格陵兰青少年的伤害情况：全国代表性样本中的行为及社会经济关联因素
Injuries among adolescents in Greenland: behavioural and socio-economic correlates among a nationally representative sample.
作者信息
Jansen Louis, Bärnighausen Till, Lowery Wilson Michael
机构信息
Heidelberg Institute of Global Health, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Baden-Wuerttemberg, Germany.
Injury Epidemiology and Prevention (IEP) Research Group, Turku Brain Injury Centre, Department of Clinical Neurosciences, Turku University Hospital, University of Turku, Turku, Finland.
出版信息
PeerJ. 2020 Feb 18;8:e8605. doi: 10.7717/peerj.8605. eCollection 2020.
BACKGROUND
Injuries are among the most important threats to adolescent health, making examination of the patterns and risk factors a critical area of research. There exists a paucity of information on the health and injury experience of school-attending adolescents in Greenland. Consenting Greenlandic schoolchildren ( = 2,254) aged 9-19 years were included in the Health Behavior in School-Aged Children study 2005/2006. The aim of this study was to examine the socio-economic and behavioural correlates that were associated with injury occurrence among school-attending Greenlandic adolescents.
METHODS
This study made use of two multinomial regression models to examine injury occurrence regarding potential influencing factors such as physical activity, risk behaviours, bullying and family socio-economic status (SES).
RESULTS
Those self-reporting 1-2 injuries within the recall period were more likely to be male (OR = 1.70; CI [1.39-2.09]), involved in physical fighting (OR = 1.82; CI [1.33-2.47]), bullied (OR = 1.81; CI [1.47-2.24]) and participated in bullying others (OR = 1.53; CI [1.25-1.89]). Those reporting three or more injuries were again mostly male (OR = 2.13; CI [1.44-3.14]), involved in physical fighting at higher rates (OR = 4.47; CI [2.86-7.01]), bullied more often (OR = 2.43; CI [1.65-3.57]) and were more likely to bully others (OR = 1.67; CI [1.13-2.45]). Living without a mother proved to be significantly correlated with suffering 3 or more injuries during the recall period (OR = 1.63; CI [1.05-2.52]). The study results support the idea that factors that were found to be associated with injury occurrence, such as bullying and aggressive behaviour, should be taken into account when conducting future research on the nature of injuries among Greenlandic adolescents. More research on this topic is needed to identify factors that might modify the associations between injuries and adolescent behaviour and SES.
背景
伤害是青少年健康面临的最重要威胁之一，因此对伤害模式和风险因素的研究是一个关键领域。关于格陵兰在校青少年的健康和伤害经历的信息匮乏。2005/2006年学龄儿童健康行为研究纳入了2254名9至19岁同意参与的格陵兰学童。本研究的目的是调查与格陵兰在校青少年伤害发生相关的社会经济和行为因素。
方法
本研究使用两个多项回归模型来研究伤害发生情况与身体活动、危险行为、欺凌和家庭社会经济地位（SES）等潜在影响因素之间的关系。
结果
在回忆期内自我报告有1至2次伤害的人更可能为男性（比值比[OR]=1.70；可信区间[CI][1.39 - 2.09]），参与过肢体冲突（OR = 1.82；CI[1.33 - 2.47]），遭受过欺凌（OR = 1.81；CI[1.47 - 2.24]）以及参与过欺凌他人行为（OR = 1.53；CI[1.25 - 1.89]）。报告有三次或更多次伤害的人同样大多为男性（OR = 2.13；CI[1.44 - 3.14]），参与肢体冲突的比例更高（OR = 4.47；CI[2.86 - 7.01]），更常遭受欺凌（OR = 2.43；CI[1.65 - 3.57]）且更可能欺凌他人（OR = 1.67；CI[1.13 - 2.45]）。事实证明，在回忆期内没有母亲陪伴生活与遭受三次或更多次伤害显著相关（OR = 1.63；CI[1.05 - 2.52]）。研究结果支持这样一种观点，即在未来对格陵兰青少年伤害性质的研究中，应考虑到那些被发现与伤害发生相关的因素，如欺凌和攻击性行为。需要对此主题进行更多研究，以确定可能改变伤害与青少年行为及社会经济地位之间关联的因素。
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