Psychological symptoms and nonfatal unintentional injuries among Chinese adolescents: a prospective study

Chen, G.; Smith, G.A.; Deng, S.; Chen, D.; Kelleher, K.; Xiang, H.

doi:10.1016/j.jadohealth.2004.09.005

« Previous Next »Journal of Adolescent Health
Volume 37, Issue 6 , Pages 460-466, December 2005

Psychological symptoms and nonfatal unintentional injuries among Chinese adolescents: a prospective study

G. Chen
- Center for Injury Research and Policy, Columbus Children’s Research Institute, Children’s Hospital, College of Medicine and Public Health, The Ohio State University, Columbus, Ohio
- Department of Health Statistics, School of Public Health, Wuhan University, Wuhan, People’s Republic of China
G.A. Smith
- Center for Injury Research and Policy, Columbus Children’s Research Institute, Children’s Hospital, College of Medicine and Public Health, The Ohio State University, Columbus, Ohio
S. Deng
- Department of Preventive Medicine, Youjiang Medical College for Nationalities, Baise City, Guangxi, China
D. Chen
- Department of Health Statistics, School of Public Health, Wuhan University, Wuhan, People’s Republic of China
K. Kelleher
- Center for Injury Research and Policy, Columbus Children’s Research Institute, Children’s Hospital, College of Medicine and Public Health, The Ohio State University, Columbus, Ohio
H. Xiang
- Center for Injury Research and Policy, Columbus Children’s Research Institute, Children’s Hospital, College of Medicine and Public Health, The Ohio State University, Columbus, Ohio
- Corresponding author.

Received 16 July 2004; accepted 10 September 2004.

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.

Keywords: Nonfatal injury , Adolescent , SCL-90-R , Psychological symptoms , China