Department of Epidemiology, Harvard T.H. Chan School of Public Health, 677 Huntington Avenue, Boston, MA 02115, USA.
Perelman School of Medicine, University of Pennsylvania, 3400 Civic Center Blvd., Jordan Medical Education Center, Philadelphia, PA 19104, USA.
J Epidemiol Glob Health. 2018 Dec;8(3-4):171-175. doi: 10.2991/j.jegh.2017.10.010.
The extent to which sports injuries contribute to the burden of injury among adolescents in low- and middle-income countries (LMICs) is unknown. The goal of this study was to estimate the incidence of sports injuries among adolescents in Africa. Data from the World Health Organization Global School-Based Student Health surveys were used to estimate the annual number of African adolescents sustaining sports injuries. Gender-stratified injury rates were calculated and applied to every African country's adolescent population to estimate country-specific and continent-wide injury totals. A total of 21,858 males and 24,691 females from 14 countries were included in the analysis. Country-specific annual sports injury rates ranged from 13.5% to 38.1% in males and 5.2% to 20.2% in females. Weighted average sports injury rates for males and females were 23.7% (95% CI 23.1%-24.2%) and 12.5% (95% CI 12.1%-12.9%), respectively. When these rates were extrapolated to the adolescent populations of the African continent, an estimated 15,477,798 (95% CI 15,085,955-15,804,333) males and 7,943,625 (95% CI 7,689,429-8,197,821) females sustained sports injuries. Our findings suggest that over 23 million African adolescents sustained sports injuries annually. Further work will help to more precisely define the burden of sports injuries in LMICs and the role that surgery can play in mitigating this burden.
体育运动损伤在中低收入国家（LMICs）青少年损伤负担中的程度尚不清楚。本研究的目的是估计非洲青少年运动损伤的发生率。使用世界卫生组织全球学校学生健康调查的数据来估计每年有多少非洲青少年遭受运动损伤。计算了按性别分层的损伤率，并将其应用于每个非洲国家的青少年人口，以估计特定国家和整个非洲大陆的损伤总数。共有来自 14 个国家的 21858 名男性和 24691 名女性纳入分析。特定国家的男性年运动损伤率范围为 13.5%至 38.1%，女性为 5.2%至 20.2%。男性和女性的加权平均运动损伤率分别为 23.7%（95%CI 23.1%-24.2%）和 12.5%（95%CI 12.1%-12.9%）。当将这些比率外推到非洲大陆的青少年人群中时，估计有 15477798 名（95%CI 15085955-15804333）男性和 7943625 名（95%CI 7689429-8197821）女性遭受运动损伤。我们的发现表明，每年有超过 2300 万非洲青少年遭受运动损伤。进一步的工作将有助于更准确地定义 LMICs 中运动损伤的负担以及手术在减轻这种负担方面的作用。
