Peltzer Karl, Pengpid Supa
ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand.
Department of Research & Innovation, University of Limpopo, Sovenga 0727, South Africa.
Int J Environ Res Public Health. 2017 Mar 8;14(3):280. doi: 10.3390/ijerph14030280.
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.
该研究的目的是评估柬埔寨和越南中学生非致命伤害的患病率及其社会心理相关因素。对柬埔寨和越南7137名在校儿童（平均年龄15.5岁，标准差=1.4）的横断面数据进行了分析，这些儿童是从参与具有全国代表性的全球学校健康调查（GSHS）的学生中随机抽取的。在柬埔寨，报告在过去一年中遭受一次或多次严重伤害的在校儿童比例，男生为22.6%，女生为17.5%；在越南，男生为34.3%，女生为25.1%。在柬埔寨，最严重伤害的最常见原因是交通伤害（男生为4.7%，女生为4.3%）；在越南，是跌倒（男生为10.0%，女生为7.0%）。在多项逻辑回归分析中，在柬埔寨，经历饥饿（作为社会经济地位低下的指标）和吸毒与在过去12个月中遭受一次伤害以及两次或更多次伤害有关。此外，心理健康状况不佳与两次或更多次伤害有关。在越南，男性、经历饥饿、当前饮酒、心理健康状况不佳以及曾经有过性行为与在过去12个月中遭受一次伤害以及两次或更多次伤害有关。确定了几个社会心理变量，这些变量有助于设计柬埔寨和越南中学生的伤害预防策略。
