title: Nonfatal Injuries and Psychosocial Correlates among Middle School Students in Cambodia and Vietnam.
abstract: The aim of the study was to estimate the prevalence and psychosocial correlates of nonfatal injury among middle school students in Cambodia and Vietnam. Cross-sectional data from 7137 school children (mean age 15.5 years, SD = 1.4) who were randomly sampled for participation in nationally representative Global School-based Health Surveys (GSHS) in Cambodia and Vietnam were analyzed. The proportion of school children reporting one or more serious injuries in the past year was 22.6% among boys and 17.5% among girls in Cambodia and 34.3% among boys and 25.1% among girls in Vietnam. The most prevalent cause of the most serious injury in Cambodia was traffic injuries (4.7% among boys and 4.3% among girls) and in Vietnam it was falls (10.0% among boys and 7.0% among girls). In multinomial logistic regression analyses, experiencing hunger (as an indicator for low socioeconomic status) and drug use were associated with having sustained one injury and two or more injuries in the past 12 months in Cambodia. In addition, poor mental health was associated with two or more injuries. In Vietnam, being male, experiencing hunger, current alcohol use, poor mental health and ever having had sex were associated with having sustained one injury and two or more injuries in the past 12 months. Several psychosocial variables were identified which could help in designing injury prevention strategies among middle school children in Cambodia and Vietnam.
authors.affiliation: ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand. karl.pel@mahidol.ac.th.|Department of Research & Innovation, University of Limpopo, Sovenga 0727, South Africa. karl.pel@mahidol.ac.th.|HIV/AIDS/STIs and TB (HAST), Human Sciences Research Council, Pretoria 0001, South Africa. karl.pel@mahidol.ac.th.
authors.forename: Karl
authors.initials: K
authors.lastname: Peltzer
authors.affiliation: ASEAN Institute for Health Development, Mahidol University, Salaya, Phutthamonthon, Nakhon Pathom 73170, Thailand. supaprom@yahoo.com.|Department of Research & Innovation, University of Limpopo, Sovenga 0727, South Africa. supaprom@yahoo.com.
authors.forename: Supa
authors.initials: S
authors.lastname: Pengpid
mesh_terms: D000059:Accidents / Q000523:psychology / Q000706:statistics & numerical data*; D000293:Adolescent; D000428:Alcohol Drinking / Q000453:epidemiology / Q000523:psychology; D002160:Cambodia / Q000453:epidemiology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D006815:Hunger; D008297:Male; D008603:Mental Health; D015995:Prevalence; D012574:Schools / Q000706:statistics & numerical data; D013334:Students / Q000706:statistics & numerical data; D019966:Substance-Related Disorders / Q000453:epidemiology / Q000523:psychology; D014744:Vietnam / Q000453:epidemiology; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000523:psychology
keywords: Cambodia; Vietnam; injury; middle school children; psychosocial factors; substance use