Author/Authors :
Kelishadi، Roya نويسنده Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease,Department of Pediatrics,Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences,Isfahan,Iran , , Jari، Mohsen نويسنده Child Growth and Development Research Center, Research Institute for Primordial Prevention of Non-communicable Disease,Department of Pediatrics,Isfahan University of Medical Sciences,Isfahan,Iran , , Qorbani، Mostafa نويسنده Endocrinology and Metabolism Research Institute, Chronic Diseases Research Center,Tehran University of Medical Sciences,Tehran,Iran , , Motlagh، Mohammad Esmaeil نويسنده Department of Pediatrics,Ahvaz Jundishapur University of Medical Sciences,Ahvaz,Iran , , Djalalinia، Shirin نويسنده Development of Research &Technology Center, Deputy of Research and Technology,Ministry of Health and Medical Education,Tehran,Iran , , Safiri، Saeid نويسنده Managerial Epidemiology Research Center, School of Nursing and Midwifery,Department of Public Health,Maragheh University of Medical Sciences,Maragheh,Iran , , Moafi، Mohammad نويسنده Department of Laboratory Sciences, Faculty of Para-Veterinary Sciences, Bu-Ali Sina University, Hamedan, Iran , , Ardalan، Gelayol نويسنده Child Growth and Development Research Center,Department of Pediatrics,Research Institute for Primordial Prevention of Non-communicable Disease, Isfahan University of Medical Sciences,Isfahan,Iran , , Mansourian، Morteza نويسنده School of Health,Department of Health Education and promotion,Iran University of Medical Sciences,Tehran,Iran , , Asayesh، Hamid نويسنده Department of Medical Emergencies,Qom University of Medical Sciences,Qom,Iran , , Heshmat، Ramin نويسنده Chronic Diseases Research Center, Endocrinology and Metabolism Research Institute,Tehran University of Medical Sciences,Tehran,Iran ,
Abstract :
Background:Childhood and adolescence injuries are still frequently occuring in developing countries. This study aims to assess the association of socioeconomic status (SES) with injuriesin Iranian children and adolescents. Materials and Methods: This multicentricsurvey was part of a national surveillance program, which was conducted in 20112012 amongst 14,880 students aged618 years. Participants were randomly selected from urban and rural areas of 30 provinces in Iran. Socio economic status (SES) of participants was categorized to “low”, “middle” ,and “high” by using principle component analysis method by considering parental job and education as well as family assets. Prevalence, types and places of injuries were based on the questionnaire of the World Health Organization Global Schoolbased student Health Survey (WHOGSHS).Multivariate modelwas used for comparison of variables between SES groups. Results: Overall, 13486 out of 14880 invited students (response rate: 90.6%) participated in this study.Their mean (SD) age was12.47 (3.36) years.Boys and urban residents constituted the majority of participants (50.8% and 75.6%, respectively). Compared with low SES group, oddsof sport injury was higher in students with middle (OR=1.44 95%CI: 0.922.26) and highSES (OR=1.96 95%CI: 1.273.01). Compared to participants withlow SES,odds of home injuries was significantly lower in high SES group (OR=0.78 95%CI: 0.640.95). Conclusion: This study revealedconsiderable differences in injuries of children and adolescents according to their SES, with higher prevalence of home injuries in low SES families and higher prevalence of sport injuries in middle and high SES levels. When implementing injury prevention programs, such differences should be taken into account.
