and Veterinary Sciences, James Cook University, Townsville, QLD 4811, Australia
- Department of Estate Management, Takoradi Technical University, Takoradi P.O. Box 256, Ghana
| | - Samuel Adolf Bosoka
- Department of Epidemiology and Biostatistics, School of Public Health, University of Health and Allied Sciences, Hohoe PMB 31, Ghana;
| | - John Elvis Hagan
- Physical Education and Recreation, Department of Health, University of Cape Coast, Cape Coast PMB TF0494, Ghana
- Neurocognition and Action-Biomechanics-Research Group, Faculty of Psychology and Sports Science, Bielefeld University, Postfach 100131, 33501 Bielefeld, Germany
- Correspondence:
| | - Bright Opoku Ahinkorah
- School of Public Health, Faculty of Health, University of Technology Sydney, Sydney, NSW 2007, Australia;
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Factors Associated with Serious Injuries among Adolescents in Ghana: Findings from 2012 Global School Health Survey. ScientificWorldJournal 2021; 2021:6622363. [PMID: 33986635 PMCID: PMC8079207 DOI: 10.1155/2021/6622363] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2020] [Revised: 01/18/2021] [Accepted: 02/02/2021] [Indexed: 11/17/2022] Open
Abstract
Introduction Injuries are of public health concern and the leading cause of residual disability and death among teenagers, especially in low- and middle-income countries (LMICs). In Ghana, the burden of injury among adolescents is under-reported. Hence, the study sought to determine the prevalence of serious injuries (SI) and the potential factors influencing these injuries among school children in Ghana. Methods This study was conducted in Ghana among Junior High School (JHS) and senior high school students (SHS) using the 2012 Global School-Based Student Health Survey (GSHS) data. The GSHS employed two-stage cluster sampling method. Serious injuries (SI) and independent factors were measured via self-administered questionnaires. Pearson chi-square test between each explanatory variable and serious injuries was conducted and the level of statistical significance was set at 5%. The significant variables from the chi-square test were selected for multiple logistic regression analysis. Multiple logistic regression was performed to estimate the adjusted odds ratio (AOR) at 95% confidence interval (CI). Results The prevalence of SI in the past 12 months was 66% [CI=61.8-70.2] . The most common cause of SI was fall, 36%. The common types of injuries were cut/stab wounds and broken/dislocated bone. In the multiple logistic regression analysis, after controlling for other variables, educational level (AOR = 0.64, CI = 0.44-0.90, p < 0.015), suicidal ideation (AOR = 1.58, CI = 1.00-2.48, p < 0.002), suicidal attempt (AOR = 1.88, CI = 1.29-2.72, p < 0.001), having at least one close friend (AOR = 1.49, CI = 1.17-1.89, p < 0.002), school truancy (AOR = 1.66, CI = 1.31-2.09, p < 0.000), smoking marijuana (AOR = 2.64, CI = 1.22-5.69), and amphetamine use (AOR = 2.95, CI = 1.46-5.69) were independently associated with SI. Conclusion The findings of the study established a high prevalence of SI among adolescents in Ghana, with cut/stab wound and broken/dislocated bone being the most reported type of injuries. This study also revealed that factors such as educational level, suicidal ideation, suicidal attempt, at least one close friend, school truancy, smoking marijuana, and amphetamine use are associated with SI among the adolescents. Therefore, pragmatic interventional programs should be targeted at these factors to curb the rate of SI among junior and senior school students.
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Pengpid S, Hinneh JT, Peltzer K. Prevalence and correlates of single and multiple unintentional non-fatal injuries among school-going adolescents in Liberia. Injury 2021; 52:787-792. [PMID: 33250183 DOI: 10.1016/j.injury.2020.11.048] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/22/2020] [Revised: 11/11/2020] [Accepted: 11/16/2020] [Indexed: 02/02/2023]
Abstract
OBJECTIVE This investigation aims to report on single and multiple unintentional nonfatal injuries among in-school adolescents in Liberia. METHODS Nationally representative cross-sectional data were statistically analysed from 2,744 adolescents (median age=18 years) that participated in the 2017 Liberia Global School-Based Student Health Survey (GSHS). RESULTS The prevalence of single or multiple serious injuries (past 12 months) was 71.6% (31.8% once and 39.7% two or more times). Struck or hit by an object (10.6%), fall (9.0%), and motor vehicle crashes (8.6%) were the most frequent causes of injury, and cuts or open wounds (13.6%), fractures or dislocation (8.2%), and concussion (5.0%) were the most prevalent types of injury. In adjusted multinomial logistic regression analysis, experience of hunger (or food insecurity), passive smoking, frequent school truancy, psychological distress, and current cannabis use were associated with multiple and/or single injury. In addition, in unadjusted analysis, current tobacco use, ever drunk, ever amphetamine use, physically inactive and sedentary and walking and biking to school were associated with single and/or multiple injuries. In a separate multinomial logistic regression model, victims of physically assault, involvement in physical fighting, and bullying victimization were associated with both single and multiple injuries. CONCLUSION A high prevalence of unintentional single and multiple injuries was discovered and several factors were found that can be utilized in targeting programmes aimed at injury prevention among adolescents.
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Affiliation(s)
- Supa Pengpid
- ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom, Thailand; Department of Research Administration and Development, University of Limpopo, Turfloop, South Africa
| | | | - Karl Peltzer
- Department for Management of Science and Technology Development, Ton Duc Thang University, Ho Chi Minh City, Vietnam; Faculty of Pharmacy, Ton Duc Thang University, Ho Chi Minh City, Vietnam.
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Pengpid S, Peltzer K. High prevalence of unintentional injuries and socio-psychological correlates among school-going adolescents in Timor-Leste. Int J Adolesc Med Health 2020; 33:253-259. [PMID: 32549150 DOI: 10.1515/ijamh-2019-0069] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2019] [Accepted: 04/14/2019] [Indexed: 11/15/2022]
Abstract
OBJECTIVES The study aimed to report on the prevalence and socio-psychological correlates of non-fatal injury among school-going adolescents in Timor-Leste. METHODS Cross-sectional data from the 2015 Timor-Leste "Global School-based Health Survey (GSHS)" included 3,704 school children (median age 16 years, interquartile range 3) that were representative of all students in secondary school, excluding grade 12. RESULTS The proportion of participants with one or multiple serious injuries in the past year was 70.0% (40.6% once, 17.2% two-three times and 12.2% 4-12 times). The most frequent cause of the reported injury were "I fell" (33.8%) and motor vehicle (10.2%) and the most common type of injury was "a broken bone or dislocated joint" (7.8%) and "cut, puncture or stab wound" (6.7%). In adjusted multinomial logistic regression analysis, suicide attempt was associated with one injury, and truancy was associated with both one and multiple injury. Current tobacco use, lifetime cannabis use, soft drink consumption, and loneliness were associated with multiple injuries. CONCLUSIONS Several variables were identified that could be targeted in injury prevention programmes in this school population.
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Affiliation(s)
- Supa Pengpid
- ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom, Thailand.,Department of Research Administration and Development, University of Limpopo, Turfloop, Polokwane, South Africa
| | - Karl Peltzer
- Department of Research & Innovation, University of Limpopo, Turfloop Campus, Sovenga, 0727, South Africa
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Analysis of risk and protective factors for psychosocial distress among in-school adolescents in Tanzania. J Public Health (Oxf) 2020. [DOI: 10.1007/s10389-019-01185-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
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Pengpid S, Peltzer K. High Carbonated Soft Drink Intake is Associated with Health Risk Behavior and Poor Mental Health among School-Going Adolescents in Six Southeast Asian Countries. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 17:ijerph17010132. [PMID: 31878104 PMCID: PMC6981753 DOI: 10.3390/ijerph17010132] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 11/26/2019] [Revised: 12/16/2019] [Accepted: 12/20/2019] [Indexed: 11/16/2022]
Abstract
Carbonated soft drink (CSD) intake has been associated with various risk behaviors in adolescents in high-income countries, but there is lack of evidence of this association in cross-nationally representative samples of school adolescents in low- and middle-income countries. This study aimed to assess the association between CSD intake, health risk behavior, and poor mental health behavior among school-going adolescents in six Southeast Asian countries. Cross-sectional national "Global School-Based Student Health Survey (GSHS)" data from 36173 school-going adolescents from Bangladesh, Indonesia, Laos, Philippines, Thailand, and Timor-Leste were analyzed. Results indicate that across all six Southeast Asian countries, in the past 30 days 23.9% of study participants had consumed no CSD, 38.8% had consumed CSD <once/day, 19.9% once a day and 17.5% ≥ two times/day. In the final adjusted logistic regression model CSD intake was associated with increased odds of having been attacked, having sustained an injury, being in a physical fight, being bullied, school truancy, tobacco use, alcohol use, and lifetime drunkenness. In addition, the consumption of CSD ≥two times/day was associated with increased odds of ever used cannabis and ever used amphetamine. Higher intake of CSD was positively associated with a history of loneliness, anxiety, suicide ideation, suicide planning, and suicide attempts. CSD intake in low- and middle-income countries is associated with several health risk behaviors and poor mental health that are similar to those observed in high-income countries.
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Affiliation(s)
- Supa Pengpid
- ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhonpathom 73170, Thailand;
- Lifestyle Diseases Research Entity, Faculty of Health Sciences, North-West University, Mafikeng Campus, Mmabatho 2745, South Africa
| | - Karl Peltzer
- Lifestyle Diseases Research Entity, Faculty of Health Sciences, North-West University, Mafikeng Campus, Mmabatho 2745, South Africa
- Correspondence:
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Wang Z, Chen H, Yu T, Liu S, Hu M. Status of injuries as a public health burden among children and adolescents in China: A systematic review and meta-analysis. Medicine (Baltimore) 2019; 98:e17671. [PMID: 31702619 PMCID: PMC6855559 DOI: 10.1097/md.0000000000017671] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
INTRODUCTION Injuries among children and adolescents remain a major public health problem in China. In the present study, we undertook a systematic review and meta-analysis of the published literature of epidemiological studies investigating injuries among children and adolescents in China and aimed to describe the status of injury among children and adolescents (aged 0-19 years) in China nationwide. A random-effects meta-analysis model was used to calculate the pooled prevalence of injury with 95% confidence intervals (CIs) across studies. The potential heterogeneity moderators were identified by subgroup and sensitivity analysis. A total of 775,615 children and adolescents were included in this study. Overall, the pooled injury prevalence among children and adolescents aged 0 to 19 years was 23.0% (95% CI 20.0%-27.0%) in studies using 1996 version of injury definition, and 13.0% (95% CI 10.0%-17.0%) in studies using 2004 version of injury definition. Relevant heterogeneity moderators have been identified by subgroup analysis. Sensitivity analysis yielded consistent results. CONCLUSION Our study shows a moderately high injury prevalence among children and adolescents aged 0 to 19 years in China, more prevention policies and programs should be urgently developed to decrease the occurrence of child and adolescent injury.
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Affiliation(s)
- Ziyu Wang
- Department of Epidemiology and Health Statistics, XiangYa School of Public Health, Central South University, Changsha
| | - Hui Chen
- Department of Medicine, Betta Pharmaceuticals Co., Ltd., Hangzhou
| | - Taolin Yu
- Department of Epidemiology and Health Statistics, XiangYa School of Public Health, Central South University, Changsha
| | - Siyun Liu
- Department of Medical Records, Chongqing General Hospital, Chongqing, China
| | - Ming Hu
- Department of Epidemiology and Health Statistics, XiangYa School of Public Health, Central South University, Changsha
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Awaluddin SM, Ahmad FH, Jeevananthan C, Ganapathy SS, Sooryanarayana R, Mohamad Anuar MF, Alias N, Saminathan TA, Mohd Yusoff MF, Rosman A. Prevalence of Nonfatal Serious Injury Due to Motor Vehicle Accidents Among Malaysian School-Going Adolescents: Findings From the Adolescent Health Survey 2017. Asia Pac J Public Health 2019; 31:65S-72S. [PMID: 31522523 DOI: 10.1177/1010539519872662] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Serious injury due to motor vehicle accidents (MVAs) significantly contributes to the adolescents' health status. The objective of this study was to estimate the prevalence of nonfatal injury due to MVAs and its associated factors among Malaysian school-going adolescents. Nationally representative samples were selected via 2-stage stratified cluster sampling. Data was collected using a validated self-administered questionnaire. Logistic regression analysis was conducted to examine the associations between the variables. A total of 1088 out of 27 497 adolescents reported that they had sustained serious injury due to MVAs with a prevalence of 4.1% (95% confidence interval [CI] = 3.7-4.5). Serious injury due to MVAs among adolescents was positively associated with being current cigarette smokers (adjusted odds ratio [aOR] = 2.5; 95% CI = 2.2-2.9), followed by Malay ethnicity (aOR = 2.4; 95% CI = 1.9-3.0), current drug users (aOR = 2.3; 95% CI = 1.9-3.0), boys (aOR = 2.1; 95% CI = 1.8-2.4), Indian ethnicity (aOR = 1.8; 95% CI = 1.2-2.5), and those who were in upper secondary school (aOR = 1.3; 95% CI = 1.2-1.5). Targeted intervention and curbing substance use among boys may reduce the morbidities from MVAs and its resulting complications.
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Affiliation(s)
- S Maria Awaluddin
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Selangor, Malaysia
| | - Fazila Haryati Ahmad
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Selangor, Malaysia
| | - Chandrika Jeevananthan
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Selangor, Malaysia
| | - Shubash Shander Ganapathy
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Selangor, Malaysia
| | - Rajini Sooryanarayana
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Selangor, Malaysia
| | - Mohamad Fuad Mohamad Anuar
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Selangor, Malaysia
| | - Nazirah Alias
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Selangor, Malaysia
| | - Thamil Arasu Saminathan
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Selangor, Malaysia
| | - Muhammad Fadhli Mohd Yusoff
- Institute for Public Health, National Institutes of Health, Ministry of Health Malaysia, Shah Alam, Selangor, Malaysia
| | - Azriman Rosman
- Disease Control Division, Ministry of Health Malaysia, Federal Government Administration Centre, Putrajaya, Malaysia
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Pengpid S, Peltzer K. High carbonated soft drink consumption is associated with externalizing but not internalizing behaviours among university students in five ASEAN states. Psychol Res Behav Manag 2019; 12:585-592. [PMID: 31534377 PMCID: PMC6681160 DOI: 10.2147/prbm.s209611] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2019] [Accepted: 06/28/2019] [Indexed: 11/23/2022] Open
Abstract
Background The investigation aimed to estimate the association between carbonated soft drink consumption frequency and externalizing and internalizing behaviour among university students in five ASEAN counties. Methods A cross-sectional survey included 3353 university students from Indonesia, Malaysia, Myanmar, Thailand and Vietnam, median age 20 years (interquartile range 3 years). Results In all five ASEAN countries, the study found a prevalence no soft drink consumption in the past 30 days of 20.3%, less than one time a day 44.7%, once a day 25.4% and two or more times a day 9.6%. In the adjusted logistic regression analysis, higher frequency of soft drink consumption (one and/or two or more times a day) was associated with externalizing behaviour (in physical fight, injury, current tobacco use, problem drinking, drug use, pathological internet use and gambling behaviour), and higher frequency of soft drink consumption (two or more times a day) was associated with depression in females, but no association was found for the general student population in relation to internalizing behaviour (depression, posttraumatic stress disorder, suicidal ideation, suicide plan, suicide attempt and sleeping problem). Conclusions Findings suggest that carbonated soft drink consumption is associated with a number of externalizing but not internalizing health risk behaviours.
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Affiliation(s)
- Supa Pengpid
- ASEAN Institute for Health Development, Mahidol University, Salaya, Nakhonpathom, Thailand.,Deputy Vice Chancellor Research and Innovation Office, North West University, Potchefstroom, South Africa
| | - Karl Peltzer
- Deputy Vice Chancellor Research and Innovation Office, North West University, Potchefstroom, South Africa
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Pengpid S, Peltzer K. Unintentional injuries and socio-psychological correlates among school-going adolescents in four ASEAN countries. Int J Gen Med 2019; 12:263-271. [PMID: 31410049 PMCID: PMC6645596 DOI: 10.2147/ijgm.s212350] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2019] [Accepted: 06/05/2019] [Indexed: 12/26/2022] Open
Abstract
Objectives: The study aimed to report the prevalence and socio-psychological correlates of non-fatal injury among school adolescents in four ASEAN countries. Materials and methods: Cross-sectional research data from the 2015 "Global School-based Health Survey (GSHS)" included 29,480 school adolescents (mean age 14.5 years, standard deviation=1.6) that were representative of all students in secondary school. Results: The proportion of participants with one or multiple serious past-year injuries was 36.9% (21.4% once and 15.4% multiple times). The most frequent cause of the reported injury was "I fell" (10.2%) and motor vehicle (5.8%) and the most common form of injury was "a broken bone or dislocated joint" (8.1%) and "cut, puncture or stab wound" (3.4%). In adjusted multinomial logistic regression analysis, male sex, experiencing hunger, substance use (alcohol, tobacco, cannabis, amphetamine and soft drinks), school truancy, participating in physical education classes and psychological distress were associated with one and/or multiple injuries. Parental or guardian support decreased the odds of one annual injury. Compared to students from Indonesia, students from Laos had a lower odd for injury and students from the Philippines and Thailand had higher odds for injury. Conclusion: Several variables, such as male sex, food insecurity, substance use, truancy, physical education and psychological distress, were identified that could be targeted in injury prevention programs in this school population.
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Affiliation(s)
- Supa Pengpid
- ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhonpathom, Thailand.,Deputy Vice Chancellor Research and Innovation Office, North West University, Potchefstroom, South Africa
| | - Karl Peltzer
- Deputy Vice Chancellor Research and Innovation Office, North West University, Potchefstroom, South Africa
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El Kazdouh H, El-Ammari A, Bouftini S, El Fakir S, El Achhab Y. Potential risk and protective factors of substance use among school adolescents in Morocco: A cross-sectional study. JOURNAL OF SUBSTANCE USE 2018. [DOI: 10.1080/14659891.2018.1535003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Hicham El Kazdouh
- Faculty of Medicine and Pharmacy of Fez, Laboratory of Epidemiology, Clinical Research and Community Health, Fez, Morocco
| | - Abdelghaffar El-Ammari
- Faculty of Medicine and Pharmacy of Fez, Laboratory of Epidemiology, Clinical Research and Community Health, Fez, Morocco
| | - Siham Bouftini
- Faculty of Medicine and Pharmacy of Fez, Laboratory of Epidemiology, Clinical Research and Community Health, Fez, Morocco
| | - Samira El Fakir
- Faculty of Medicine and Pharmacy of Fez, Laboratory of Epidemiology, Clinical Research and Community Health, Fez, Morocco
| | - Youness El Achhab
- Faculty of Medicine and Pharmacy of Fez, Laboratory of Epidemiology, Clinical Research and Community Health, Fez, Morocco
- Regional Centre for Careers Education and Training of Fez-Meknes, Fez, Morocco
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Pengpid S, Peltzer K. Parental involvement and health risk behaviours among school-going adolescents in six African countries. JOURNAL OF PSYCHOLOGY IN AFRICA 2018. [DOI: 10.1080/14330237.2017.1409481] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Affiliation(s)
- Supa Pengpid
- ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhonpathom, Thailand
- Department of Research Development and Innovation, University of Limpopo, Sovenga, South Africa
| | - Karl Peltzer
- Department of Research Development and Innovation, University of Limpopo, Sovenga, South Africa
- HIV/AIDS/STIs/and TB (HAST), Human Sciences Research Council, Pretoria, South Africa
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Nonfatal Injuries and Psychosocial Correlates among Middle School Students in Cambodia and Vietnam. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2017; 14:ijerph14030280. [PMID: 28282872 PMCID: PMC5369116 DOI: 10.3390/ijerph14030280] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/17/2017] [Accepted: 03/07/2017] [Indexed: 01/24/2023]
Abstract
The aim of the study was to estimate the prevalence and psychosocial correlates of nonfatal injury among middle school students in Cambodia and Vietnam. Cross-sectional data from 7137 school children (mean age 15.5 years, SD = 1.4) who were randomly sampled for participation in nationally representative Global School-based Health Surveys (GSHS) in Cambodia and Vietnam were analyzed. The proportion of school children reporting one or more serious injuries in the past year was 22.6% among boys and 17.5% among girls in Cambodia and 34.3% among boys and 25.1% among girls in Vietnam. The most prevalent cause of the most serious injury in Cambodia was traffic injuries (4.7% among boys and 4.3% among girls) and in Vietnam it was falls (10.0% among boys and 7.0% among girls). In multinomial logistic regression analyses, experiencing hunger (as an indicator for low socioeconomic status) and drug use were associated with having sustained one injury and two or more injuries in the past 12 months in Cambodia. In addition, poor mental health was associated with two or more injuries. In Vietnam, being male, experiencing hunger, current alcohol use, poor mental health and ever having had sex were associated with having sustained one injury and two or more injuries in the past 12 months. Several psychosocial variables were identified which could help in designing injury prevention strategies among middle school children in Cambodia and Vietnam.
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Santagati G, Vezzosi L, Angelillo IF. Unintentional Injuries in Children Up to Six Years of Age and Related Parental Knowledge, Attitudes, and Behaviors in Italy. J Pediatr 2016; 177:267-272.e2. [PMID: 27492869 DOI: 10.1016/j.jpeds.2016.06.083] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/30/2016] [Revised: 05/31/2016] [Accepted: 06/28/2016] [Indexed: 10/21/2022]
Abstract
OBJECTIVES To describe risk factors associated with unintentional injuries among children aged <6 years and to examine parents' level of knowledge, attitudes, and behaviors about pediatric injuries and related preventive measures. STUDY DESIGN A cross-sectional survey was conducted between May and July 2015 on a random sample of 794 parents of 3- to 6-year-old children through a self-administered anonymous questionnaire. RESULTS A total of 409 parents participated. Two-thirds of the children had experienced at least 1 unintentional injury in the previous 12 months. More than one-half of these children were boys. The leading cause was falls; the injuries occurred mainly at home, and only 9.2% were brought for attention to an emergency department. Parents who did not believe that it is possible to prevent unintentional injuries were more likely to have had a child injured. Approximately 70% of respondents were aware of security measures to prevent pediatric injuries, and this knowledge was more prevalent in older parents and in those with at least a college level of education compared with those with a middle school education. The perceived utility of education about preventive measures of pediatric injuries had a mean value of 8.9 on a Likert scale of 1-10 (1, not useful, to 10, very useful) and was significantly higher in mothers. CONCLUSIONS This study highlights a clear need for public health educational programs for parents regarding prevention of unintentional injuries in children as a valuable tool to increase safety and injury prevention and to reduce risks, because the majority of such injuries occur at home.
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Affiliation(s)
- Gabriella Santagati
- Department of Experimental Medicine, Second University of Naples, Naples, Italy
| | - Luigi Vezzosi
- Department of Experimental Medicine, Second University of Naples, Naples, Italy
| | - Italo F Angelillo
- Department of Experimental Medicine, Second University of Naples, Naples, Italy.
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