Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
권호 표지

The Incidence Rates and Risk Factor of Mild Injury for Two Weeks - Using Korea National Health and Nutrition Examination Survey 2001 -

2주간 경미손상의 발생률과 위험요인 - 2001년 국민건강영양조사자료를 이용하여 -

  • Lee, Je-Suk (Department of Public Health Graduate School, Korea University) ;
  • Kim, Soon-Duck (Department of Preventive Medicine, College of Medicine, Korea University) ;
  • Lee, Dong-Ki (College of Medicine, Korea University) ;
  • Lee, Ji-Sung (Department of Public Health Graduate School, Korea University)
  • 이제숙 (고려대학교 대학원 보건학협동과정) ;
  • 김순덕 (고려대학교 의과대학 예방의학교실) ;
  • 이동기 (고려대학교 의과대학 의학과) ;
  • 이지성 (고려대학교 대학원 보건학협동과정)
  • Published : 2008.07.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objectives: This study was performed to provide the basic data for establishing countermeasures for preventing injury by analyzing the incidence rates, the risk factors, the characteristics of the injury and the utilization of medical care for mild injury that lasted for two weeks. Methods: We examined the injury survey data among the National Health and Nutrition Survey data. The definition of mild injury that lasted for two weeks was that the injury that caused pain at least once a day for two weeks or the injury for which the usual daily activity of the injured person was severely affected. We used statistical analysis methods such as chi-square test and multiple logistic regression analysis. Results: The incidence rate of injury that lasted for two weeks was 4.7 per 1,000 persons. On the multiple logistic regression, the children and adolescents (OR=3.80, 95%CI=1.63-8.84) had higher rates of injuries than the adults, and the middle and high school (OR=0.51, 95%CI=0.31-0.85) and college(OR=0.34, 95%CI=0.17-0.68) students had lower rates of injuries than the elementary school students. The unemployed (OR=0.39, 95%CI=0.20-0.73) and others (OR=0.38, 95%CI=0.21-0,70) had lower rates of injuries than the blue collar workers. The major causes of injuries were found to be falling and slipping, and the most prevalent place of occurrence was near or at home. Conclusions: A prevention program needs to be developed and continuous education must be offered to the children, adolescents and blue collar workers.

Keywords

References

  1. Robertson LS. Injury Epidemiology: Research and Control Strategies, 3rd ed. New York: Oxford University Press, Inc; 2007. p. 3-13. 2. WHO. Preventing Injuries and Violence: A Guide for Ministries of Health. Geneva: WHO; 2006
  2. WHO. Preventing Injuries and Violence: A Guide for Ministries of Health. Geneva: WHO; 2006
  3. Finkelstein EA, Corso PS, Miller TR. The Incidence and Economic Burden of Injuries in the United States. New York: Oxford University Press; 2006
  4. Korea National Statistical Office. Annual Report on the Cause of Death Statistical 2006. Seoul: Korea National Statistical Office; 2007 (Korean)
  5. Committee on Trauma Research. Injury in America: A Continuing Public Health Problem. Washington DC: National Academy Press; 1985
  6. Kim TS, Kim SW, Lee SD, Choi HJ, Kang BS, Bae SC, et al. Follow up study about healthrelated quality of life in injury patients. J Korean Soc Emerg Med 2006; 17(6): 637-645. (Korean)
  7. Meerding WJ, Looman CW, Essink-Bot ML, Toet H, Mulder S, van Beeck EF. Distribution and determinants of health and work status in a comprehensive population of injury patients. J Trauma 2004; 56(1): 150-161 https://doi.org/10.1097/01.TA.0000062969.65847.8B
  8. Holder Y, Peden M, Krug E, editors. Injury Surveillance Guidelines. Geneva: World Health Organization; 2001
  9. Hang HM, Bach TT, Byass P. Unintentional injuries over a 1 year period in a rural vietnamese community: Describing an iceberg. Public Health 2005; 119(6): 466-473 https://doi.org/10.1016/j.puhe.2004.08.022
  10. Seo KS, Lee JH, Kim JK, Kam S, Park JB, Yun YK. A development of triage in the emergency department. J Korean Soc Emerg Med 1998; 9(1): 25-33. (Korean)
  11. Shin SD, Rhee JE, Suh GJ, Kim JY, Sung J, Whang EH, et al. A descriptive study of the new injury severity score(NISS) based on the traffic accident injury pyramid. J Korean Soc Emerg Med 2003; 14(2): 192-197. (Korean)
  12. Korea Institute for Health and Social Affairs. The Korea Health and Nutrition Examination Survey 2001. Seoul: Korea Institute for Health and Social Affairs; 2002. (Korean)
  13. Moshiro C, Heuch I, Astrom AN, Setel P, Kvale G. Effect of recall on estimation of nonfatal injury rates: A community based study in Tanzania. Inj Prev 2005; 11(1): 48-52 https://doi.org/10.1136/ip.2004.005645
  14. Mock C, Acheampong F, Adjei S, Koepsell T. The effect of recall on estimation of incidence rates for injury in Ghana. Int J Epidemiol 1999; 28(4): 750-755 https://doi.org/10.1093/ije/28.4.750
  15. Harel Y, Overpeck MD, Jones DH, Schidt PC, Bijur PE, Trumble AC, et al. The effects of recall on estimating annual nonfatal injury rates for children and adolescents. Am J Public Health 1994; 84(4): 599-605 https://doi.org/10.2105/AJPH.84.4.599
  16. McClure RJ, Douglas RM. The public health impact of minor injury. Accid Anal Prev 1996; 28(4): 443-451 https://doi.org/10.1016/0001-4575(96)00012-7
  17. Stevenson M, Segui-Gomez M, Lescohier I, Scala CD, McDonald-Smith G. An overview of the injury severity score and the new injury severity score. Inj Prev 2001; 7(1): 10-13 https://doi.org/10.1136/ip.7.1.10
  18. WHO. Guidelines for Conducting Community Survey on Injury and Violence. Geneva: WHO; 2004
  19. Ballesteros MF, Schieber RA, Gilchrist J, Holmgreen P, Annest JL. Differential ranking of causes of fatal versus non-fatal injuries among US children. Inj Prev 2003; 9(2): 173-176 https://doi.org/10.1136/ip.9.2.173
  20. Korea Centers for Disease Control and Prevention, Ewha Womans University college of medicine. In-depth Analysis of 2005 Hospital Discharge Injury Surveillance Data and Feasibility for Co-ordinated Injury Data System. Seoul: Korea Centers for Disease Control and Prevention, Ewha Womans University College of Medicine; 2007. (Korean)
  21. Espitia-hardeman V, Rocha J, Clavel-arcas C, Dahlberg L, Mercy JA, Concha-Eastman A. Characteristics of non-fatal injuries in Leon, Nicaragua 2004. Int J Inj Contr Saf Promot 2007; 14(2): 69-75 https://doi.org/10.1080/17457300701272557
  22. Cubbin C, LeClere FB, Smith GS. Socioeconomic status and the occurrence of fatal and nonfatal injury in the United States. Am J Public Health 2000; 90(1): 70-77 https://doi.org/10.2105/AJPH.90.1.70
  23. DlOnofrio G, Bernstein E, Bernstein J, Woolard RH, Brewer PA, Craig SA, et al. Patients with alcohol in the emergency deprtment, Part I: Improving detection. Acad Emerg Med 1998; 5(12): 1200-1209 https://doi.org/10.1111/j.1553-2712.1998.tb02696.x
  24. Fife D, Barancik JI, Chatterjee BF. Northeastern Ohio trauma study: II. Injury rates by age, sex, and cause. Am J Public Health 1984; 74(5): 473-478 https://doi.org/10.2105/AJPH.74.5.473
  25. Shin YS, Kim SD, Lee JS. Characteristics of injury in a university hospital. Korean J Epidemiol 2007; 29(2): 155-164. (Korean)
  26. Tiesman H, Zwerling C, Peek-Asa C, Sprince N, Cavanaugh JE. Non-fatal injuries among urban and rural residents: The national health interview survey 1997-2001. Inj Prev 2007; 13(2): 115-119 https://doi.org/10.1136/ip.2006.013201
  27. Cherpitel CJ, Bond J, Ye Y, Borges G, MacDonald S, Giesbrecht N. A cross-sectional meta-analysis of alcohol and injury: Data from the emergency room collaborative alcohol analysis project (ERCAAP). Addiction 2003; 98(9): 1277-1286 https://doi.org/10.1046/j.1360-0443.2003.00459.x
  28. Cherpitel CJ, Ye Y, Bond J. Alcohol and injury: Multilevel analysis from the emergency room collaborative alcohol analysis project (ERCAAP). Alcohol Alcohol 2004; 39(6): 552-558 https://doi.org/10.1093/alcalc/agh091
  29. Li G, Bake SP, Smialek JE, Soderstrom CA. Use of alcohol as a risk factor for bicycling injury. JAMA 2001; 285(7): 893-896 https://doi.org/10.1001/jama.285.7.893
  30. Chen LH, Barker SP, Li G. Drinking history and risk of fatal injury: Comparison among specific injury causes. Accid Anal Prev 2005; 37(2): 245-251 https://doi.org/10.1016/j.aap.2004.09.001
  31. Sacks JJ, Nelson DE. Smoking and injuries: An overview. Prev Med 1994; 23(4): 515-520 https://doi.org/10.1006/pmed.1994.1070
  32. Boland M, Staines A, Fitzpatrick P, Scallan E. Urban-rural variation in morality and hospital admission rates for unintentional injury in Ireland. Inj Prev 2005; 11(1): 38-42 https://doi.org/10.1136/ip.2004.005371
  33. Tiret L, Garros B, Maurette P, Nicaud V, Thicoipe H, Hatton F, et al. Incidence, causes and severity of injuries in aquitaine, France: A community-based study of hospital admission and deaths. Am J Public Health 1989; 79(3): 316-321 https://doi.org/10.2105/AJPH.79.3.316
  34. Kim JS, Kim SS, Chang SC. National survey of injury and poisoning on a representative sample population of Koreans. Korean J Prev Med 1994; 27(3): 447-463. (Korean)
  35. Park SW, Heo YJ, Lee SW, Park JH. Non-fatal injuries among preschool children in Daegu and Kyungpook. Korean J Prev Med 2004; 37(3): 274-281. (Korean)