title: Incidence and outcomes of school-based injuries during four academic years in Kocaeli, Turkey.
abstract: BACKGROUND
  School-based injuries are an important public health problem. The aim of this study was to determine the incidence as well as outcomes of school-based injuries at a public primary and secondary school.
  
  
  METHODS
  This retrospective cohort study involved 2956 students enrolled at a public primary and secondary school in the central district of Kocaeli province in Turkey from the academic year 2010-2011 to 2013-2014. The data were collected by intern public health nurses at school health units using a school-based injury form.
  
  
  RESULTS
  The total incidence of school-based injuries during 4 academic years was 10.52% person-year. The majority of the injured students were aged 10-15 years (73.3%), and boys (65%). Around one-tenth of the injuries were serious, such as burn, fracture-dislocation and soft-tissue injuries. Outdoor injuries were more prevalent for girls while boys had more indoor injuries (50.5%, 53.0%, P > 0.05). The number of the incidence of ≥two injuries increased as the academic year progressed, and there was a weak positive association between the variables (P < 0.05, Cramer's V = 0.311). One out of six injuries were intentional, with the highest incidence in the 6-9 year age group (20.5%) and boys sex (19.8%; P > 0.05).
  
  
  CONCLUSIONS
  School-based injuries at primary and secondary school still challenge the health as well as the security of the students. © 2016 Japan Pediatric Society.
authors.affiliation: Public Health Nursing Department, Kocaeli School of Health, Kocaeli University, Kocaeli, Turkey.
authors.forename: Ozlem
authors.initials: O
authors.lastname: Ozkan
mesh_terms: D000293:Adolescent; D017677:Age Distribution; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008297:Male; D015995:Prevalence; D012189:Retrospective Studies; D018570:Risk Assessment / Q000379:methods*; D012307:Risk Factors; D012574:Schools; D017678:Sex Distribution; D013334:Students; D014421:Turkey / Q000453:epidemiology; D014947:Wounds and Injuries / Q000453:epidemiology*
keywords: accident; injury; school children; school health service