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School injury and gender differentials: a prospective cohort study

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Abstract

This study assessed the role of certain individual characteristics in school injury among male and female adolescents. The sample included 2,398 subjects attending middle schools and high schools. Respondents completed a self-administered questionnaire at the beginning of the school year. School nurse completed a questionnaire on injury for each school injury occurred during the school year. The data was analyzed with the adjusted odds ratios (ORa) computed via the logistic models. The school injury was common (13% for both sexes). Sports/physical training injury was more frequent among girls (8.8% vs. 6.6%, P < 0.05) contrarily to the other types of injury (4.6% vs. 8.8%, P = 0.001). Sports/physical training injury was strongly associated with age <15 years (ORa 3.42) and presence of previous injury (2.63) among boys, and with age <15 years (2.02), presence of previous injury (2.94), not easily irritated (1.89), and irresponsible (1.59) among girls. The other types of injury were highly related to age <15 years (ORa 4.18), frequent use of psychotropic drugs (1.76), not living with both parents (1.65), being not calm (2.03), and presence of previous injury (1.82) among boys, and to age <15 years (2.59), obesity (3.24), and being not calm (1.84) among girls. The present study identified a number of potential risk factors for school injury among male and female adolescents. Preventive measures should be taken to make adolescents, their parents and teachers more aware of the risks and to find remedial measures.

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References

  1. Adirim TA, Cheng TL. Overview of injuries in the young athlete. Sports Med 2003;33:75–81.

    Article  PubMed  Google Scholar 

  2. Benamghar L, Chau N, Saunier-Aptel E, Mergel B, Mur JM. Les accidents chez les élèves des lycées professionnels et technologiques en Lorraine. Rev Epidem Sante Publique 1998;46:5–13.

    CAS  Google Scholar 

  3. Conn JM, Annest JL, Gilchrist J. Sports and recreation related injury episodes in the US population, 1997–99. Inj Prev 2003;9:117–23.

    Article  PubMed  CAS  Google Scholar 

  4. Hammarström A, Janlert U. Epidemiology of school injuries in the northern part of Sweden. Scand J Soc Med 1994;22:120–6.

    PubMed  Google Scholar 

  5. Belechri M, Petridou E, Kedikoglou S, Trichopoulos D, Sports Injuries European Union Group. Sports injuries among children in six European union countries. Eur J Epidemiol 2001;17:1005–12.

    Google Scholar 

  6. Li LP, Wang S, Huang G, Luo JY. A survey incidence in school children in Shantou City. China Biomed Environ Sci 2003;16:180–6.

    Article  Google Scholar 

  7. Sosnowska S, Kostka T. Epidemiology of school accidents during a six school-year period in one region in Polland. Eur J Epidemiol 2003;18:977–82.

    Article  PubMed  Google Scholar 

  8. Sznajder M, Chevallier B, Leroux G, Bruneau C, Yacoubovitch J, Auvert B. Frequency of chidhood injuries: first results of the Boulogne-Baillancourt registry. Rev Epidemiol Sante Publ 2001;49:125–34.

    CAS  Google Scholar 

  9. Chen G, Smith GA, Deng S, Chen D, Kelleher K, Xiang H. Psychological symptoms and nonfatal unintentional injuries among Chinese adolescents: a prospective study. J Adolesc Health 2005;37:460–6.

    Article  PubMed  CAS  Google Scholar 

  10. Kramer MD, Lightfoot AC, Knight S, Cazier CF, Olson LM. Classroom injuries in Utah public schools. Acad Emerg Med 2003;10:978–84.

    Article  PubMed  Google Scholar 

  11. O’brien MC, McCoy TP, Champion H, Mitra A, Robbins A, Teuschlser H, Wolfson M, DuRant RH. Single question about drunkenness to detect college students at risk for injury. Acad Emerg Med 2006;13:629–36.

    Article  PubMed  Google Scholar 

  12. Peng YC, Ni JF, Tao FB, Wu XK. A prospective cohort study on injuries among school-age children with and without behavior problems. Zhonghua Liu Xing Bing Xue Za Zhi 2003;24:684–8.

    PubMed  Google Scholar 

  13. Pickett W, Garner MJ, Boyce WF, King MA. Gradients in risk for youth injury associated with multiple-risk behaviours: a study of 11,329 Canadian adolescents. Soc Sci Med 2002;55:1055–68.

    Article  PubMed  Google Scholar 

  14. Ramirez M, Peek-Asa C, Kraus JF. Disability and risk of school related injury. Inj Prev 2004;10:21–6.

    Article  PubMed  CAS  Google Scholar 

  15. Stallones L, Beseler C, Chen P. Sleep patterns and risk of injury among adolescent farm residents. Am J Prev Med 2006;30:300–4.

    Article  PubMed  Google Scholar 

  16. Willer B, Dumas J, Hutson A, Leddy J. A population based investigation of head injuries and symptoms of concussion of children and adolescents in school. Inj Prev 2004;10:144–8.

    Article  PubMed  CAS  Google Scholar 

  17. Nelson HD, Nevitt MC, Scott JC, Stone KL, Cummings SR. Smoking, alcohol, and neuromuscular and physical function of older women. Study of Osteoporotic Fractures Research Group. JAMA 1994;273:1825–31.

    Article  Google Scholar 

  18. Pereira CB, Strupp M, Holzleitner T, Brandt T. Smoking and balance: correlation of nicotine-induced nystagmus and postural body sway. Neuroreport 2001;8:1223–6.

    Article  Google Scholar 

  19. Bernard PL, Geraci M, Hue O, Amato M, Seynnes O, Lantieri D. Influence of obesity on postural capacities of teenagers. Preliminary study. Ann Readapt Med Phys 2003;46:184–90.

    PubMed  CAS  Google Scholar 

  20. McGraw B, McClenaghan BA, Williams HG, Dickerson J, Ward DS. Gait and postural stability in obese and nonobese prepubertal boys. Arch Phys Med Rehabil 2000;81:484–9.

    Article  PubMed  CAS  Google Scholar 

  21. Bazelmans C, Coppieters Y, Godin I, Parent F, Berghmans L, Dramaix M, Leveque A. Is obesity associated with injuries among young people? Eur J Epidemiol 2004;19:1037–42.

    Article  PubMed  CAS  Google Scholar 

  22. Goulding A, Grant AM, Williams SM. Bone and body composition of children and adolescents with repeated forearm fractures. J Bone Miner Res 2005;20:2090–6.

    Article  PubMed  Google Scholar 

  23. ESEMeD/MHEDEA 2000 investigators. Psychotropic drug utilization in Europe: results from the European Study of the Epidemiology of Mental Disorders (ESEMeD) project. Acta Psychiatr Scand 2004;109 Suppl 420:55–64.

    Google Scholar 

  24. Licinio J, Wong ML. Depression, antidepressants and suicidality: a critical appraisal. Nat Rev Drug Discov 2005;4:165–71.

    Article  PubMed  CAS  Google Scholar 

  25. Nardi DA, Barrett S. Potential effects of antidepressant agents on the growth and development of children and adolescents. J Psychosoc Nurs Ment Health Serv 2005;43:22–35.

    PubMed  Google Scholar 

  26. Bhattacherjee A, Chau N, Otero Sierra C, Legras B, Benamghar L, Michaely JP, Ghosh AK, Guillemin F, Ravaud JF, Mur JM, Lorhandicap group. Relationships of job and some individual characteristics with occupational injuries in employed people: a community-based study. J Occup Health 2003;45:382–91.

    Google Scholar 

  27. Powers SW, Andrasik F. Biobehavioral treatment, disability, and psychological effects of pediatric headache. Pediatr Ann 2005;34:461–5.

    PubMed  Google Scholar 

  28. Hartikainen S, Mantyselka P, Louhivuori-Laako K, Enlund H, Sulkava R. Concomitant use of analgesics and psychotropics in home-dwelling elderly people-Kuopio 75+ study. Br J Clin Pharmacol 2005;60:306–10.

    Article  PubMed  Google Scholar 

  29. Pickett W, Dostaler S, Craig W, Janssen I, Simpson K, Shelley SD, Boyce WF. Associations between risk behavior and injury and the protective roles of social environments: an analysis of 7235 Canadian school children. Inj Prev 2006;12:87–92.

    Article  PubMed  CAS  Google Scholar 

  30. Tabak I, Mazur J, Jodkowska M, Oblacinska A. Social determinants of repeated injuries in pupils aged 11–15 years, in Poland. Med Wieku Rozwoj 2004;8:595–610.

    PubMed  Google Scholar 

  31. Brook U, Heim M. Accidents among high school pupils in Israel: a recurrent disease? Patient Educ Couns 1997;31:237–42.

    Article  PubMed  CAS  Google Scholar 

  32. Yang CY, Yeh YC, Cheng MF, Lin MC. The incidence of school-related injuries among adolescents in Kaohsiung, Taiwan. Am J Prev Med 1998;15:172–7.

    Article  PubMed  CAS  Google Scholar 

  33. Challier B, Chau N, Predine R, Choquet M, Legras B. Associations of family environment and individual factors with tobacco, alcohol and illicit drug uses in adolescents. Eur J Epidemiol 2000;16:33–42.

    Article  PubMed  CAS  Google Scholar 

  34. Baumann M, Spitz E, Predine R, Choquet M, Chau N. Do male and female adolescents differ in the effect of individual and family characteristics on their use of psychotropic drugs? Eur J Pediatr 2007;166:29–35.

    Article  PubMed  Google Scholar 

  35. Rolland-Cachera MF, Cole TJ, Sempé M, Tichet J, Rossignol C, Charraud A. Body mass index variations: centiles from birth to 87 years. Eur J Clin Nutr 1991;45:13–21.

    PubMed  CAS  Google Scholar 

  36. Chau N, d’Houtaud A, Gruber M, Monhoven N, Gavillot C, Pétry D, Bourgkard E, Guillaume S, André JM. Personality self-representations of patients with hand injury, and its relationship with work injury. Eur J Epidemiol 1995;11:373–82.

    Article  PubMed  CAS  Google Scholar 

  37. Lewis RJ, Friedlander BR, Bhojani FA, Schorr WP, Salatich PG, Lawhorn EG. Reliability and validity of an occupational health history questionnaire. J Occup Environ Med 2002;44:39–47.

    Article  PubMed  Google Scholar 

  38. Etter JF, Perneger TV. Analysis of non-response bias in a mailed health survey. J Clin Epidemiol 1997;50:1123–8.

    Article  PubMed  CAS  Google Scholar 

  39. Mattila V, Parkkari J, Kannus P, Rimpela A. Occurrence and risk factors of unintentional injuries among 12- to 18-year old Finns – a survey of 8219 adolescents. Eur J Epidemiol 2004;19:437–44.

    Article  PubMed  Google Scholar 

  40. Linakis JG, Amanullah S, Mello MJ. Emergency department visits for injury in school-aged children in the United States: a comparison of nonfatal injuries occurring within and outside of the school environment. Acad Emerg Med 2006;13:567–70.

    Article  PubMed  Google Scholar 

  41. Kypri K, Chalmers DJ, Langley JD. Adolescent injury mortality in New Zealand and opportunities for prevention. Int J Adolesc Med Health 2002;14:27–41.

    PubMed  Google Scholar 

  42. Gravier P, Saunier A, Guillot JL, et al. Enquête sur les accidents en EPS. EPS 1996;261:43–5.

    Google Scholar 

  43. Limbos MA, Ramirez M, Park LS, Peek-Asa C, Kraus JF. Injuries to the head among children enrolled in special education. Arch Pediatr Adolesc Med 2004;158:1057–61.

    Article  PubMed  Google Scholar 

  44. Leet AI, Pichard CP, Ain MC. Surgical treatment of femoral fractures in obese children: does excessive body weight increase the rate of complications? J Bone Joint Surg Am 2005;87:2609–13.

    Article  PubMed  Google Scholar 

  45. McIntyre RS, Konarski JZ, Wilkins K, Soczynska JK, Kennedy SH. Obesity in bipolar disorder and major depressive disorder: results from a national community health survey on mental health and well-being. Can J Psychiatry 2006;51:274–80.

    PubMed  Google Scholar 

  46. Maegregor DM. Don’t save the ball! Br J Sports Med 2003;37:351–3.

    Article  Google Scholar 

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Acknowledgments

The authors would like to thank E. Berton, P. Pierre, R. Franiatte, Y. Charron, F. Willer, J.P. Thirion, M.L. Thirion, N. Jurin, C. Mathis, F. Claudin, E. Predine, D. Saouag, M. Weiss, M. Depesme, B. Phélut, J. Ciccone, N. Lorentz, and teachers of the schools for their help.

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Authors and Affiliations

  1. INSERM, U669, Paris, 75014, France

    Nearkasen Chau & Marie Choquet

  2. Univ Paris-Sud, U669, Paris, 75014, France

    Nearkasen Chau & Marie Choquet

  3. Univ Paris Descartes, Paris, 75014, France

    Nearkasen Chau & Marie Choquet

  4. INSERM, U420, WHO Collaborative Centre, Vandoeuvre-les-Nancy, France

    Nearkasen Chau, Rosemay Prédine & Alphonse d’Houtaud

  5. Rectorat de l’Académie de Nancy-Metz, Nancy, France

    Evelyne Aptel

  6. INSERM, U669, 8 rue du Breuil, Heillecourt, 54180, France

    Nearkasen Chau

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  1. Nearkasen Chau
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  2. Rosemay Prédine
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  4. Alphonse d’Houtaud
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Correspondence to Nearkasen Chau.

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Chau, N., Prédine, R., Aptel, E. et al. School injury and gender differentials: a prospective cohort study. Eur J Epidemiol 22, 327–334 (2007). https://doi.org/10.1007/s10654-007-9118-1

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  • DOI: https://doi.org/10.1007/s10654-007-9118-1

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