scholarly journals Epidemiology of Injury Among School-Going Adolescents in Ghana: Evidence From the Global School-Based Students Health Survey

2020 ◽  
Author(s):  
Samuel Kwaku Essien ◽  
Batholomew Chireh ◽  
Kidest Getu Melese
Keyword(s):  
Public Health ◽  
Physical Activity ◽  
Risk Factors ◽  
High School ◽  
Health Survey ◽  
Unintentional Injury ◽  
Senior High School ◽  
Unintentional Injuries ◽  
School Based ◽  
Sleeping Problems

Abstract Background: Unintentional injuries are a serious global public health problem and the second leading cause of death among adolescents age between 10-19 years. It is also the least researched in most low-income countries and Ghana in particular. This study aims to provide estimates of the prevalence, causes, and associated risk factors of unintentional injuries among school-going adolescents in Ghana.Methods: This is a cross-sectional study using data from the Ghana Global School-based Student Health Survey conducted in 2012 (N=3632). A two-stage cluster probability sampling technique was employed to select a representative sample of Junior and Senior High School students in ten administrative regions of the country. Cross tabulations and chi-square tests were used to provide estimates of prevalence, frequency, and causes of injuries. In the multivariable stage, a multiple logistic regression based on SAS 9.4 survey logistic modeling procedure was conducted to examine the association between unintentional injuries with explanatory variables. The final adjusted model was assessed using a significant level of (p<0.05).Results: In this study, 40.96% (1488) of school-aged adolescents reported having experienced an unintentional injury. Of these injuries, 64.5% occurred at home, while the least occurred via traffic (15.0%). The frequency of injury did not differ between boys and girls (P=0.368), but significantly higher in adolescents aged ≤17 than in those ≥ 18 years (P<0.001). Also, injuries were significantly higher in junior high school than in senior high school adolescents. Age, physical activity, sleeping problems, and loneliness were found to be the significant risk factors associated with unintentional injury among adolescents.Conclusion: Prevalence of unintentional injuries were widespread among adolescents in Ghana. Prompt prevention of these injuries among adolescents should be a public health priority. Preventive strategies in schools and homes should be enhanced. Injury preventive measures should emphasize on adolescents. Treatment options should be made available to adolescents struggling with a sleeping problem, loneliness, and those with accidents in physical activity.

scholarly journals Serious non-fatal unintentional injuries among in-school adolescents in Sri Lanka: results from the 2016 Sri Lankan Global School-Based Health Survey

2020 ◽  
Author(s):  
Sashimali Wickramasinghe ◽  
Nalika Gunawardena ◽  
Dhanusha Punyadasa ◽  
Shanthi Gunawardena ◽  
Champika Wickramasinghe ◽  
...  
Keyword(s):  
Public Health ◽  
Sri Lanka ◽  
Health Survey ◽  
Health Problem ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Age Group ◽  
Unintentional Injuries ◽  
School Based ◽  
The World

Abstract Background Unintentional injuries among adolescents is a major public health problem the world over. A great majority of the annual deaths among adolescents is due to unintentional injuries; it is also the leading cause of death among adolescents in the world. The aim of this study was to estimate the incidence of injuries and their associated factors among school going adolescents aged 13-17 years using data from the most recent Global School-Based Health Survey (GSHS) conducted in Sri Lanka. Methods A cross-sectional survey was conducted using a self-administered questionnaire, among 3,262 adolescents attending government schools. The sample was selected through a two-staged cluster sampling technique. In the first stage, 40 schools were selected using probabilities proportional to school enrollment size, from all schools in the country that have classes in grades 8-12 . Then, from the selected schools, classes were selected using systematic equal probability sampling with a random start. The weighted prevalence was calculated, and logistic regression analysis was conducted in order to determine the correlates. Results During the 12 months before the survey, 35.8% (95% CI-30.7 - 41.1) of the students reported being seriously injured one or more times. The injuries were more common among males, but were equally common among the two different age groups (13-15 age group vs 16-17 age group). The most common type of injury was cut or stab wounds (5.5%), followed by broken bones/dislocated joints (5.3%). Multivariable analysis revealed that only a few factors were associated with injury, such as being of the male sex, being bullied, being physically attacked, and/or being in a physical fight. Conclusion This study demonstrated that the prevalence of serious unintentional injuries among school going adolescents is a major public health problem in Sri Lanka. This timely and comprehensive survey would help policy makers and researchers identify the unmet needs related to adolescent injuries. Furthermore, evidence generated form the study should be given due consideration when designing school-based interventions to prevent adolescent injuries.

scholarly journals Analisis Aktivitas Fisik dan Konsumsi Makanan Cepat Saji sebagai Faktor Risiko Terhadap Obesitas pada Siswa-Siswi SMA Negeri 1 Kendari

2019 ◽  
Vol 10 (2) ◽  
Author(s):  
Asmarani . ◽  
Andi Uznul Alriansyah ◽  
Juriadi Paddo ◽  
Nina Indriyani N
Keyword(s):  
Physical Activity ◽  
Risk Factors ◽  
High School ◽  
Risk Factor ◽  
Food Consumption ◽  
Body Fat ◽  
Fast Food ◽  
Senior High School ◽  
Energy Utilization ◽  
Fast Food Consumption

Obesity is a disorder that result from excessive body fat accumulation. Etiology of obesity is not clear, but generally obesity caused by imbalance of intake and energy utilization which energy intake is more than energy utilization. Alteration of consumption pattern and low physical activity at daily life also determine body fat accumulation that cause obesity.This research aimed to analyze physical activity and fast food consumption as risk factors toward obesity at 1st Senior High School of Kendari. This is an observational stuy with case control design. This research’s sample consist of 47th cases and 47th controls that selected by random sampling. Data was analyzed by using Odds Ratio. This research’s instruments were scale, microtoice and questionnaire for physical actovity and fast food consumption among students at age 16-18 years old at 1st Senior High School of Kendari 2018.Result of this research shown that physical activity is a risk factor for obesity (OR = 8,181 ; 95% CI = 3,181-21,035) and fast food consumption is a risk factor for obesity (OR = 14,578 ; 95% CI = 5,083-41,809) among students of 1st Senior High School of Kendari. This research’s conclusion are low physical activity and fast food consumption more than 3 times for a week were risk factors for obesity among students at 1st Senior High School of Kendari.

scholarly journals Marijuana use and repeated attempted suicide among senior high school students in Ghana: Evidence from the WHO Global School-Based Student Health Survey, 2012

2020 ◽  
Vol 33 (6) ◽  
pp. e100311
Author(s):  
John Tetteh ◽  
George Ekem-Ferguson ◽  
Swithin Mustapha Swaray ◽  
Nuworza Kugbey ◽  
Emmanuel Nii-Boye Quarshie ◽  
...  
Keyword(s):  
High School ◽  
High School Students ◽  
Health Survey ◽  
Low Income ◽  
Attempted Suicide ◽  
National Level ◽  
Marijuana Use ◽  
Senior High School ◽  
Student Health ◽  
School Based

BackgroundThe association between substance use including marijuana use and attempted suicide has been well documented. However, little is known about marijuana use and its association with attempted suicide repetition among young people in low-income and middle-income contexts.AimsThis analysis was conducted to assess the factors associated with marijuana use and ascertain marijuana use as a determinant of repeated attempted suicide among senior high school (SHS) students in Ghana.MethodsData from the 2012 Global School-Based Student Health Survey in Ghana was used for this study. Modified Poisson, Logistic and Probit models weighted with Mahalanobis distance matching within propensity calliper were employed separately to determine the hypothetical association between marijuana use and repeated attempted suicide. All analysis was performed using Stata 16 and p≤0.05 was deemed statistically significant.ResultsThe prevalence estimates of marijuana use and repeated attempted suicide among SHS students in Ghana were 3.4% (95% CI: 2.3 to 5.1) and 11.5% (95% CI: 9.1 to 14.4), respectively. The prevalence of marijuana use was significantly associated with school grade, smoking exposure, parent smoker, alcohol intake and truancy. Marijuana use was positively associated with repeated attempted suicide among SHS in Ghana (φ correlation=0.23, p<0.001). Repeated attempted suicide among students who use marijuana was approximately threefold and fivefold significant compared with non-marijuana use students, based on the Poisson (adjusted prevalence ratio: 3.02; 95% CI: 1.67 to 5.43, p<0.001) and Logistic (adjusted OR:5.06; 95% CI: 3.19 to 11.64, p<0.001) estimates respectively. Also, the Probit model showed that marijuana use significantly increased the log count of repeated attempted suicide by 95% (aβ: 0.95; 95% CI: 0.49 to 1.41, p<0.001).ConclusionMarijuana use does not only influence the onset of suicidal attempts but also repeated attempted suicide among SHS students in Ghana. Special attention is required for suicide attempters with a history of repeated attempts and current marijuana use among SHS students in Ghana. Early identification of the potential risk and protective factors is recommended to inform school-based interventions. National level structured school-based substance abuse interventions and health promotion programmes would be useful.

scholarly journals Serious non-fatal unintentional injuries among in-school adolescents in Sri Lanka: results from the 2016 Sri Lankan Global School-Based Health Survey

2020 ◽  
Author(s):  
Sashimali Wickramasinghe ◽  
Nalika Gunawardena ◽  
Dhanusha Punyadasa ◽  
Shanthi Gunawardena ◽  
Champika Wickramasinghe ◽  
...  
Keyword(s):  
Public Health ◽  
Sri Lanka ◽  
Health Survey ◽  
Health Problem ◽  
Public Health Problem ◽  
School Enrollment ◽  
Major Public Health Problem ◽  
Age Group ◽  
Unintentional Injuries ◽  
School Based

Abstract BackgroundUnintentional injuries among adolescents is a major public health problem world over. A great majority of the annual deaths among adolescents is due to unintentional injuries; being the leading cause of death among them throughout the world. The aim of this study was to estimate the incidence of injuries and their associated factors among school going adolescents aged 13-17 years using the data of the most recent Global School-Based Health Survey (GSHS) conducted in Sri Lanka.MethodsA cross-sectional survey was conducted, using a self-administered questionnaire, among 3,262 adolescents attending government schools. The sample was selected through a two-staged cluster sampling technique. In the first stage, 40 schools were selected, using probability proportional to school enrollment size, out of all schools that have 8-12 grades in the country. Then, from the selected schools, classes were selected using systematic equal probability sampling with a random start. Weighted prevalence was calculated, and logistic regression analysis was conducted in order to determine the correlates.ResultsDuring the 12 months before the survey, 35.8% (95% CI-30.7 - 41.1) of the students reported being seriously injured once or more times. The injuries were more common among males, but were equally common among different age groups (13-15 age group vs 16-17 age group). The most common type of injury was cut or stab wound (5.5%), followed by broken bone/dislocated joint (5.3%). Multivariable analysis revealed that only a few factors were associated with injury, such as male sex, being bullied, being physically attacked, and/or being in a physical fight.ConclusionThis study demonstrated that the prevalence of serious unintentional injuries among school going adolescents is a major public health problem in Sri Lanka. This timely and comprehensive survey would help the policy makers and researchers identify the unmet needs related to adolescent injuries. Furthermore, evidence generated form the study should be given due consideration while designing school-based interventions in order to prevent adolescent injuries.

scholarly journals Serious non-fatal unintentional injuries among in-school adolescents in Sri Lanka: results from the 2016 Sri Lankan global school-based health survey

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Sashimali Wickramasinghe ◽  
Nalika Sepali Gunawardena ◽  
Dhanusha Punyadasa ◽  
Shanthi Gunawardena ◽  
Champika Wickramasinghe ◽  
...  
Keyword(s):  
Public Health ◽  
Sri Lanka ◽  
Health Survey ◽  
Health Problem ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Age Group ◽  
Unintentional Injuries ◽  
School Based ◽  
The World

Abstract Background Unintentional injuries among adolescents is a major public health problem the world over. A great majority of the annual deaths among adolescents is due to unintentional injuries; it is also the leading cause of death among adolescents in the world. The aim of this study was to estimate the incidence of injuries and their associated factors among school going adolescents aged 13–17 years using data from the most recent Global School-Based Health Survey (GSHS) conducted in Sri Lanka. Methods A cross-sectional survey was conducted using a self-administered questionnaire, among 3262 adolescents attending government schools. The sample was selected through a two-staged cluster sampling technique. In the first stage, 40 schools were selected using probabilities proportional to school enrollment size, from all schools in the country that have classes in grades 8–12. Then, from the selected schools, classes were selected using systematic equal probability sampling with a random start. The weighted prevalence was calculated, and logistic regression analysis was conducted in order to determine the correlates. Results During the 12 months before the survey, 35.8% (95% CI-30.7 - 41.1) of the students reported being seriously injured one or more times. The injuries were more common among males, but were equally common among the two different age groups (13–15 age group vs 16–17 age group). The most common type of injury was cut or stab wounds (5.5%), followed by broken bones/dislocated joints (5.3%). Multivariable analysis revealed that only a few factors were associated with injury, such as being of the male sex, being bullied, being physically attacked, and/or being in a physical fight. Conclusion This study demonstrated that the prevalence of serious unintentional injuries among school going adolescents is a major public health problem in Sri Lanka. This timely and comprehensive survey would help policy makers and researchers identify the unmet needs related to adolescent injuries. Furthermore, evidence generated form the study should be given due consideration when designing school-based interventions to prevent adolescent injuries.

scholarly journals Serious Non-Fatal Unintentional Injuries Among in-school Adolescents in Sri Lanka: Results from the 2016 Sri Lankan Global School-Based Health Survey

2020 ◽  
Author(s):  
Sashimali Wickramasinghe ◽  
Nalika Gunawardena ◽  
Dhanusha Punyadasa ◽  
Shanthi Gunawardena ◽  
Champika Wickramasinghe ◽  
...  
Keyword(s):  
Public Health ◽  
Sri Lanka ◽  
Health Survey ◽  
Health Problem ◽  
Public Health Problem ◽  
School Enrollment ◽  
Major Public Health Problem ◽  
Age Group ◽  
Unintentional Injuries ◽  
School Based

Abstract Background Unintentional injuries among adolescents, is a major public health problem world over. A great majority of the annual deaths among adolescents are due to unintentional injuries, with this being the leading cause of death among them, throughout the world. The aim of this study was to estimate the incidence of injuries and their associated factors among school going adolescents of ages 13–17 using the data of the most recent Global School-Based Health Survey (GSHS) conducted in Sri Lanka. Methods A cross-sectional survey was conducted among 3,262 adolescents attending government schools, using a self-administered questionnaire. The sample was selected through a two-staged cluster sampling technique. In the first stage, 40 schools were selected from among all schools that have grades 8–12 in the country, using probability proportional to school enrollment size. Then, from the selected schools, classes were selected using systematic equal probability sampling with a random start. Weighted prevalence was calculated, and logistic regression analysis was conducted to determine the correlates. Results During the 12 months before the survey, 35.8% (95% CI-30.7–41.1) of the students reported being seriously injured one or more times. The injuries were more common among males but was equally common among different age groups (13–15 age group vs 16–17 age group). The most common type of injury was cut or stab wound (5.5%), followed by broken bone/dislocated joint (5.3%). Multivariable analysis revealed that only few factors were associated with injury such as male sex, being bullied and being physically attacked or being in a physical fight Conclusion This study demonstrated that the prevalence of serious unintentional injuries among school going adolescents is a major public health problem in Sri Lanka. School-based interventions to address these issues should be designed with the goal of increasing adolescents’ awareness of possible preventive measures of unintentional injuries.

scholarly journals Serious non-fatal unintentional injuries among in-school adolescents in Sri Lanka: results from the 2016 Sri Lankan Global School-Based Health Survey

2020 ◽  
Author(s):  
Sashimali Wickramasinghe ◽  
Nalika Gunawardena ◽  
Dhanusha Punyadasa ◽  
Shanthi Gunawardena ◽  
Champika Wickramasinghe ◽  
...  
Keyword(s):  
Public Health ◽  
Sri Lanka ◽  
Health Survey ◽  
Health Problem ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Age Group ◽  
Unintentional Injuries ◽  
School Based ◽  
The World

Abstract Background Unintentional injuries among adolescents is a major public health problem the world over. A great majority of the annual deaths among adolescents is due to unintentional injuries; it is also the leading cause of death among adolescents in the world. The aim of this study was to estimate the incidence of injuries and their associated factors among school going adolescents aged 13-17 years using data from the most recent Global School-Based Health Survey (GSHS) conducted in Sri Lanka.Methods A cross-sectional survey was conducted using a self-administered questionnaire, among 3,262 adolescents attending government schools. The sample was selected through a two-staged cluster sampling technique. In the first stage, 40 schools were selected using probabilities proportional to school enrollment size, from all schools in the country that have classes in grades 8-12. Then, from the selected schools, classes were selected using systematic equal probability sampling with a random start. The weighted prevalence was calculated, and logistic regression analysis was conducted in order to determine the correlates.Results During the 12 months before the survey, 35.8% (95% CI-30.7 - 41.1) of the students reported being seriously injured one or more times. The injuries were more common among males, but were equally common among the two different age groups (13-15 age group vs 16-17 age group). The most common type of injury was cut or stab wounds (5.5%), followed by broken bones/dislocated joints (5.3%). Multivariable analysis revealed that only a few factors were associated with injury, such as being of the male sex, being bullied, being physically attacked, and/or being in a physical fight.Conclusion This study demonstrated that the prevalence of serious unintentional injuries among school going adolescents is a major public health problem in Sri Lanka. This timely and comprehensive survey would help policy makers and researchers identify the unmet needs related to adolescent injuries. Furthermore, evidence generated form the study should be given due consideration when designing school-based interventions to prevent adolescent injuries.

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