Serious Injury and its Correlates among School Going Adolescents in Nepal: A cross-sectional study

  • Achyut Raj Pandey Nepal Health Sector Programme III, Monitoring, Evaluation and Operational Research, Abt Associates, Lalitpur, Nepal
  • Tamanna Neupane Nepal Health Research Council, Ramshahpath, Kathmandu, Nepal
  • Binaya Chalise Graduate School for International Development and Cooperation, Hiroshima University, Japan
  • Sabina Chaudhary Unique College of Medical Science and Hospital, Rajbiraj, Saptari
  • Niraj Shrestha Nepal Health Sector Programme III, Monitoring, Evaluation and Operational Research, Abt Associates, Lalitpur, Nepal
  • Bihungum Bista Nepal Health Research Council, Ramshahpath, Kathmandu, Nepal
DOI: https://doi.org/10.33314/jnhrc.v18i3.2882

Abstract

Background: Injury-related mortality and morbidity, a leading cause of death and disability worldwide, is common among adolescents.  However, there is insufficient information on the status and factors responsible for injury among adolescents in Nepal. Hence, the paper estimates the injury prevalence and identify the factors associated with it among adolescent Nepalese students.

Methods: This study used national representative cross-sectional data of the Global School-based Student Health Survey 2015. Complex sample analysis was performed after adjusting the selection probability of each sample participants to identify the correlates of injury among 6529 students of 68 schools in Nepal.

Results: Out of 6529 study participants, 62.79% reported severe injury. The most common injury type was cut or stab wound (67.61%) followed by broken bone/dislocated joints (11.03%) and the most common cause of injury was fall (56.40%). Serious injury was significantly associated with a physical attack (AOR=1.54, CI=1.17-2.04), being involved in a physical fight (AOR=1.62, CI=1.2-2.2), being bullied (AOR=2.73, CI=2.25-3.31), feeling unsafe at school (AOR=1.53, CI=1.23-1.91), helmet use(never/rarely/sometimes) while driving a motorbike (AOR=1.69, CI=1.21-2.38) and drink and drive(AOR=2.28, CI=1.05-4.96).

Conclusions: This study reported the injury as a significant public health concern in Nepal associated with several factors like physical attack, being involved in a physical fight, being bullied, feeling unsafe at school, helmet use while driving motorbike and drink and drive. The high prevalence of injury in Nepal suggests the application of appropriate prevention strategies.

Keywords: Adolescents; injury; Nepal

Published
2020-11-14
How to Cite
PandeyA. R., NeupaneT., ChaliseB., ChaudharyS., ShresthaN., & BistaB. (2020). Serious Injury and its Correlates among School Going Adolescents in Nepal: A cross-sectional study. Journal of Nepal Health Research Council, 18(3), 506-512. https://doi.org/10.33314/jnhrc.v18i3.2882
Issue
Vol. 18 No. 3 (2020): Vol. 18 No. 3 Issue 48 Jul-Sep 2020
Section
Original Article

Copyright (c) 2020 Achyut Raj Pandey, Tamanna Neupane, Binaya Chalise, Sabina Chaudhary, Niraj Shrestha, Bihungum Bista

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