Injury-related behaviour among South African high-school students at six sites
: South African Medical Journal OUTPUT TYPE
: Journal Article PUBLICATION YEAR
: A.J.Flisher, C.L.Ward, H.Liang, H.Onya, N.Mlisa, S.Terblanche, A.Bhana, C.D.H.Parry, C.J.LombardKEYWORDS
, INJURY SURVEILLANCE
: Human and Social Development (HSD)
: HSRC Library: shelf number 4196
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The objective of this paper is to document and compare prevalence rates of adolescent injury-related risk behaviours at six sites in South Africa. The identical self-administered instrument was used at all sites. Prevalence rates (with 95% confidence intervals) were
calculated taking the multistage cluster sampling strategy into account. In Cape Town, Durban, Port Elizabeth and
Mankweng participants were drawn from either grades 8 or 9, and grade 11, while in Queenstown and Umtata they were drawn from grade 11 only. We selected 39 schools in Cape Town and Durban, 33 in Port Elizabeth and 20 in each of the rural
areas. Road-related risk behaviour, violence, and suicide attempts. Across the sites there were high rates of risk behaviour
in all domains. For example, in the 12 months preceding the survey an estimated 52.8% of grade 11 males in Cape Town had
travelled in the front seat of a motor vehicle without a seatbelt, 33.0% of grade 8 males in Mankweng had bullied others, while
44.5% of the same group had been bullied, and 18.6% of females in Port Elizabeth had attempted suicide. Rates were lower in
rural areas for behaviour involving motor vehicles, but there were no consistent urban-rural findings for violence-related
behaviour. Females were at higher risk of suicidal behaviour and males were at higher risk of other injury-related behaviour.
There is a need for effective interventions to reduce the extent of injury-related risk behaviour in adolescents
in urban and rural settings.