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Complete Health Indicator Report of Student Injuries

Definition

The student injury rate is reported as the number of student injuries among kindergarten through 12th-graders in Utah schools per 1,000 students.

Numerator

The number of public school student injuries that meet criteria.

Denominator

The number of public school students enrolled in school.

Data Interpretation Issues

School injuries involving pre-schoolers and specialized schools, such as night classes, alternative schools, and special education schools, are not included. School years are defined as being in session between August 1 and July 31. No adjustment for year-round schools was made. School enrollment numbers for K-12 grades exclude self-contained special education, homebound, and hospitalized students. Some Utah school districts are better than others at reporting injuries, which may make those schools appear to have more student injuries. In addition, student injury reporting forms are not submitted to the Violence and Injury Prevention Program at regular intervals, therefore, injury numbers from the previous school years may increase as forms are submitted.

Why Is This Important?

The Student Injury Reporting system is a critical piece of Utah's injury prevention efforts because it gives injury professionals timely data that identify where, when, how, and why students get injured at school. By using this information, education officials can pinpoint risk factors at individual schools and develop safety guidelines and prevention programs. School-related injuries are a significant public health problem. Appropriate interventions and prevention programs can minimize the physical and financial impact of injury on the individual, family, school, and community.

Healthy People Objective IVP-26:

Reduce sports and recreation injuries
U.S. Target: 41.0 injuries per 1,000 population

Other Objectives

Healthy People 2020 Objective AH-5.6: [[br]] Decrease school absenteeism among adolescents due to illness or injury [[br]] *U.S. Target: 13.1% [[br]] [[br]] Healthy People 2010 Objective IVP-27: [[br]] Increase the proportion of public and private schools that require students to wear appropriate protective gear when engaged in school-sponsored physical activities [[br]] [[br]] IVP-27.1: Physical education [[br]] *U.S. Target: 84.5% [[br]] [[br]] IVP 27.2: Intramural activities or physical activity clubs [[br]] *U.S. Target: 94.4% [[br]] [[br]] Healthy People 2020 Objective IVP-34: [[br]] Reduce physical fighting among adolescents [[br]] *U.S. Target: 28.4% [[br]] *State Target: 25.4% [[br]] [[br]] Healthy People 2020 Objective IVP-35: [[br]] Reduce bullying among adolescents [[br]] *U.S. Target: 17.9% [[br]] *State Target: 25.4% [[br]] [[br]] Healthy People 2020 Objective IVP-36: [[br]] Reduce weapon carrying by adolescents on school property [[br]] *U.S. Target: 4.6% [[br]] *State Target: 14.4% [[br]]

How Are We Doing?

In school year 2009-2010, the number of reported student injuries reached an all time low of 10.1 per 1,000 students. From school years 2007-2008 to to 2009-2010, 6th graders had the highest percent of student injuries (10.5%). Females had the highest number of injuries in 8th grade (9.4%) while males had the highest number of injuries in 6th grade (11.3%). During this time frame, females accounted for 39.3% of the injuries while males accounted for 60.7%. Males had more injuries than females in every grade. Injuries begin to decline among high school students. The majority of elementary school students (K-6th grade) are injured during lunch recess/recess while the majority of secondary school students (7th-12th grades) are injured during PE class. A possible fracture or broken bone is the most common type of injury in both elementary and secondary schools.

How Do We Compare With the U.S.?

On a national level, middle and high school students sustain more injuries than elementary school students. In Utah and across the nation, most grade school injuries occur on the playground and playfield. In contrast, sports injuries take the lead in secondary schools, as students enter competitive sports. It's also known that coaches tend to report injuries less often, making those kinds of activities appear safer than they may actually be. From school years 2007-2008 to 2009-2010, the elementary school reported injury rate was 11.0 per 1,000 students (CI: 10.8-11.2) and the secondary school reported injury rate was 11.1 per 1,000 students (CI: 10.9-11.4).

What Is Being Done?

The Utah Department of Health (UDOH) began investigating school-related injures in 1982. However, since there was no uniform or standardized system for reporting and collecting student injury data, it was not possible to determine the frequency, nature, severity, or contributing factors of these injuries. Together with the Utah State Office of Education and local school districts, the UDOH developed the Student Injury Reporting (SIR) system to better identify school injury problems, implement interventions, and prevent injuries. The UDOH Violence and Injury Prevention Program (VIPP) is the current administrator of SIR. SIR was one of the first statewide school injury reporting systems developed in the United States. Since 1990, Utah schools have submitted reports on 126,685 criteria injuries for an average of 6,334 injuries per school year. But because there is no law that requires schools to report injuries, the VIPP estimates that the true number may actually be twice as high. The following activities are underway to make Utahns more aware of the problem of school injury and of the importance of prevention: [[br]] # Annual publication of a student injury report # Publication of articles in professional journals using school injury data # Continuing education and training on the web-based student injury reporting system for personnel responsible for completing school injury forms # Educating all school district superintendents regarding data findings # Maintaining an accurate and current school injury database # Providing current data to all who are interested

Available Services

VIPP can provide data, fact sheets, prevention tips, and other resources on a wide variety of school-related injury topics. Violence and Injury Prevention Program 801-538-6864 http://health.utah.gov/vipp/

Health Program Information

The mission of the Violence and Injury Prevention Program is to promote the health of Utah citizens by working to reduce the incidence and severity of injuries and resultant deaths. Its goals are to a) focus prevention efforts on reducing intentional and unintentional injury, b) conduct education aimed at increasing awareness and changing behaviors that contribute to the occurrence of injury, c) strengthen local health department capacity to conduct local injury prevention programs, d) promote legislation, policy changes, and enforcement that will reduce injury hazards and increase safe behaviors, e) collaborate with private and public partners, and f) improve the Utah Department of Health capacity to collect mortality and morbidity data from multiple sources and conduct injury epidemiology for use in prevention planning, implementation, and evaluation.


Related Indicators

Relevant Population Characteristics

Pre-adolescents ages 10 to 14 are the group at highest risk of injuries. Sources: Laflamme L, Menckel E, Aldenberg E. School-injury determinants and characteristics: developing an investigation instrument from a literature review. Accid Anal Prev. 1998;30:481-495.

Related Relevant Population Characteristics Indicators:


Risk Factors

In younger students, it has been found that playground injuries are more common while organized sports become more likely to cause injuries as age increases. There are many factors that put students at risk for injuries, such as poor monitoring and supervision of children, risk-taking behaviors among students, poor decision making skills among students, inadequately maintained equipment, lack of staff awareness of injury prevention, lack of athletic conditioning, and lack of knowledge of appropriate safety procedures.

Related Risk Factors Indicators:


Health Status Outcomes

According to a 1998 study in the American Journal of Public Health, approximately 3.7 million students aged 5 to 19 are injured at school severely enough to require medical attention or to limit activity. Source: Miller TR, Spicer RS. How safe are our schools? Am J Public Health. 1998;88:413-418.

Related Health Status Outcomes Indicators:




Graphical Data Views

Number of Student Injuries per 1,000 Students by School Year, Utah, 2000-01 to 2009-10

::chart - missing::
confidence limits

School YearStudent Injuries per 1,000 StudentsLower LimitUpper LimitNumer- atorDenom- inator
Record Count: 10
00-0113.613.313.96,448474,732
01-0213.313.013.66,341477,160
02-0313.012.713.36,232479,617
03-0413.413.113.86,493483,685
04-0512.412.112.76,054489,445
05-0612.011.712.35,973498,484
06-0711.711.412.05,892504,792
07-0811.711.412.06,035515,457
08-0911.311.011.65,926523,644
09-1010.19.810.45,346529,107

Data Notes

The criteria for reporting school injuries is that the injury caused the loss of at least one-half day of school and/or warranted medical attention and treatment from a school nurse, physician, or other health care provider.

Data Sources

  • Utah Department of Health, Bureau of Health Promotion, Violence and Injury Prevention Program
  • Utah State Office of Education


Percentage of Student Injuries by Sex and Grade, Utah, 2007-08 to 2009-10

::chart - missing::

Males vs. FemalesGrade in SchoolPercentage of Student Injuries
Record Count: 39
MaleKindergarten4.1%
Male1st8.2%
Male2nd7.3%
Male3rd7.4%
Male4th8.0%
Male5th9.6%
Male6th11.3%
Male7th9.7%
Male8th10.0%
MaleGrade 98.4%
MaleGrade 106.2%
MaleGrade 115.0%
MaleGrade 124.8%
FemaleKindergarten4.2%
Female1st9.1%
Female2nd7.9%
Female3rd7.9%
Female4th9.0%
Female5th9.3%
Female6th9.3%
Female7th8.0%
Female8th9.4%
FemaleGrade 97.9%
FemaleGrade 106.9%
FemaleGrade 115.8%
FemaleGrade 125.4%
TotalKindergarten4.2%
Total1st8.5%
Total2nd7.6%
Total3rd7.6%
Total4th8.4%
Total5th9.5%
Total6th10.5%
Total7th9.0%
Total8th9.8%
TotalGrade 98.2%
TotalGrade 106.5%
TotalGrade 115.3%
TotalGrade 125.0%

Data Notes

The criteria for reporting school injuries is that the injury caused the loss of at least one-half day of school and/or warranted medical attention and treatment from a school nurse, physician, or other health care provider.

Data Source

Utah Department of Health, Bureau of Health Promotion, Violence and Injury Prevention Program


Percentage of Student Injuries by School Period and School Type, Utah, 2007-08 to 2009-10

::chart - missing::

Elem vs Secondary SchoolsSchool PeriodPercentage of Student Injuries
Record Count: 30
Elementary SchoolsBefore/After School9.7%
Elementary SchoolsAthletic Events0.3%
Elementary SchoolsClass Change1.5%
Elementary SchoolsClass Time8.5%
Elementary SchoolsField Trip1.9%
Elementary SchoolsLunch1.7%
Elementary SchoolsLunch Recess32.7%
Elementary SchoolsRecess32.7%
Elementary SchoolsPE Class9.6%
Elementary SchoolsOther1.4%
Secondary SchoolsBefore/After School9.4%
Secondary SchoolsAthletic Events7.9%
Secondary SchoolsClass Change7.7%
Secondary SchoolsClass Time22.9%
Secondary SchoolsField Trip1.1%
Secondary SchoolsLunch5.0%
Secondary SchoolsLunch Recess6.2%
Secondary SchoolsRecess0.1%
Secondary SchoolsPE Class37.5%
Secondary SchoolsOther2.3%

Data Notes

The criteria for reporting school injuries is that the injury caused the loss of at least one-half day of school and/or warranted medical attention and treatment from a school nurse, physician, or other health care provider.   Elementary schools consist of Kindergarten through 6th grades. Secondary schools consist of 7th through 12th grades.

Data Source

Utah Department of Health, Bureau of Health Promotion, Violence and Injury Prevention Program


Percentage of Student Injuries by Injury Type, Utah, 2007-08 to 2009-10

::chart - missing::

Injury TypePercentage of Student Injuries
Record Count: 13
Abrasion/Scrape1.9%
Bump/Bruise/Contusion10.7%
Possible Concussion5.1%
Cut/Laceration20.7%
Possible Dislocation3.5%
Possible Fracture/Broken34.3%
Loss of Consciousness1.1%
No Pulse/Heartbeat0.0%
Pain/Tenderness3.2%
Puncture1.9%
Sprain/Strain/Tear11.3%
Swelling/Inflammation1.7%
Other4.1%

Data Notes

The criteria for reporting school injuries is that the injury caused the loss of at least one-half day of school and/or warranted medical attention and treatment from a school nurse, physician, or other health care provider.

Data Source

Utah Department of Health, Bureau of Health Promotion, Violence and Injury Prevention Program

References and Community Resources

National Center for Injury Prevention and Control http://www.cdc.gov/ncipc/factsheets/playgr.htm Safe Child http://safechild.org/ Kids Health http://www.kidshealth.org/ Children's Safety Network http://www.childrenssafetynetwork.org/ National SAFE KIDS Campaign http://www.safekids.org/ National Center for Sports Safety http://www.sportssafety.org/

More Resources and Links

Evidence-based community health improvement ideas and interventions may be found at the following sites:

Additional indicator data by state and county may be found on these Websites:

Medical literature can be queried at the PubMed website.

For an on-line medical dictionary, click on this Dictionary link.

Page Content Updated On 11/02/2011, Published on 07/27/2015
The information provided above is from the Department of Health's Center for Health Data IBIS-PH web site (http://ibis.health.state.gov). The information published on this website may be reproduced without permission. Please use the following citation: " Retrieved Fri, 04 September 2015 12:47:11 from Department of Health, Center for Health Data, Indicator-Based Information System for Public Health Web site: http://ibis.health.state.gov ".

Content updated: Tue, 28 Jul 2015 19:46:20 MDT