Page 34 - nhms2012 Perak

PERAK GSHS 2012 Results

3.11 Violence and Unintentional Injury

Introduction

Unintentional injuries is a major cause of death and disability among young children (66). Each year,
about 875,000 children under the age of 18 years die from injuries and 10 to 30 million have their
lives a]ected by injury. Injury is highly associated with age, and gender, in which males aged 10-14
years have 60% higher injury death rates than females.Teenagers aged 15-19 years have higher rates
than those aged 10-14 years (64 compared to 29 per 100,000). Many unintentional injuries lead to
permanent disability and brain damage, depression, substance abuse, suicide attempts, and the
adoption of health risk behaviours. Victims of bullying have increased stress and a reduced ability to
concentrate. Additionally, they are at increased risk for substance abuse, aggressive behavior and
suicide attempts (67).

Findings

In the past 12 months, 24.4% (95% CI: 20.97-28.18) of the students had been physically attacked and
this is signi_cantly higher among males [29.1% (95% CI: 26.16-32.31)] than females [19.3% (95% CI:
14.73-24.96)] (Table 11.1.1) Overall, 25.6 % ( 95% CI: 21.91-29.65%) had been involved in a physical
_ght with signi_cantly more males [32.7% (95% CI: 26.87-39.02)] than females [18.4% (95% CI: 15.05-
22.31)] reporting this (Table 11.2.1). About 31.8% (95% CI: 27.75-36.06)] of the students had been
seriously injured with signi_cantly more males [40.1% (95% CI: 36.28- 43.97)] than females [23.4%
(95% CI: 19.95-27.22)] involved (Table 11.3.1). Among those who had been seriously injured, the two
most common injuries were“ a broken bone or dislocated joint”17.3% (95% CI: 13.66-21.73) and‘‘a cut
or stab wound’’ 23.6% (95% CI: 16.66- 32.37) (Table 11.4). The two most common causes of serious
injury were fall [37.3% (95% CI: 30.64- 44.49)] and motor vehicle accidents [23.4% (95% CI: 18.23-29.56)
](Table 11.5). In the past 30 days, 17.3% (95% CI: 15.25-19.67) of the students had been bullied with
signi_cantly more males [21.5% (95% CI: 19.15- 24.07)] than females [13.3% (95% CI: 10.44-16.68)]
reported this (Table 11.6.1). Reportedly, the two common forms of bullying were“some other way”
[30.7% (95% CI: 25.58-36.36)] and“made fun of because of body or face looks”[22.1% (95% CI: 17.05-
28.19)] (Table 11.7). About 8.9% (95% CI: 6.70-11.65) of the students had been abused physically
(Table 11.8.1) and 36.9% (95% CI: 33.19-40.72) had been abused verbally at home (Table 11.9.1).

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