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School injuries and preventive policies and programs.

Genevieve C Gore1, Helen Magdalinos, Ivan B Pless

  • 1Dept of Community Pediatric Research, Montreal Children's Hospital, Montreal, QC.

Canadian Journal of Public Health = Revue Canadienne De Sante Publique
|December 30, 2004
PubMed
Summary

School injury rates are not strongly linked to school policies or programs. Instead, factors like school board and proximity to hospitals appear to be more significant in determining injury risk for students.

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Area of Science:

  • Pediatric injury prevention
  • School health and safety
  • Epidemiology of childhood injuries

Background:

  • Childhood injuries are a significant cause of morbidity and mortality.
  • A substantial number of childhood injuries occur on school premises.
  • Variations in school-level policies, programs, and practices may influence injury rates.

Purpose of the Study:

  • To investigate the relationship between school characteristics and childhood injury rates.
  • To identify factors contributing to injuries occurring in school settings.

Main Methods:

  • Data collected from Montreal Children's Hospital for injured children.
  • Telephone interviews to identify attending schools and calculate injury rates.
  • Questionnaires administered to principals regarding school practices and programs.

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  • Statistical analysis using cross-tabulations and logistic regression.

    • Main Results:

    • Nearly one-third of 310 injured children required hospitalization or follow-up care.
    • Common injuries involved falls, affecting boys aged 10-14, often during sports.
    • Higher injury rates were associated with English school boards, proximity to hospitals, specific gym flooring, gym use during breaks, playing field availability, frequent field checks, and injury prevention programs.
    • Logistic regression identified school board and distance to hospital as significant factors after controlling for others.

    Conclusions:

    • Limited evidence suggests school policies directly influence injury rates.
    • Injury rates may prompt schools to implement preventive measures.
    • Observed differences in injury rates could be due to varying exposure to risk, such as the availability of sports facilities.