Child school injury in Lebanon: A study to assess injury incidence, severity and risk factors

Al-Hajj, Samar; Nehme, Ricardo; Hatoum, Firas; Zheng, Alex; Pike, Ian

doi:10.1371/journal.pone.0233465

Cited by 11 publications

(10 citation statements)

References 43 publications

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“…As a result, unintentional injuries are regarded as the leading cause of death and disability among adolescents [ 7 ]. In addition to the mortalities, injuries are associated with a lifelong disability, psychosocial problems, and financial repercussions on the injured victim and their families [ 3 , 8 , 9 ]. However, this burden is disproportionately distributed, with the largest problem in low- and middle-income countries, impacting adversely on the health and productivity, and the resulting pressure on social systems [ 8 , 10 ].…”

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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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: 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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“…Studies have shown that different age groups are at higher risk. 6 9 11 Linakis et al showed that children aged 10 to 14 years are at higher risk for school injuries. 6 In another study, Al-Hajj et al reported that 3 to 5 years of age constituted the risk group.…”

Section: Discussionmentioning

confidence: 99%

“…20 However, most of these studies, especially those with large samples, did not include clinical diagnoses and surgical requirement data. [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] This study aimed to investigate the frequency and severity of school injuries referred to ED among school-aged children according to the Injury Surveillance Guidelines and determine clinical diagnoses and surgery requirement data.…”

Section: Introductionmentioning

confidence: 99%

“… 2 3 There are many epidemiological studies on school accidents in the literature. 4 5 6 7 8 9 10 11 12 13 14 15 Such studies are based on records obtained from school nursing units, national trauma registry, or emergency department (ED). Some researchers have evaluated injuries in subgroups, such as athletes and footballers, or specific injury sites, such as the head and lower extremity.…”

Section: Introductionmentioning

confidence: 99%

“… 20 However, most of these studies, especially those with large samples, did not include clinical diagnoses and surgical requirement data. 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 …”

Section: Introductionmentioning

confidence: 99%

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Characteristics of School Injuries Presenting to the Emergency Department

et al. 2022

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Background School injuries account for approximately one-fifth of pediatric injuries. We aimed to investigate the frequency and severity of school injuries among school-aged children and determine clinical diagnoses and surgery requirement data. Methods In this prospective study, children who were admitted to the emergency department due to school accidents over a 5-month period were included. Demographics, activity during trauma, mechanism of trauma, nature, severity, emergency department outcomes, and surgery requirement were evaluated. Results The study included a total of 504 school-aged children, of whom 327 (64.9%) were male and 177 (35.1%) were female. Of the children, 426 (84.5%) had no evidence of injury or minor injury, while 78 (15.5%) had moderate or severe injury. There was a statistically significant difference between these two groups in terms of gender (p = 0.031). Of the 78 children with moderate or severe injuries, 45 had extremity fractures, 18 had lacerations, 5 had maxillofacial injuries, 4 had cerebral contusion, 1 had lung contusion, and 1 had cervical soft-tissue damage. Two patients with fractures and two with eyelid lacerations were treated surgically, and four patients with brain contusion were hospitalized for a close follow-up. Conclusion This study revealed that the most common moderate or severe injuries in school accidents referred to emergency department were distal radius fractures and lacerations.

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Day care as a strategy for drowning prevention in children under 6 years of age in low- and middle-income countries

Buck

Vanhove

Dorien

et al. 2021

Cochrane Database of Systematic Reviews

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Child school injury in Lebanon: A study to assess injury incidence, severity and risk factors

Cited by 11 publications

References 43 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

Characteristics of School Injuries Presenting to the Emergency Department

Day care as a strategy for drowning prevention in children under 6 years of age in low- and middle-income countries

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