Journal List > J Korean Acad Community Health Nurs > v.27(4) > 1058435

Yu and Kim: Factors associated with Unintentional Injuries to Korean Adolescents at School: A Multilevel Study

Abstract

Purpose

This study aims at identifying individual- and school-level factors associated with unintentional injuries to Korean adolescents at school by applying multilevel modeling.

Methods

From the database of the eleventh Korea Youth Risk Behavior Web-based Survey (KYRBS), the researchers selected 68,043 adolescents from the 7th to the 12th grades. Data were analyzed using x2 test for prevalence and multilevel modeling for related factors of unintentional injuries at school.

Results

About 22.9 percent of the adolescents had treatment experiences for unintentional injuries at school in the past 12 months. At the individual level, the significant factors associated with unintentional injuries at school included gender, grade, academic achievement, current smoking, alcohol consumption, frequency of high caffeine intake, depression, and relief of fatigue after sleep. At the group level, the significant factors included number of physical education per week and safety education.

Conclusion

School based injury prevention programs should be sensitive to both individual- and school-level factors associated with unintentional injury at school among Korean adolescents.

References

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Table 1.
Prevalence of Unintentional Injury to Korean Adolescents at School (N=68,043)
Variables Characteristics Categories Injured prevalence
Injured
No injured
x2 p
(%) n (%) n (%)
Total 22.9 15,533 (100.0) 52,510 (100.0)
Individual variables Gender Male 27.4 9,647 (62.5) 25,557 (49.1) 864.02 <.001
Female 17.9 5,886 (37.5) 26,953 (50.9)
Grade 7 24.1 2,539 (14.5) 8,247 (13.5) 143.50 <.001
8 25.8 2,885 (17.6) 8,557 (15.0)
9 24.4 2,939 (18.8) 9,132 (17.3)
10 20.7 2,324 (15.8) 8,798 (17.9)
11 21.9 2,456 (16.9) 8,657 (17.8)
12 20.8 2,390 (16.4) 9,119 (18.6)
Academic achievement High 23.6 6,090 (39.0) 19,600 (37.3) 15.53 .001
Middle 22.1 4,172 (27.0) 14,780 (28.2)
Low 22.6 5,271 (34.0) 18,130 (34.5)
Current smoking Yes 31.0 1,612 (10.5) 3,511 (6.9) 216.33 <.001
No 22.2 13,921 (89.5) 48,999 (93.1)
Alcohol consumption Yes 29.5 3,272 (21.5) 7,749 (15.3) 337.28 <.001
No 21.5 12,261 (78.5) 44,761 (84.7)
Frequency of high caffeine intake No 22.0 13,167 (84.7) 46,669 (89.1) 252.21 <.001
<1/day 28.8 2,166 (14.0) 5,516 (10.3)
≥1/day 38.7 200 (1.3) 325 (0.6)
Depression Yes 30.5 4,860 (31.5) 11,034 (21.2) 701.65 <.001
No 20.5 10,673 (68.5) 41,476 (78.8)
Obesity Yes 23.3 1,691 (11.1) 5,480 (10.8) 1.78 .235
No 22.6 13,281 (88.9) 45,571 (89.2)
Relief of fatigue after sleep Very enough 22.5 1,313 (8.2) 4,564 (8.4) 73.18 <.001
Enough 21.4 2,942 (18.4) 10,707 (20.0)
So-so 22.2 5,059 (32.5) 17,732 (33.8)
Not enough 23.4 4,130 (27.1) 13,635 (26.3)
Never enough 26.0 2,089 (13.8) 5,872 (11.6)
School variables Number of physical education per week 0 16.6 1,816 (11.9) 9,160 (17.6) 715.82 <.001
1 19.9 2,390 (15.4) 9,448 (18.4)
2 21.7 4,403 (29.7) 16,008 (31.8)
3 28.3 6,924 (43.0) 17,894 (32.2)
Safety education Yes 24.0 13,778 (88.2) 43,705 (82.5) 287.18 <.001
No 16.6 1,755 (11.8) 8,805 (17.5)

Unweighted;

Weighed.

Table 2.
Relating Factors of Unintentional Injury to Korean Adolescents at School
Parameter Variables Model 1
Model 2
Model 3
Null model
Individual model
Individual-school model
OR p OR p OR p
Fixed effect Level 1 Intercept 0.28 <.001 0.21 <.001 0.04 <.001
Gender (ref : Female) Male 1.82 <.001 1.83 <.001
Grade 0.92 <.001 0.97 .002
Academic achievement (ref: High) Low 0.87 <.001 0.87 <.001
Middle 0.93 .003 0.93 .004
Current smoking (ref: No) Yes 1.12 .002 1.14 <.001
Alcohol use (ref: No) Yes 1.44 <.001 1.45 <.001
Frequency of high caffeine intake (ref: No) ≥1/day 1.52 <.001 1.52 <.001
<1/day 1.21 <.001 1.22 <.001
Depression (ref: No) Yes 1.72 <.001 1.72 <.001
Obesity (ref: No) Yes 1.00 .893 1.00 .849
Relief of fatigue after sleep (ref: Very enough) Never enough 1.22 <.001 1.23 <.001
Not enough 1.12 .002 1.13 .001
So-so 1.05 .177 1.05 .155
Enough 0.98 .691 0.98 .666
Level 2 Physical education per week 1.30 <.001
Safety education 2.67 <.001
Random effect Level 2, μ0 (τ) 0.10 0.07 0.05
x2 (p) 1,970.11 (<.001) 1,537.93 (<.001) 1,373.15 (<.001)
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