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Psychological symptoms and nonfatal unintentional injuries among Chinese adolescents: a prospective study.
| Content Provider | Semantic Scholar |
|---|---|
| Author | Chen, Gengsheng Deng, Shang-Xin Chen, Dong-Lian Kelleher, Kimberly Xiang, Hui-Biao |
| Copyright Year | 2005 |
| Abstract | PURPOSE To describe patterns of nonfatal unintentional injuries and investigate the association of psychological symptoms with injury risk among adolescents in Guangxi, China. METHODS Adolescents were selected from middle and high school students in Baise City, Guangxi, China. Psychological symptoms at baseline were measured using SCL-90-R and nonfatal unintentional injuries that occurred among participants were recorded using a standardized injury surveillance questionnaire. Annual injury rates per 100 adolescents by adolescents' demographic and family characteristics were calculated. Student's t-test and the Chi-square test were used to test differences in mean raw scores of SCL-90-R subscales and injury rates. Relative risks and odds ratios of injury with 95% confidence intervals were calculated in univariate analyses and multivariate logistic models. RESULTS A total of 1474 middle and high school students finished the study. Of them, 442 reported nonfatal unintentional injuries during the study period, resulting in an annual injury rate of 30.3 per 100 adolescents. Boys had a significantly higher injury rate than girls (32.6% vs. 27.4%). Injury rate decreased as the adolescents' age increased. Compared with adolescents who were not injured, the injured adolescents had higher average raw scores of all subscales of SCL-90-R, with an exception of the subscale for hostility. All SCL-90-R subscales factors, except those for hostility and phobia, were associated with injury risk. After confounding effects of age, gender, and ethnicity were controlled using logistic regression models, SCL-90-R subscales for somatization (OR = 2.00, 95% CI 1.52-2.63), obsessive-compulsiveness (OR = 2.10, 95% CI 1.71-2.58), interpersonal-sensitivity (OR = 1.66, 95% CI 1.34-2.06), depression (OR = 2.00, 95% CI 1.59-2.51), anxiety (OR = 2.08, 95% CI 1.62-2.66), and psychoticism (OR = 1.60, 95% CI 1.26-2.03) were significantly associated with an elevated injury risk. CONCLUSION Psychological symptoms are associated with an elevated risk of nonfatal unintentional injury among middle and high school students. Mental health services, such as psychological counseling, may help reduce the risk of nonfatal unintentional injuries among Chinese adolescents. |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://www.safetylit.org/citations/ild_request_form.php?article_id=citjournalarticle_40365_24 |
| PubMed reference number | 16310123v1 |
| Volume Number | 37 |
| Issue Number | 6 |
| Journal | The Journal of adolescent health : official publication of the Society for Adolescent Medicine |
| Language | English |
| Access Restriction | Open |
| Subject Keyword | Adolescent (age group) Anxiety Disorders Brain Injuries Confidence Intervals Cumulative Trauma Disorders Depressive disorder Female child Health Services Hostility Mental disorders Obsessive compulsive behavior Obsessive-Compulsive Disorder Odds Ratio Phobic anxiety disorder Somatization Traumatic injury accidental injury t test |
| Content Type | Text |
| Resource Type | Article |