<p>Unintentional injuries and socio-psychological correlates among school-going adolescents in four ASEAN countries</p>

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.

Violence and Non-fatal Injuries among Vietnamese In-school Adolescents: National Prevalence Estimates and Associated Factors

“…Regarding gender, our results indicate that male students suffer more violence and injury than female students. These results are consistent with previous studies 17,19,25 and may be because boys are more physically active than girls, and tend to get involved more easily in competitive activities such as physical fights and games. 26,27 We observed many common risk factors for violence and non-fatal injury, including the smoking of cigarettes, alcohol use, mental health problems, and living with neither parent, with violence also being a risk factor for injury.…”

“…7 The current literature reports that, among students, school violence is associated with suicide 8,9 ; injury is associated with poor mental health [10][11][12][13] and violence; 9,11,[13][14][15] and both violence and injury are associated with substance use [7][8][9]11,16 and truancy. [9][10][11]17 Insufficient parental supervision 9 and lack of parental bonding 13 are risk factors for violence and injury, while parental respect and parental support are protective factors. 8,17 Vietnam is a low-to-middle-income country in the Southeast Asia region, with a population of 95.5 million.…”

“…[9][10][11]17 Insufficient parental supervision 9 and lack of parental bonding 13 are risk factors for violence and injury, while parental respect and parental support are protective factors. 8,17 Vietnam is a low-to-middle-income country in the Southeast Asia region, with a population of 95.5 million. 18 According to GSHS 2013, 34.3% of male middle-school students, and 25.1% of female middle-school students in Vietnam, experienced one or more serious injuries.…”

“…9-11,17 Insufficient parental supervision 9 and lack of parental bonding 13 are risk factors for violence and injury, while parental respect and parental support are protective factors. 8,17…”

Unintentional Injury and its Determinants among Adolescents

“…The following factors -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 unintentional injury. [19] Wickramasinghe et al's study among 3262 adolescents attending government school in Sri Lanka findings highlight 35.8% of the students reported being seriously injured one or more times. Being male sex, bullied, physically attacked, or being in a physical fight were associated with unintentional injury.…”