INJURY PROFILE IN YOUNG FEMALE ADOLESCENTS – A CASE STUDY FROM ISLAMABAD
AbstractBackground: Injuries are an under recognized public health problem globally. We assessed the prevalence and correlates of injuries in adolescent school girls. Methods: A cross-sectional survey with convenience sampling was conducted among the two girl’s middle schools in Islamabad, using structured, self-administered, anonymous and pre-tested questionnaire. All the class seven and eight students attending the school on the day of study were distributed questionnaires in the classrooms, who handed-over the completed questionnaires to their designated teacher. Data was analyzed for frequencies and counts with STATA 8. Results: One hundred eighty-two questionnaires were completed; average age of respondents was 12 years (range 11-14). Cumulatively, 78 (42.8%) students reported sustaining 93 medically attended unintentional injuries in the past year; among these 11 (14.1%) reported two injuries and 2 (2.6%) reported three injuries. For 43 (46.2%) injuries, respondents consulted a general practitioner (Doctor practicing near home), while for the rest of injuries, students were taken to the hospital for treatment. Conclusion: Medically attended unintentional injuries in the preceding one year were common in the school girls, with home being the most frequent place of injuries. Falls with injuries on hands and arms was the most common site of injuries. Key Words: Injuries Female Adolescents Students Pakistan
Murray CJ, Lopez AD. Global mortality, disability and the contribution of risk factors: Global Burden of Disease Study. Lancet 1997;349(9063):1536-42.
Dowd MD. Childhood injury prevention at home and play. Curr Opin Pediatr 1999; 11(6): 578-82.
Runyan CW, Gerken EA. Epidemiology and prevention of adolescent injury: a review and research agenda. JAMA 1989;262:16:2273-8.
Centers for Disease Control and Prevention. Injury mortality: national summary of injury mortality data 1984-1990. Atlanta, GA: Centers for Disease Control and Prevention, 1993.
Grunbaum JA, Kann L, Kinchen S, Ross J, Hawkins J, Lowry R, et al. Youth risk behavior surveillance - United States, 2003. MMWR Surveill Summ. 2004;53(2): 1-96.
World Health Organization (WHO). The World Health Report 2003 – Shaping the future. Geneva, WHO, pp 19.
Rashid A, Khan MN. Identifying cases of head injuries in children and proposals for prevention. J Coll Physicians Surg Pak. 1991;1(11):471-2.
Kazmi TH, Omair A, Inam SN, Shaikh I, Jamali S. Spectrum of injuries at the emergency department of a tertiary care hospital. J Coll Physicians Surg Pak 2004;14(1):61-5.
Razzak JA, Luby SP, Laflamme L, Chotani H. Injuries among children in Karachi, Pakistan--what, where and how. Public Health. 2004;118(2):114-20.
Hammarstorm A, Janlert U. Epidemiology of school injuries in the northern part of Sweden. Scand J Soc Med. 1994;22(2):120-6.
Yang CY, Yeh YC, Cheng MF, Lin MC. The incidence of school-related injuries among adolescents in Kaohsiung, Taiwan. Am J Prev Med. 1998;15(3):172-7
Karvonen M, Mikhee M I. eds. Epidemiology of occupational health. Copenhagen: World Health Organization, 1986;381 p (WHO regional publications, European series no 20).
Willer B, Dumas J, Huston A, Leddy J. A population based investigation of head injuries and symptoms of concussion of children and adolescents in schools. Inj Prev. 2004;10 (3): 144-8.
Kramer MD. Lightfoot AC. Knight S, Cazier CF, Olson LM. Classroom injuries in Utah public schools. Acad Emerg Med. 2003;10(9):978-84.
Limbos MA, Peek-Asa C. Comparing unintentional and intentional injuries in a school setting. J Sch Health. 2003; 73(3): 101-6.
Phelan KJ, Khoury J, Kalkwarf HJ, Lanphear BP. Trends and patterns of playground injuries in United States children and adolescents. Ambul Pediatr. 2001; 1(4): 227-33.
Nicolau B, Marcenes W, Sheiham A. Prevalence causes and correlates of traumatic dental injuries among 13-year-olds in Brazil. Dent Traumatol. 2001; 17(5):213-7.
Chalmers DJ, Langley JD. New Zealand’s injury prevention research unit: helping shape injury prevention policy and practice. Inj Prev 1999;5:72-5
Lyons RA, Lo SV, Heaven M, Littlepage BN. Injury surveillance in Children–usefulness of a centralized database of accident and emergency attendances. Inj Prev 1995;1:173-6.