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Reference: Virginia Morrow, Inka Barnett and Daniel Vujcich, (2014). Understanding the causes and consequences of injuries to adolescents growing up in poverty in Ethiopia, Andhra Pradesh (India), Vietnam and Peru : a mixed method study. Health Policy and Planning, 29 (1), 67-75.Citable link to this page:

 

Understanding the causes and consequences of injuries to adolescents growing up in poverty in Ethiopia, Andhra Pradesh (India), Vietnam and Peru : a mixed method study

Abstract: The World Health Organization estimates that almost half of all premature deaths among 15-19 year olds can be attributed to injuries with most (95%) fatal injuries occurring in low and middle-income countries. Yet the evidence-base for adolescent injuries in low-income countries is poor. This paper uses a mixed method approach to gain an understanding of patterns, causes and consequences of unintentional injuries among adolescents aged between 14 and 16 years in four low-income country settings. Survey data collected in 2009 in Ethiopia, India (Andhra Pradesh), Peru and Vietnam (from approximately 900 adolescents in each country) were integrated with qualitative research (conducted between 2007 and 2011) with a nested sample of older cohort children in Ethiopia (n=25) and India (n=25) using an iterative process. Logistic regression models were fitted to examine potential risk factors for injuries. Injuries were a concern for adolescents in all countries and occurred during work, recreation and sports, or transportation. Being male was associated with an increased risk for all types of injuries, whereas being poor was only significantly associated with work injuries. Area of residence (urban versus rural) made a difference in some countries and for some kinds of injuries as did perceived health status. Qualitative findings highlight the consequences of injuries for the adolescents but also for the social and economic status of the entire household. Injury prevention programmes need to be specific to cultural and environmental settings, expectations of adolescent’s responsibilities and responsive to the context of poverty. 2-4 key messages:• Adolescent injuries in low income countries can have social and economic consequences for both the individual and the wider family unit that cannot be captured in epidemiological data alone. • Qualitative data supplement and extend quantitative adolescent injury data where hospitalisation records are poor, and where individuals may not seek or have access to medical treatment.• The social determinants of adolescent injuries must be considered as part of prevention efforts, particularly the issues of poverty, infrastructure, cultural understandings of causation, and access to appropriate treatment to prevent secondary complications.

Publication status:PublishedPeer Review status:Peer reviewedVersion:Accepted ManuscriptDigital Origin:Born digitalNotes:Copyright 2013 Morrow et al. This is a pre-copyedited, author-produced PDF of an article accepted for publication in Health Policy and Planning following peer review. The version of record is available online at: http://heapol.oxfordjournals.org/content/29/1/67.full.pdf+html .

Bibliographic Details

Publisher: Oxford University Press

Publisher Website: http://www.global.oup.com/

Host: Health Policy and Planningsee more from them

Publication Website: http://heapol.oxfordjournals.org

Issue Date: 2014-January

Copyright Date: 2013

pages:67-75Identifiers

Doi: https://doi.org/10.1093/heapol/czs134

Issn: 0268-1080

Eissn: 1460-2237

Urn: uuid:be0aa754-5a54-4ff3-a684-a9d698415014 Item Description

Type: Article;

Language: en

Version: Accepted ManuscriptKeywords: adolescent health injury accidents log-income youth Ethiopia India Peru VietnamSubjects: Social Sciences Children and youth Tiny URL: ora:9250

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Autor: Prof Virginia Morrow - institutionUniversity of Oxford facultyOxford, SSD, International Development researchGroupYoung Lives fun

Fuente: https://ora.ox.ac.uk/objects/uuid:be0aa754-5a54-4ff3-a684-a9d698415014



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