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Original Article
Pupil injury risks as a function of physical and psychosocial environmental problems experienced at school
  1. L Laflamme1,
  2. E Menckel2
  1. 1Karolinska Institutet, Department of Public Health Sciences, Division of Social Medicine and National Institute of Public Health, Injury Prevention Program, Stockholm, Sweden
  2. 2National Institute of Public Health, Injury Prevention Program and National Institute for Working Life, Division of Work and Health, Stockholm, Sweden
  1. Correspondence to:
 Dr Lucie Laflamme, Karolinska Institutet, Department of Public Health Sciences, Division of Social Medicine, Norrbacka, SE-171 76 Stockholm, Sweden
 lucie.laflamme{at}phs.ki.se

Abstract

Objectives—To investigate relations between physical and psychosocial environmental problems in schools, as perceived by school principals, and injuries among pupils.

Method—Proportionate injury ratios (PIRs) were computed for 77 public sector Swedish schools (33 248 pupils), and divided into four classes based on types of environmental problems reported. Sports related injuries, injuries during recesses, and violence related injuries were considered.

Results—The schools reporting psychosocial problems (9.1% of schools and 7.3% of pupils) had more injuries than expected by chance than all types of injuries aggregated (PIR = 1.92; 95% confidence interval (CI) 1.64 to 2.27), and in the case of sports related injuries (PIR = 1.79; 95% CI 1.37 to 2.34) and injuries due to physical violence (PIR = 2.20; 95% CI 1.33 to 3.65). There were no significant excess risks of injuries for schools facing physical problems or a combination of physical and psychosocial problems.

Conclusions—Psychosocial problems may exacerbate the risk of intentional and unintentional injuries among pupils. The results offer a reminder that school environment must be planned as part of any assessment of youth safety.

  • school safety
  • pupil injury
  • school environment
  • physical violence

https://doi.org/10.1136/ip.7.2.146

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