密克罗尼西亚联邦、汤加王国和瓦努阿图年轻人报告的故意伤害情况。

Intentional injury reported by young people in the Federated States of Micronesia, Kingdom of Tonga and Vanuatu.

作者信息

Smith Ben J, Phongsavan Philayrath, Bampton Dale, Peacocke Genevieve, Gilmete Mercedes, Havea Drew, Chey Tien, Bauman Adrian E

机构信息

Department of Health Science, Monash University, PO Box 527 Frankston, Victoria, 3199, Australia.

出版信息

BMC Public Health. 2008 Apr 30;8:145. doi: 10.1186/1471-2458-8-145.

DOI:10.1186/1471-2458-8-145

PMID:18447911

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2394527/

Abstract

BACKGROUND

Intentional injury presents a threat to the physical and psychological well being of young people, especially in developing countries, which carry the greatest part of the global injury burden. While the importance of this problem is recognized, there are limited population data in low and middle income countries that can guide public health action. The present study investigates the prevalence and distribution of intentional injury among young people in three Pacific Island societies, and examines behavioural and psychosocial factors related to risk of intentional injury.

METHODS

Population surveys were conducted with students aged 11-17 years in Pohnpei State in the Federated States of Micronesia (n = 1495), the Kingdom of Tonga (n = 2808) and Vanuatu (n = 4474). Surveys measured self-reported injury and intentional injury, sources of intentional injury, and the range of behavioural, psychological, educational and social variables that may be related to injury risk.

RESULTS

Among boys and girls aged 14-17 years the respective period prevalence of intentional injury was 62% and 56% in Pohnpei, 58% and 41% in Tonga, and 33% and 24% in Vanuatu. The prevalence of intentional injury declined with age in Tonga and Vanuatu, but there was little evidence of an age-trend in Pohnpei. Across the three societies, the major sources of intentional injury among boys were 'other persons' followed by boyfriends/girlfriends and fathers. Mothers, boyfriends/girlfriends and other persons were primary sources of injury among girls. An intentional injury was reported more often by those who had been bullied (OR 1.40-1.66, P < 0.05), by regular smokers in Tonga and Vanuatu (OR 1.52-2.21, P < 0.05), and illicit drug users in Pohnpei and Vanuatu (OR 1.87-1.92, P < 0.05).

CONCLUSION

Intentional injury was reported extensively in these three populations. Interventions directed towards the school environment and which take into account the role of bullying and drug use need to be considered.

摘要

背景

故意伤害对年轻人的身心健康构成威胁，在发展中国家尤为如此，这些国家承担着全球大部分的伤害负担。尽管人们认识到这个问题的重要性，但低收入和中等收入国家中可用于指导公共卫生行动的人口数据有限。本研究调查了三个太平洋岛屿社会中年轻人故意伤害的患病率和分布情况，并研究了与故意伤害风险相关的行为和心理社会因素。

方法

对密克罗尼西亚联邦波纳佩州（n = 1495）、汤加王国（n = 2808）和瓦努阿图（n = 4474）11至17岁的学生进行了人口调查。调查测量了自我报告的伤害和故意伤害、故意伤害的来源，以及可能与伤害风险相关的行为、心理、教育和社会变量的范围。

结果

在14至17岁的男孩和女孩中，波纳佩州故意伤害的相应期间患病率分别为62%和56%，汤加为58%和41%，瓦努阿图为33%和24%。在汤加和瓦努阿图，故意伤害的患病率随年龄下降，但在波纳佩州几乎没有年龄趋势的证据。在这三个社会中，男孩故意伤害的主要来源是“其他人”，其次是男朋友/女朋友和父亲。母亲、男朋友/女朋友和其他人是女孩受伤的主要来源。曾遭受欺凌的人报告故意伤害的频率更高（比值比1.40 - 1.66，P < 0.05），汤加和瓦努阿图的经常吸烟者（比值比1.52 - 2.21，P < 0.05），以及波纳佩州和瓦努阿图的非法药物使用者（比值比1.87 - 1.92，P < 0.05）。