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      Unintentional Injuries among School-Aged Children in Palestine: Findings from the National Study of Palestinian Schoolchildren (HBSC-WBG2006)

      Author(s): , , ,
      Publication date Created:
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      Journal: International Journal of Population Research
      Publisher: Hindawi Limited

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          Abstract

          Purpose. This study describes the nonfatal injuries among adolescents in Palestine.Methods. The 2006 Palestinian Health Behaviour in School-aged Children (HBSC) is a cross-sectional survey. Students of grades 6, 8, 10, and 12 completed a modified version of the international HBSC questionnaire, resulting in 15,963 students (47.3% boys and 52.7% girls) included in this study (56.9% from the West Bank and 43.1% from Gaza).Results. Of the total 15,963 adolescents, 47.6% were injured, with boys (53.5%) being statistically higher than girls (42.1%) (P<0.001). The prevalence of those injured more than once decreased by age and was also found significantly higher in boys than in girls (27.3% and 17.9%, resp.) (P<0.001). Children living in low FAS families showed significantly lower ratios of injuries than those living in moderate and high FAS families (P<0.001). Injuries while biking were significantly higher among boys (46.3%) than girls (41.7%) (P<0.001), and injuries while walking/running were more prevalent among girls (32.5%) than boys (28.0%) (P<0.001).Conclusion. Despite these considerably high rates, injury remains relatively underappreciated. Results of this study are useful to develop a national injury prevention program aimed at enhancing the safety of Palestinian adolescents.

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          Cross national study of injury and social determinants in adolescents.

          K. Simpson, Marek Mazur, E Kuntsche … (2005)
          To compare estimates of the prevalence of injury among adolescents in 35 countries, and to examine the consistency of associations cross nationally between socioeconomic status then drunkenness and the occurrence of adolescent injury. Cross sectional surveys were obtained from national samples of students in 35 countries. Eight countries asked supplemental questions about injury. Surveys administered in classrooms. Consenting students (n = 146 440; average ages 11-15 years) in sampled classrooms. 37 878 students (eight countries) provided supplemental injury data.Exposure measures: Socioeconomic status (material wealth, poverty) and social risk taking (drunkenness). Specific types and locations of medically treated injury. By country, reports of medically treated injuries ranged from 33% (1060/3173) to 64% (1811/2833) of boys and 23% (740/3172) to 51% (1485/2929) of girls, annually. Sports and recreation were the most common activities associated with injury. High material wealth was positively (OR>1.0; p<0.05) and consistently (6/8 countries) associated with medically treated and sports related injuries. Poverty was positively associated with fighting injuries (6/8 countries). Drunkenness (social risk taking) was positively (p<0.01) and consistently (8/8 countries) associated with medically treated, street, and fighting injuries, but not school and sports related injuries. The high prevalence of adolescent injury confirms its importance as a health problem. Social gradients in risk for adolescent injury were illustrated cross nationally for some but not all types of adolescent injury. These gradients were most evident when the etiologies of specific types of adolescent injury were examined. Prevention initiatives should focus upon the etiologies of specific injury types, as well as risk oriented social contexts.
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            The problem of children's injuries in low-income countries: a review.

            Philip N. Bartlett (2002)
            Unintentional injuries are the cause of death and disability for millions of children every year in low-income countries. Challenging living conditions, heavy traffic, a lack of safe play space and an absence of child care options, together with a disproportionate vulnerability to injury, combine to put children at high risk. Inaccessible and unaffordable emergency services add to the number of resulting deaths and impairments. Yet this major public health problem receives relatively little attention. Because communicable disease and nutritional problems continue to rank higher as causes of child mortality and morbidity in most of the developing world, injury is perceived as a less serious problem. Existing research is scanty and is largely limited to hospital-based studies, which cannot present a comprehensive picture of either causes or outcomes. Development of preventive measures is hampered not only by limited health budgets, but by a tendency (not unique to low-income countries) to see injuries as random events, and hence as unpredictable and uncontrollable. There is an urgent need for more research that can contribute to effective analyses of the situation, and especially for locally-based research and record keeping, which is most likely to contribute to awareness and to practical and well-targeted prevention measures.
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              The effects of recall on estimating annual nonfatal injury rates for children and adolescents.

              M D Overpeck, Helene Meller Harel, Walton Jones … (1994)
              This study used a recent national population survey on childhood and adolescent non-fatal injuries to investigate the effects of recall bias on estimating annual injury rates. Strategies to adjust for recall bias are recommended. The 1988 Child Health Supplement to the National Health Interview Survey collected 12-month recall information on injuries that occurred to a national sample of 17,110 children aged 0 through 17 years. Using information on timing of interviews and reported injuries, estimated annual injury rates were calculated for 12 accumulative recall periods (from 1 to 12 months). The data show significantly declining rates, from 24.4 per 100 for a 1-month recall period to 14.7 per 100 for a 12-month recall period. The largest declines were found for the 0- through 4-year-old age group and for minor injuries. Rates of injuries that caused a school loss day, a bed day, surgery, or hospitalization showed higher stability throughout recall periods. Varying recall periods have profound effects on the patterns of childhood injury epidemiology that emerge from the data. Recall periods of between 1 and 3 months are recommended for use in similar survey settings.
              Article 0 comments Cited 43 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Title: International Journal of Population Research
                Abbreviated Title: International Journal of Population Research
                Publisher: Hindawi Limited
                ISSN (Print): 2090-4029
                ISSN (Electronic): 2090-4037
                Publication date Created: 2013
                Publication date (Print): 2013
                Volume: 2013
                Issue:
                Pages: 1-7
                Article
                DOI: 10.1155/2013/629159
                SO-VID: ebf5dddb-898a-425b-9ef5-2e793bd1f94c
                Copyright © © 2013
                License:

                http://creativecommons.org/licenses/by/3.0/

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