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. 1996 Dec;2(4):266–273. doi: 10.1136/ip.2.4.266

Behavior and injury in urban and rural adolescents.

A W Riley 1, S K Harris 1, M E Ensminger 1, S Ryan 1, C Alexander 1, B Green 1, B Starfield 1
PMCID: PMC1067732  PMID: 9346106

Abstract

OBJECTIVES: This study investigates the consistency of factors associated with adolescent injury in separate urban and rural samples. SAMPLES: Adolescents, 11-17 years old, in public schools in urban and rural Maryland (n = 2,712). METHODS: Separate bivariate and logistic regression analyses were conducted for each sample to determine individual and environmental factors associated with major and minor injuries experienced in the previous year. RESULTS: Multivariate analyses revealed that, for both samples, the probability of a major injury was highest for boys and, among both boys and girls, for those who played several team sports. Among rural youth, other significant covariates of both major and minor injuries were a tendency to engage in risky behavior and to use alcohol. For urban youth, being white, carrying a weapon for protection, attending an unsafe school, and working for pay were also significant covariates. Interactions were important and complex. CONCLUSIONS: The consistency of predictive factors, such as multiple sports team participation and risky and aggressive behaviors in completely different physical environments, underscores the need to address the contexts of heightened injury risk that some adolescents create wherever they live by playing sports and/or behaving in an antisocial, aggressive manner. Moreover, the perception of lack of safety in schools and neighborhoods is associated with increased injury rates, suggesting the need for policy interventions to target social environments as well as behavior.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Alexander C. S., Ensminger M. E., Somerfield M. R., Kim Y. J., Johnson K. E. Behavioral risk factors for injury among rural adolescents. Am J Epidemiol. 1992 Sep 15;136(6):673–685. doi: 10.1093/oxfordjournals.aje.a116547. [DOI] [PubMed] [Google Scholar]
  2. Alexander C. S., Somerfield M. R., Ensminger M. E., Kim Y. J., Johnson K. E. Gender differences in injuries among rural youth. Inj Prev. 1995 Mar;1(1):15–20. doi: 10.1136/ip.1.1.15. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Bass J. L., Gallagher S. S., Mehta K. A. Injuries to adolescents and young adults. Pediatr Clin North Am. 1985 Feb;32(1):31–39. doi: 10.1016/s0031-3955(16)34754-x. [DOI] [PubMed] [Google Scholar]
  4. Castillo D. N., Landen D. D., Layne L. A. Occupational injury deaths of 16- and 17-year-olds in the United States. Am J Public Health. 1994 Apr;84(4):646–649. doi: 10.2105/ajph.84.4.646. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Davidson L. L., Durkin M. S., Kuhn L., O'Connor P., Barlow B., Heagarty M. C. The impact of the Safe Kids/Healthy Neighborhoods Injury Prevention Program in Harlem, 1988 through 1991. Am J Public Health. 1994 Apr;84(4):580–586. doi: 10.2105/ajph.84.4.580. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Gallagher S. S., Finison K., Guyer B., Goodenough S. The incidence of injuries among 87,000 Massachusetts children and adolescents: results of the 1980-81 Statewide Childhood Injury Prevention Program Surveillance System. Am J Public Health. 1984 Dec;74(12):1340–1347. doi: 10.2105/ajph.74.12.1340. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Gielen A. C. Health education and injury control: integrating approaches. Health Educ Q. 1992 Summer;19(2):203–218. doi: 10.1177/109019819201900205. [DOI] [PubMed] [Google Scholar]
  8. Greenberg M. R., Carey G. W., Popper F. J. Violent death, violent states, and American youth. Public Interest. 1987;(87):38–48. [PubMed] [Google Scholar]
  9. Guyer B., Gallagher S. S., Chang B. H., Azzara C. V., Cupples L. A., Colton T. Prevention of childhood injuries: evaluation of the Statewide Childhood Injury Prevention Program (SCIPP). Am J Public Health. 1989 Nov;79(11):1521–1527. doi: 10.2105/ajph.79.11.1521. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Harel Y., Overpeck M. D., Jones D. H., Scheidt P. C., Bijur P. E., Trumble A. C., Anderson J. The effects of recall on estimating annual nonfatal injury rates for children and adolescents. Am J Public Health. 1994 Apr;84(4):599–605. doi: 10.2105/ajph.84.4.599. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Kearney P. A., Stallones L., Swartz C., Barker D. E., Johnson S. B. Unintentional injury death rates in rural Appalachia. J Trauma. 1990 Dec;30(12):1524–1532. doi: 10.1097/00005373-199012000-00016. [DOI] [PubMed] [Google Scholar]
  12. LaVeist T. A. Beyond dummy variables and sample selection: what health services researchers ought to know about race as a variable. Health Serv Res. 1994 Apr;29(1):1–16. [PMC free article] [PubMed] [Google Scholar]
  13. Langley J. D., Cecchi J. C., Williams S. M. Recall of injury events by thirteen year olds. Methods Inf Med. 1989 Jan;28(1):24–27. [PubMed] [Google Scholar]
  14. Langley J. D. The need to discontinue the use of the term "accident" when referring to unintentional injury events. Accid Anal Prev. 1988 Feb;20(1):1–8. doi: 10.1016/0001-4575(88)90009-7. [DOI] [PubMed] [Google Scholar]
  15. Peterson L., Harbeck C., Moreno A. Measures of children's injuries: self-reported versus maternal-reported events with temporally proximal versus delayed reporting. J Pediatr Psychol. 1993 Feb;18(1):133–147. doi: 10.1093/jpepsy/18.1.133. [DOI] [PubMed] [Google Scholar]
  16. Rivara F. P. Fatal and nonfatal farm injuries to children and adolescents in the United States. Pediatrics. 1985 Oct;76(4):567–573. [PubMed] [Google Scholar]
  17. Runyan C. W., Gerken E. A. Epidemiology and prevention of adolescent injury. A review and research agenda. JAMA. 1989 Oct 27;262(16):2273–2279. [PubMed] [Google Scholar]
  18. Runyan C. W., Kotch J. B., Margolis L. H., Buescher P. A. Childhood injuries in North Carolina: a statewide analysis of hospitalizations and deaths. Am J Public Health. 1985 Dec;75(12):1429–1432. doi: 10.2105/ajph.75.12.1429. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Scheidt P. C., Harel Y., Trumble A. C., Jones D. H., Overpeck M. D., Bijur P. E. The epidemiology of nonfatal injuries among US children and youth. Am J Public Health. 1995 Jul;85(7):932–938. doi: 10.2105/ajph.85.7.932. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Singh G. K., Yu S. M. US childhood mortality, 1950 through 1993: Trends and socioeconomic diffferentials. Am J Public Health. 1996 Apr;86(4):505–512. doi: 10.2105/ajph.86.4.505. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Starfield B., Bergner M., Ensminger M., Riley A., Ryan S., Green B., McGauhey P., Skinner A., Kim S. Adolescent health status measurement: development of the Child Health and Illness Profile. Pediatrics. 1993 Feb;91(2):430–435. [PubMed] [Google Scholar]
  22. Starfield B., Riley A. W., Green B. F., Ensminger M. E., Ryan S. A., Kelleher K., Kim-Harris S., Johnston D., Vogel K. The adolescent child health and illness profile. A population-based measure of health. Med Care. 1995 May;33(5):553–566. doi: 10.1097/00005650-199505000-00008. [DOI] [PubMed] [Google Scholar]

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