Adolescent and Young Adult Injuries in Developing Economies: A Comparative Analysis from Oman and Kenya

Background: Adolescence is a distinct period of rapid and dramatic biological, cognitive, psychological, and social development. The burden of injuries among young people (aged 10-24) is both substantial and maldistributed across regions and levels of economic development. Objectives: Our objective...

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Main Authors: Abdulgafoor M. Bachani, Niloufer Taber, Amber Mehmood, Yuen Wai Hung, Isaac Botchey, Ammar Al-Kashmiri, Adnan A. Hyder
Format: Article
Language:English
Published: Levy Library Press 2017-11-01
Series:Annals of Global Health
Subjects:
Online Access:https://annalsofglobalhealth.org/articles/149
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author Abdulgafoor M. Bachani
Niloufer Taber
Amber Mehmood
Yuen Wai Hung
Isaac Botchey
Ammar Al-Kashmiri
Adnan A. Hyder
spellingShingle Abdulgafoor M. Bachani
Niloufer Taber
Amber Mehmood
Yuen Wai Hung
Isaac Botchey
Ammar Al-Kashmiri
Adnan A. Hyder
Adolescent and Young Adult Injuries in Developing Economies: A Comparative Analysis from Oman and Kenya
Annals of Global Health
adolescent injuries
Africa
Kenya
LMIC
Oman
trauma registry
author_facet Abdulgafoor M. Bachani
Niloufer Taber
Amber Mehmood
Yuen Wai Hung
Isaac Botchey
Ammar Al-Kashmiri
Adnan A. Hyder
author_sort Abdulgafoor M. Bachani
title Adolescent and Young Adult Injuries in Developing Economies: A Comparative Analysis from Oman and Kenya
title_short Adolescent and Young Adult Injuries in Developing Economies: A Comparative Analysis from Oman and Kenya
title_full Adolescent and Young Adult Injuries in Developing Economies: A Comparative Analysis from Oman and Kenya
title_fullStr Adolescent and Young Adult Injuries in Developing Economies: A Comparative Analysis from Oman and Kenya
title_full_unstemmed Adolescent and Young Adult Injuries in Developing Economies: A Comparative Analysis from Oman and Kenya
title_sort adolescent and young adult injuries in developing economies: a comparative analysis from oman and kenya
publisher Levy Library Press
series Annals of Global Health
issn 2214-9996
publishDate 2017-11-01
description Background: Adolescence is a distinct period of rapid and dramatic biological, cognitive, psychological, and social development. The burden of injuries among young people (aged 10-24) is both substantial and maldistributed across regions and levels of economic development. Objectives: Our objective was to compare sociodemographic correlates of injury cause, intentionality, and mortality between Kenya and Oman, 2 countries with different levels of economic development and position in the demographic and epidemiologic transitions. Methods: Data on 566 patients in Oman and 5859 in Kenya between 10 and 24 years old were extracted from 2 separate multicenter trauma registries. Multivariable log binomial and Poisson regressions were used to evaluate social and demographic factors associated with injury cause, intentionality, and mortality. Literature on adolescent development was used to parameterize variables, and <a title="Learn more about Akaike Information Criterion" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/akaike-information-criterion">Akaike information criteria</a> were used in the final <a title="Learn more about Model Selection" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/model-selection">model selections</a>. Findings: The trauma registry data indicated a substantial burden of adolescent and young adult injury in both Oman and Kenya, particularly among males. The data indicated significant differences between countries ('P' < .001) in age category, gender distributions, level of education, occupation, cause of injury, and place where injury occurred. Consistent with other literature, road traffic injuries emerged as the most common type of injury as well as the most severe and fatal, with <a title="Learn more about Interpersonal Violence" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/interpersonal-violence">interpersonal violence</a> also resulting in severe injury across contexts. Both road traffic injuries and interpersonal violence were more common among older adolescents and young adults. Education and being in school were protective against injury, after controlling for gender, age category, occupation, and country. Conclusions</h3>A rising burden of injuries among young people has been documented in every region of the world, irrespective on income status or level of development. Cost-effective injury control measures targeting this age group exist, including involvement in educational, vocational, and other prosocial activities; environmental alterations; and road safety measures.
topic adolescent injuries
Africa
Kenya
LMIC
Oman
trauma registry
url https://annalsofglobalhealth.org/articles/149
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spelling doaj-4f429d581757403ebc24d5780dd004082020-11-25T00:21:13ZengLevy Library PressAnnals of Global Health2214-99962017-11-01835-679180210.1016/j.aogh.2017.10.03084Adolescent and Young Adult Injuries in Developing Economies: A Comparative Analysis from Oman and KenyaAbdulgafoor M. Bachani0Niloufer Taber1Amber Mehmood2Yuen Wai Hung3Isaac Botchey4Ammar Al-Kashmiri5Adnan A. Hyder6Johns Hopkins International Injury Research Unit, Health Systems Program, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MDJohns Hopkins International Injury Research Unit, Health Systems Program, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MDJohns Hopkins International Injury Research Unit, Health Systems Program, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MDJohns Hopkins International Injury Research Unit, Health Systems Program, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MDJohns Hopkins International Injury Research Unit, Health Systems Program, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MDMinistry of Health, Sultanate of Oman, Muscat, OmanJohns Hopkins International Injury Research Unit, Health Systems Program, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MDBackground: Adolescence is a distinct period of rapid and dramatic biological, cognitive, psychological, and social development. The burden of injuries among young people (aged 10-24) is both substantial and maldistributed across regions and levels of economic development. Objectives: Our objective was to compare sociodemographic correlates of injury cause, intentionality, and mortality between Kenya and Oman, 2 countries with different levels of economic development and position in the demographic and epidemiologic transitions. Methods: Data on 566 patients in Oman and 5859 in Kenya between 10 and 24 years old were extracted from 2 separate multicenter trauma registries. Multivariable log binomial and Poisson regressions were used to evaluate social and demographic factors associated with injury cause, intentionality, and mortality. Literature on adolescent development was used to parameterize variables, and <a title="Learn more about Akaike Information Criterion" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/akaike-information-criterion">Akaike information criteria</a> were used in the final <a title="Learn more about Model Selection" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/model-selection">model selections</a>. Findings: The trauma registry data indicated a substantial burden of adolescent and young adult injury in both Oman and Kenya, particularly among males. The data indicated significant differences between countries ('P' < .001) in age category, gender distributions, level of education, occupation, cause of injury, and place where injury occurred. Consistent with other literature, road traffic injuries emerged as the most common type of injury as well as the most severe and fatal, with <a title="Learn more about Interpersonal Violence" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/interpersonal-violence">interpersonal violence</a> also resulting in severe injury across contexts. Both road traffic injuries and interpersonal violence were more common among older adolescents and young adults. Education and being in school were protective against injury, after controlling for gender, age category, occupation, and country. Conclusions</h3>A rising burden of injuries among young people has been documented in every region of the world, irrespective on income status or level of development. Cost-effective injury control measures targeting this age group exist, including involvement in educational, vocational, and other prosocial activities; environmental alterations; and road safety measures.https://annalsofglobalhealth.org/articles/149adolescent injuriesAfricaKenyaLMICOmantrauma registry