青少年中的意外伤害及其相关因素

D. Bordalo, Paula Fonseca, Tânia Lopes, Sara Rolim, Joana Figueirinha, Filipa Almeida, C. Melo, S. Neves, Francisca Palha, Gabriela Sa, H. Fonseca
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摘要

导言:意外伤害是青少年死亡的一个重要原因,也是健康不良的一个主要原因。这一年龄组由于其特定的生理、心理和社会特征,容易发生意外伤害。为了预防这些伤害,了解其流行情况和相关因素至关重要。本研究的目的是识别和表征青少年的意外伤害及其对健康和生活的潜在影响。材料和方法:前瞻性、观察性、双中心研究,基于对因意外伤害而进入急诊科的青少年的调查,为期一年。结果:共纳入1054名青少年(A中心840名,B中心214名),以男性为主(58.2%),其中青春期早期(10 ~ 13岁)占51.6%,青春期晚期(17 ~ 18岁)仅占11.2%。2.3%的参与者报告有上学或吸毒的情况。报告的主要伤害包括创伤性伤害(主要在运动中)、意外跌倒(主要在学校)和道路交通事故(最常见的是被汽车碾过)。意外跌倒和外伤在青春期早期更为常见,而烧伤、道路交通事故和中毒在青春期中期更为常见。骑自行车的人使用个人防护装备的频率较低(31.3%)。31%的病例报告缺勤,主要与创伤(49.8%)和跌倒(40.1%)有关。结论:大多数报告的意外伤害具有可预防的原因,其发生率与发育阶段有关。这些结果为根据青春期发育阶段实施预防措施提供了额外的数据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Unintentional injuries and associated factors among adolescents
Introduction: Unintentional injuries are an important cause of death in adolescents, as well as a major cause of ill health. This age group is prone to unintentional injuries due to their specific biological, psychological, and social characteristics. To prevent these injuries, it is crucial to understand their prevalence and associated factors. The aim of this study was to identify and characterize unintentional injuries in adolescents and their potential impact on health and life. Material and Methods: Prospective, observational, two-center study over one year based on a survey of adolescents admitted to the Emergency Department due to unintentional injuries. Results: The study included 1054 adolescents (840 from Center A and 214 from Center B), mostly male (58.2%), 51.6% of which in early adolescence (10 to 13 years old) and only 11.2% in late adolescence (17 to 18 years old). Alchool or drug use were reported by 2.3% of participants. Main reported injuries included traumatic injuries (mainly during sports), accidental falls (mainly at school), and road traffic accidents (being run over by a car as the most frequent). Acidental falls and traumatic injuries were more common in early adolescence, whereas burns, road traffic accidents, and intoxications were more frequent in middle adolescence. Low frequency of personal protection equipment use (31.3%) was reported by bycicle riders. School absence was reported in 31% of cases, mainly associated with traumatic injuries (49.8%) and falls (40.1%). Conclusion: Most reported unintentional injuries had preventable causes and their prevalence was developmental stage-dependent. These results provide additional data for implementation of preventive measures according to developmental adolescence stages.
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