Abstract
Background: Unintentional injury is the leading cause of death among adolescents. Therefore, research on the risk of unintentional injury among adolescents is imperative in public health because adolescents are the future generations of each country. However, studies on the real situation of unintentional injury and associated factors among adolescents in Vietnam are still limited. Objectives: Describe the situation of risk behaviors towards unintentional injury to adolescent health and associated factors in Hanoi in 2019. Methods: We used a cross-sectional study using multi-stage sampling design. A total of 3,443 subjects who were students from high schools in Hanoi agreed to participate in the study. The data was collected by online self-answered through KoboToolbox software, then aggregated on Microsoft Excel and analyzed by STATA 14.0 software. Results: Fourteen percent of students said that they used to smoke, 51.6% said that they used to drink alcohol. About 6.9% of adolescents said they rarely or never wore a helmet, 30% said they had at least once used the phone and 8.2% admitted that they had ever drank alcohol, beer before driving. Regarding the group of violent behavios, nearly 4.8% of students have been carrying weapons with them in the past 30 days, 6.5% have had at least 1 fight in the past 12 months, 2.4% said that they had been sexually abused at least once and about 11.6% of the students said that they had experienced bullying at school. Smoking (OR = 2.21), drinking alcohol (OR = 2.08), and had psychology problems for 2 weeks (OR = 1.61) had increased the risk of performing risk behaviors that may lead to the unintentional injuries. Conclusions and Implication: The prevalence of adolescents in Hanoi who engage in risk behaviors that can lead to unintentional injury was high. Factors such as smoking, drinking or having psychological problems increased the risk of these behaviors. We recommend that family and school should educate for adolescents to raise the awareness when driving and avoid substance abuse. In addition, family and school also need to promptly detect school violence and provide psychological supports when adolescents experienced psychological problems. Keywords: unintentional injury, smoking, alcohol use, adolescent, Hanoi
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