广州市儿童青少年伤害现状及特征  

Children status of injury and its influencing factors in Guangzhou city

作　　者：王大虎[1] 魏跃红[1] 陆剑云[1] 胡辉华[2] 常会民[2] 景庆隆 刘伟佳[1] 

机构地区：[1]广州市疾病预防控制中心,广东510440 [2]武警广东省总队医院

出　　处：《医学动物防制》2015年第3期244-246,250,共4页Journal of Medical Pest Control

基　　金：广东省科技计划项目(2012B061700014)

摘　　要：目的了解学龄儿童跌伤现状,探讨其发生的影响因素,为制定跌伤预防策略提供依据。方法采用分层整群抽样的方法对广州市4所小学在校学生进行调查。结果学龄儿童意外伤害发生率为26.24%;跌伤发生率为15.05%,平均1.41次/人。男性学龄儿童跌伤发生率（16.50%）高于女性（13.55%）（P〈0.05）;5∽8岁年龄组跌伤发生率（10.26%）低于9∽13岁组（18.28%）（P〈0.05）。Logistic回归显示,性别、年龄、伤害知晓、骑自行车、骑自行车竞速、趴阳台、翻围墙和楼道玩耍是跌伤发生的影响因素,其OR值分别是1.187、1.867、1.540、1.053/1.305、1.195/4.153、1.331/1.400、1.518和1.141。结论广州市学龄儿童中跌伤有一定的发生率,学龄儿童跌伤的预防应特别针对9∽13岁男性儿童以及有跌伤相关危险行为者。Objective To understand the status of injury from falls in school- age children,in order to explore its influence factors and provide evidence for prevention strategy. Methods Stratified cluster sampling method was used,students from 4 primary schools was investigated. Results Accidental injury incidence in school-age children was 26. 24%,while incidence of injury from falls was 15. 05% with an average of 1. 41 times per person. The incidence was higher in boys（ 16. 50%） than girls（ 13. 55%）（ P 0. 05）,and higher in students aged 9- 13（ 18. 28%） than students aged 5- 8（ 10. 26%）（ P 0. 05）. Logistic regression showed gender,age,knowledge of injury,cycling,racing by bike,on the balcony,crossing guardrail and playing in passageway were risk factors for injury from falls,and the ORs were 1. 187,1. 867,1. 540,1. 053 /1. 305,1. 195 /4. 153,1. 331 /1. 400,1. 518 and 1. 141 respectively. Conclusions There was a certain incidence of injury from falls,prevention of injury from falls in school- age children should be specifically for 9- 13 year old male children and had related risk behaviors.

关 键 词：学龄儿童 跌伤 影响因素 

分 类 号：R64[医药卫生—外科学] G478[医药卫生—临床医学]