Risk factors of injury among urban adolescent students


  • Shabnam Imam Department of Community Medicine, Bangladesh Medical College Hospital, Dhaka, Bangladesh
  • Nadira Begum Department of Community Medicine, Bangladesh Medical College Hospital, Dhaka, Bangladesh
  • Farhana Salim Department of Community Medicine, Shaheed Monsur Ali Medical College, Dhaka, Bangladesh
  • Mohammed Mustafizur Rahman Department of Pathology, Popular Medical College Hospital, Dhaka, Bangladesh
  • Meherunnesa Begum Department of Community Medicine, Ibn Sina Medical College, Dhaka, Bangladesh




Injury, Adolescent, Urban, Student


Background: Injuries are a significant public health issue and a leading cause of morbidity and mortality among adolescents. This study aimed to observe the incidence and risk factors of injury among urban adolescent students.

Methods: The study was conducted at Dhanmondi high school in Dhaka, Bangladesh, from January to June 2018. A total of 325 students were purposefully selected for the study. The prevalence of injury, the pattern of injury, the socioeconomic and demographic characteristics, and the proportion of social determinants of injury were estimated.

Results: 60% of the participants reported an injury in the last 6 months, with moderate injuries being the most common (63.59%). Seeking care was through visiting a doctor (28.72%) or hospital (33.33%). Most injuries occurred at home (33.33%) or in an institution of education (31.28%). The most common site of injury was the hand (39.49%) and the most common mode was sudden attack or fighting (28.21%). A significant association was found between injury occurrence and sex, grade of students, and age of students, but not with monthly income, education level of the father, occupation of the mother, or number of family members.

Conclusions: The most prevalent risk factors for injury were fighting, violating traffic laws, and taking risks while getting into a vehicle. These factors were also statistically significant predictors of injury occurrence. The findings suggest a need for targeted injury prevention programs to address these risk factors among urban adolescent students in Bangladesh.


Laflamme L, Menckel E. Injuries to boys and girls in Swedish schools: Different activities, different results. Scand J Public Health. 2000;28:132-6.

Playground injuries. Available at: http://www.cdc. gov/ncipc/factsheets/playgr.htm. Accessed on 20 November 2022.

Injuries and violence. Available at: https://www.who. int/news-room/fact-sheets/detail/injuries-and-violence. Accessed on 20 November 2022.

Child and adolescent injury prevention. Available at: https://www.who.int. Accessed on 20 November 2022.

Prevention of injuries and disabilities in Bangladesh. Available at: https://www.theindependentbd.com/ home/printnews/128626. Accessed on 20 November 2022.

Han L, You D, Gao X, Duan S, Hu G, Wang H. Unintentional injuries and violence among adolescents aged 12-15 years in 68 low-income and middle-income countries: a secondary analysis of data from the Global School-Based Student Health Survey. Lancet Child Adolesc Health. 2019;3(9):616-26.

Pickett W, Garner MJ, Boyce WF. Gradients in risk for youth injury associated with multiple risk behavior: a study of 11,329 Canadian adolescents. Soc Sci Med. 2002;55:1055-68.

Accidents or Unintentional Injuries. Available at: https://www.cdc.gov/nchs/fastats/accidental-injury.htm. Accessed on 20 November 2022.

Injury facts: Children at risk. Available at: http://safekids.org. Accessed on 20 November 2022.

Olaisen RH, Rossen LM, Warner M, Anderson RN. Unintentional injury death rates in rural and urban areas. Lancet. 2019;1025(23):234-7.

Merkel DL. Youth sport: positive and negative impact on young athletes. J Sports Med. 2019;4:151.

Sports Injury Statistics. Available at: https://www. stanfordchildrens.org/en/topic/default?id=sports-injury-statistics-90-P02787. Accessed on 20 November 2022.

Morrongiello BA. Do children’s intentions to risk take relate to actual risk taking?. Injury Prevent. 2004;10:62-4.

Mashreky SR, Rahman A, Chowdhury SM, Khan TF, Svanström L, Rahman F. Non-fatal burn is a major cause of illness: findings from the largest community-based national survey in Bangladesh. Injury Prevent. 2009;15(6):397-402.

Ong ME, Ooi SB, Manning PG. A review of 2,517 childhood injuries seen in a Singapore emergency department in 1999 mechanisms and injury prevention suggestions. Singapore Med J. 2003;44(1):12-9.

Mitchell RJ, Cameron CM, McMaugh A, Lystad RP, Badgery-Parker T, Ryder T. The impact of childhood injury and injury severity on school performance and high school completion in Australia: a matched population-based retrospective cohort study. BMC Pediatr. 2021;21(1):1-4.

Russell K, Selci E, Black B, Cochrane K, Ellis M. Academic outcomes following adolescent sport-related concussion or fracture injury: a prospective cohort study. PLoS One. 2019;14(4):e0215900.

Jansen L, Bärnighausen T, Wilson ML. Injuries among adolescents in Greenland: behavioural and socio-economic correlates among a nationally representative sample. Peer J. 2020;8:e8605.

Birken CS, MacArthur C. Socioeconomic status and injury risk in children. Paediatr Child Health. 2004;9(5):323-5.




How to Cite

Shabnam Imam, Nadira Begum, Farhana Salim, Mohammed Mustafizur Rahman, & Meherunnesa Begum. (2023). Risk factors of injury among urban adolescent students. International Journal Of Community Medicine And Public Health, 10(5), 1628–1634. https://doi.org/10.18203/2394-6040.ijcmph20231040



Original Research Articles