Journal of the American College of Surgeons
Volume 207, Issue 2 , Pages 179-184, August 2008

Attitudes about Injury among High School Students

  • Olivier J.Y. Monneuse, MD, PhD

      Affiliations

    • Division of Trauma and General Surgery, Department of Surgery, St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada
  • ,
  • Avery B. Nathens, PhD, MPH, FACS

      Affiliations

    • Division of Trauma and General Surgery, Department of Surgery, St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada
  • ,
  • Nicole N. Woods, PhD

      Affiliations

    • Wilson Centre for Research in Education, University of Toronto, Toronto, Ontario, Canada.
  • ,
  • Julie L. Mauceri, BScN

      Affiliations

    • Division of Trauma and General Surgery, Department of Surgery, St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada
  • ,
  • Sonya L. Canzian, MHSc

      Affiliations

    • Division of Trauma and General Surgery, Department of Surgery, St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada
  • ,
  • Wei Xiong, MSc

      Affiliations

    • Division of Trauma and General Surgery, Department of Surgery, St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada
  • ,
  • Najma A. Ahmed, PhD, FACS

      Affiliations

    • Division of Trauma and General Surgery, Department of Surgery, St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada
    • Corresponding Author InformationCorrespondence address: Najma Ahmed, PhD, FACS, 3073 Queen Wing, St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.

Received 14 December 2007; received in revised form 9 January 2008; accepted 10 January 2008. published online 24 April 2008.

Background

Despite education and changes in public policy, trauma-related injuries continue to exact an unacceptably high morbidity and mortality, particularly among young people. Most injuries are preventable and can often be attributed to poor choices.

Study Design

A mixed methods study involving 262 high school students was conducted to study the effect on knowledge and risk assessment after a day-long injury prevention program, and to develop a theoretic framework to better understand attitudes and beliefs that underlie commonly seen behaviors among young people.

Results

Knowledge about injury increased after participation in the program, but was not durable over time. Risk perception and capacity to discern safer options improved after the program and persisted for up to 30 days. A qualitative analysis revealed seven themes that reflect a sense of invincibility and a belief that fate is more important than choice in determining the outcomes of a situation.

Conclusions

Effective injury prevention programs should include risk perception training that is informed by the attitudes and beliefs of the recipients.

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 Disclosure Information: Nothing to disclose.

PII: S1072-7515(08)00075-6

doi:10.1016/j.jamcollsurg.2008.01.021

Journal of the American College of Surgeons
Volume 207, Issue 2 , Pages 179-184, August 2008