广州市海珠区某中学伤害发生情况及其影响因素分析  

Study on the incidence of injury and analysis on the influencing factors among middle school students in Haizhu District,Guangzhou City

作　　者：杨剑[1] 李洋[1] 张思恒[1] 彭淋[1] 田军章[2] 梁丽霞 陈青山[1] 王声湧[1] 

机构地区：[1]暨南大学医学院伤害预防与控制中心,广东广州510632 [2]广东省第二人民医院,广东广州510317 [3]广州市黄埔社区卫生服务站,广东广州510300

出　　处：《中华疾病控制杂志》2013年第7期588-591,共4页Chinese Journal of Disease Control & Prevention

基　　金：广东省医学科研基金指令性项目(粤卫办函[2012]501)

摘　　要：目的了解广州市海珠区某中学伤害发生情况及影响因素,为制订有效的伤害干预策略提供科学依据。方法以海珠区某中学全体学生作为调查对象,运用自行设计的问卷对过去1年伤害发生情况及其影响因素进行调查,回收有效问卷437份。采用2检验、非条件Logistic回归分析及分类树统计分析。结果伤害发生率为38.90%;初三年级伤害发生率(23.97%)低于初一、初二年级(44.90%,47.92%);家中、学校是高发地点;受伤部位主要是下肢、手指/脚趾。主要伤害类型:跌落/倒伤(33.64%)、扭伤(15.33%)、碰撞/挤压伤(8.47%)。多因素非条件Logistic回归分析显示:学习成绩差、骑车不使用专用车道、被欺侮(被用物体打/烫、被羞辱/取笑、被恐吓/威胁、被赶出家门)是伤害发生的危险因素,运动前热身和运动采取保护措施能有效控制伤害发生;分类树模型可知,跌扭撞伤在无被羞辱经历、运动时极少甚至从不采取保护措施的初一、初二年级学生中高发。结论中学生伤害发生率高,根据其伤害发生特点,采取相应干预措施,保护学生健康。Objective To explore the incidence of injury and its influencing factors among middle students in Haizhu District of Guangzhou City, thus providing effective tragedy and countermeasure for injury prevention and interve- ning. Methods All the students of a middle school in 2012 among Haizhu District were selected and were interviewed with self-designed questionnaire about the incidence and influencing factors of injury in the past one year. The final analysis sample was 437. Chi-square test, unconditional logistic regression and classification tree method were used to analyze the influencing factors of injury among middle students. Results Before the past one year of the date of survey, the incidence and person-time incidence of injury among middle students were 38. 90 % respectively. The incidence of injury of grade 3 （23. 97 % ） was lower than gradel＇ s and grade 2＇ s （44. 90 % , 47. 92 % ）. Home and school were the most common place where the injury occurred. On the other hand injury usually occurred on lower limbs and fingers/toes. The top three incidence of injuries were drop/fall injury （33.64%）, sprain （ 15. 33% ） and collision/crush injury （8.47 % ）. The un- conditional Logistic regression showed that the risk factors were good in study, cyeling don＇ t use the dedicated lane, often hazing （humiliated, threatened, beaten/burned and out of the house）. The less movement （such as preparing before activ- ities and taking protective measures during sports） led to less injury. The results of classifieation tree analyses showed that fall/sprain/crush injury was mainly distributed in the grade 1 and 2 students who never be humiliated and never to take pro- tective measures during sports. Conclusions The incidence of injury among the middle students was high, indicating that interfering measure should be implemented according to the characteristics of injury occurring in schools.

关 键 词：中学生 伤害 危险因素 流行病学研究 

分 类 号：R181.2[医药卫生—流行病学]