Cross National Study of Injury and Social Determinants in Adolescents

This study compares estimates of the prevalence of injury among adolescents in 35 countries. It also examines the consistency of associations cross-nationally between illustrative social determinants (socioeconomic status, drunkenness) and the occurrence of specific types of adolescent injury (school, street, sports-related and fighting). For the study, cross sectional surveys were obtained from national samples of students in 35 countries, with eight countries asking supplemental questions about injury. A total of 146,440 students were surveyed, with 37,878 students providing supplementation injury data. Results showed that reports of medically treated injuries ranged from 33% to 64% of boys, and 23% to 51% of girls, annually. Sports and recreation were the most common activities associated with injury. High material wealth was positively and consistently associated with medically treated and sports-related injuries. Poverty was positively associated with fighting injuries. Drunkenness (social risk taking) was positively and consistently associated with medically treated, street and fighting injuries, but not school and sports-related injuries. Results from this study demonstrate that injury is an important adolescent health problem cross-nationally. Social gradients in risk for adolescent injury were illustrated cross nationally for some, but not all, types of adolescent injury. These gradients were most evident when the etiologies of specific types of adolescent injury as opposed to general forms of adolescent injury were examined. Some social contexts appear to protect adolescents from socially oriented injury events. Implications for future social research and adolescent health policy are discussed.

  • Availability:
  • Authors:
    • Pickett, W
    • Molcho, M
    • Simpson, K
    • Janssen, I
    • Kuntsche, E
    • Mazur, J
    • Harel, Y
    • Boyce, W F
  • Publication Date: 2005-8


  • English

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Filing Info

  • Accession Number: 01003400
  • Record Type: Publication
  • Files: TRIS
  • Created Date: Aug 25 2005 11:16PM