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土耳其高中生意外伤害与暴力的患病率及影响因素:一项横断面研究。

Prevalence and determinants of unintentional injuries and violence among high school students in Turkey: A cross-sectional study.

作者信息

Çam Hasan Hüseyin, Ustuner Top Fadime

机构信息

Faculty of Health Sciences, Department of Public Health Nursing, Kahramanmaraş İstiklal University, Kahramanmaraş, Turkey.

Faculty of Health Sciences, Department of Child Health and Disease Nursing, Giresun University, Giresun, Turkey.

出版信息

Injury. 2025 Feb;56(2):112150. doi: 10.1016/j.injury.2025.112150. Epub 2025 Jan 12.

Abstract

INTRODUCTION

Injuries and violence are among the most prominent public health problems in the world. As well as being a leading cause of mortality - particularly among children and young adults - many of the millions of non-fatal injuries result in life-long disabilities and health consequences. The aim of this study was to estimate the prevalence of unintentional injuries and violence, and their associated factors among high school students.

METHODS

This cross-sectional study included a total of 1218 high-school students in Turkey. Data were collected through a facilitated self-administered questionnaire with questions adapted from the Global School-based Student Health Survey instrument. Data were analyzed in IBM SPSS Statistics 28.0 using chi-square test to find statistical significance if any. The significant variables from the chi-square test were selected for multiple logistic regression analysis.

RESULTS

The overall prevalence of physical attack, physical fighting, and serious injuries were 8.3 %, 14.8 %, and 11.7 %, respectively. In a multiple regression analysis, student truancy and lateness, worry, suicide attempts, and not having close friends were found to be associated with physically attacked, physical fight, and serious injuries.

CONCLUSION

This study demonstrated that the prevalence of unintentional injuries and violence among high school students is a major public health problem in Turkey. This study results can have important implications for school administration, parents, and policymakers alike to plan appropriate anti-violence strategies and interventions.

摘要

引言

伤害和暴力是世界上最突出的公共卫生问题之一。除了是主要的死亡原因——尤其是在儿童和年轻人中——数百万非致命伤害中的许多都会导致终身残疾和健康后果。本研究的目的是估计高中生意外伤害和暴力的患病率及其相关因素。

方法

这项横断面研究共纳入了土耳其的1218名高中生。数据通过一份简化的自填问卷收集,问卷中的问题改编自全球学校学生健康调查工具。数据在IBM SPSS Statistics 28.0中进行分析,使用卡方检验以确定是否存在统计学意义。从卡方检验中选取显著变量进行多元逻辑回归分析。

结果

身体攻击、肢体冲突和重伤的总体患病率分别为8.3%、14.8%和11.7%。在多元回归分析中,发现学生逃学和迟到、焦虑、自杀未遂以及没有亲密朋友与遭受身体攻击、肢体冲突和重伤有关。

结论

本研究表明,高中生意外伤害和暴力的患病率是土耳其一个主要的公共卫生问题。本研究结果对学校管理部门、家长和政策制定者制定适当的反暴力策略和干预措施可能具有重要意义。

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