Pengpid Supa, Peltzer Karl
ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhonpathom, Thailand.
Deputy Vice Chancellor Research and Innovation Office, North West University, Potchefstroom, South Africa.
Int J Gen Med. 2019 Jul 16;12:263-271. doi: 10.2147/IJGM.S212350. eCollection 2019.
The study aimed to report the prevalence and socio-psychological correlates of non-fatal injury among school adolescents in four ASEAN countries. 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. 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. 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.
该研究旨在报告四个东盟国家在校青少年非致命伤害的患病率及其社会心理相关因素。2015年“全球学校健康调查（GSHS）”的横断面研究数据涵盖了29480名在校青少年（平均年龄14.5岁，标准差 = 1.6），这些青少年代表了所有中学生。过去一年中曾遭受一次或多次严重伤害的参与者比例为36.9%（21.4%曾受过一次伤害，15.4%受过多次伤害）。报告的伤害最常见原因是“我摔倒了”（10.2%）和机动车（5.8%），最常见的伤害形式是“骨折或关节脱位”（8.1%）和“割伤、刺伤或戳伤”（3.4%）。在调整后的多项逻辑回归分析中，男性、经历饥饿、使用物质（酒精、烟草、大麻、安非他明和软饮料）、逃学、参加体育课以及心理困扰与一次和/或多次伤害相关。父母或监护人的支持降低了每年受伤一次的几率。与印度尼西亚的学生相比，老挝的学生受伤几率较低，而菲律宾和泰国的学生受伤几率较高。研究确定了几个变量，如男性、粮食不安全、使用物质、逃学、体育课和心理困扰等，可作为该学校人群伤害预防项目的目标。
