Nepal Health Sector Programme III, Monitoring, Evaluation and Operational Research, Abt Associates, Lalitpur, Nepal.
Nepal Health Research Council, Ramshahpath, Kathmandu, Nepal.
J Nepal Health Res Counc. 2020 Nov 14;18(3):506-512. doi: 10.33314/jnhrc.v18i3.2882.
Injury-related mortality and morbidity, a leading cause of death and disability worldwide, is common among adolescents. However, there is insufficient information on the status and factors responsible for injury among adolescents in Nepal. Hence, the paper estimates the injury prevalence and identify the factors associated with it among adolescent Nepalese students.
This study used national representative cross-sectional data of the Global School-based Student Health Survey 2015. Complex sample analysis was performed after adjusting the selection probability of each sample participants to identify the correlates of injury among 6529 students of 68 schools in Nepal.
Out of 6529 study participants, 62.79% reported severe injury. The most common injury type was cut or stab wound (67.61%) followed by broken bone/dislocated joints (11.03%) and the most common cause of injury was fall (56.40%). Serious injury was significantly associated with a physical attack (AOR=1.54, CI=1.17-2.04), being involved in a physical fight (AOR=1.62, CI=1.2-2.2), being bullied (AOR=2.73, CI=2.25-3.31), feeling unsafe at school (AOR=1.53, CI=1.23-1.91), helmet use(never/rarely/sometimes) while driving a motorbike (AOR=1.69, CI=1.21-2.38) and drink and drive(AOR=2.28, CI=1.05-4.96).
This study reported the injury as a significant public health concern in Nepal associated with several factors like physical attack, being involved in a physical fight, being bullied, feeling unsafe at school, helmet use while driving motorbike and drink and drive. The high prevalence of injury in Nepal suggests the application of appropriate prevention strategies.
伤害相关的死亡率和发病率是全球导致死亡和残疾的主要原因之一，在青少年中很常见。然而，尼泊尔青少年的伤害状况及其相关因素的信息不足。因此，本文旨在评估尼泊尔青少年的伤害流行率，并确定与伤害相关的因素。
本研究使用了 2015 年全球学校学生健康调查的全国代表性横断面数据。对每个样本参与者的选择概率进行调整后，进行复杂样本分析，以确定尼泊尔 68 所学校的 6529 名学生中与伤害相关的因素。
在 6529 名研究参与者中，62.79%报告了严重伤害。最常见的伤害类型是割伤或刺伤（67.61%），其次是骨折/脱臼（11.03%），最常见的伤害原因是跌倒（56.40%）。严重伤害与身体攻击（AOR=1.54，CI=1.17-2.04）、参与身体打架（AOR=1.62，CI=1.2-2.2）、被欺凌（AOR=2.73，CI=2.25-3.31）、在学校感到不安全（AOR=1.53，CI=1.23-1.91）、骑摩托车时从不/很少/有时戴头盔（AOR=1.69，CI=1.21-2.38）和酒后驾车（AOR=2.28，CI=1.05-4.96）显著相关。
本研究报告称，伤害是尼泊尔的一个重大公共卫生问题，与身体攻击、参与身体打架、被欺凌、在学校感到不安全、骑摩托车时不戴头盔和酒后驾车等多个因素有关。尼泊尔高伤害流行率表明需要应用适当的预防策略。
