Occurrence and risk factors of unintentional injuries among 12-to 18-year-old Finns -: A survey of 8219 adolescents

被引:57
作者
Mattila, V [1 ]
Parkkari, J
Kannus, P
Rimpelä, A
机构
[1] Univ Tampere, Tampere Sch Publ Hlth, Tampere 33014, Finland
[2] Tampere Univ Hosp, Accident & Trauma Res Ctr, UKK Inst, Dept Surg, Tampere, Finland
[3] UKK Inst, Tampere Res Ctr Sports Med, Tampere, Finland
关键词
adolescents; incidence; injury; risk factors;
D O I
10.1023/B:EJEP.0000027355.85493.cb
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The aim of this study was to evaluate the incidence, nature, and risk factors of unintentional injuries among 12-, 14-, 16- and 18-year-old Finnish adolescents. Of the 8219 respondents ( response rate 75%) 5.5% reported an injury that had required medical attention during the past month. The total number of injuries was 506 and the incidence of injuries 62 per 1000 person-months. Boys had a slightly higher injury occurrence rate than girls ( OR: 1.33; 95% CI: 1.13-1.59). The most common injuries were sprains (27%), fractures (26%) and wounds (16%) of the upper and lower limbs. In multivariate logistic regression analysis the strongest risk factors of injury were: having experienced violence during past month (OR: 3.6; 95% CI: 2.8-4.6), daily leisure time exercise in sports club ( OR: 3.3; 95% CI: 2.3-4.6), having several somatic health complaints weekly (OR: 2.2; 95% CI: 1.7-2.9) and having chronic disease (OR: 2.0; 95% CI: 1.5-2.6). In conclusion, injuries were an important cause of morbidity among our 12-18-year-old adolescents. Adolescents' school success and their parents' education, occupation and employment status were not associated with injuries. The finding that several health and health behaviour variables are important risk factors for injuries challenges the researchers and the society to identify and treat the risk factors that can be modified to reduce the number of adolescent injuries.
引用
收藏
页码:437 / 444
页数:8
相关论文
共 45 条
[11]   THE INCIDENCE OF INJURIES AMONG 87,000 MASSACHUSETTS CHILDREN AND ADOLESCENTS - RESULTS OF THE 1980-81 STATEWIDE CHILDHOOD INJURY PREVENTION PROGRAM SURVEILLANCE SYSTEM [J].
GALLAGHER, SS ;
FINISON, K ;
GUYER, B ;
GOODENOUGH, S .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1984, 74 (12) :1340-1347
[12]   Using routine accident and emergency department data to describe local injury epidemiology [J].
Gorman, DR ;
Ramsay, LJ ;
Wilson, GS ;
Freeland, P .
PUBLIC HEALTH, 1999, 113 (06) :285-289
[13]   Back, neck, and shoulder pain in Finnish adolescents:: national cross sectional surveys [J].
Hakala, P ;
Rimpelä, A ;
Salminen, JJ ;
Virtanen, SM ;
Rimpelä, M .
BRITISH MEDICAL JOURNAL, 2002, 325 (7367) :743-745
[14]   THE EFFECTS OF RECALL ON ESTIMATING ANNUAL NONFATAL INJURY RATES FOR CHILDREN AND ADOLESCENTS [J].
HAREL, Y ;
OVERPECK, MD ;
JONES, DH ;
SCHEIDT, PC ;
BIJUR, PE ;
TRUMBLE, AC ;
ANDERSON, J .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1994, 84 (04) :599-605
[15]   Age of drinking onset and unintentional injury involvement after drinking [J].
Hingson, RW ;
Heeren, T ;
Jamanka, A ;
Howland, J .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2000, 284 (12) :1527-1533
[16]   Cross sectional survey of socioeconomic variations in severity and mechanism of childhood injuries in Trent 1992-7 [J].
Hippisley-Cox, J ;
Groom, L ;
Kendrick, D ;
Coupland, C ;
Webber, E ;
Savelyich, B .
BRITISH MEDICAL JOURNAL, 2002, 324 (7346) :1132-1134C
[17]  
KANNAS L, 1995, KOULULAISTEN KOKEMA
[18]   Secular trends in overweight and obesity among Finnish adolescents in 1977-1999 [J].
Kautiainen, S ;
Rimpelä, A ;
Vikat, A ;
Virtanen, SM .
INTERNATIONAL JOURNAL OF OBESITY, 2002, 26 (04) :544-552
[19]   Health behavior-based selection into educational tracks starts in early adolescence [J].
Koivusilta, LK ;
Rimpelä, AH ;
Rimpelä, M ;
Vikat, A .
HEALTH EDUCATION RESEARCH, 2001, 16 (02) :201-214
[20]  
Laflamme L, 2000, Inj Prev, V6, P293, DOI 10.1136/ip.6.4.293