湖南农村学龄儿童意外伤害及影响因素多水平模型分析  

Multilevel model study on status and influencing factors of accident injury among rural school-age children in Hunan Province

作　　者：杨学文[1] 查文婷[1] 张国超[1] 梁蓉[1] 梁维君[1] 

机构地区：[1]湖南师范大学医学院卫生统计学教研室,湖南长沙410000

出　　处：《中华疾病控制杂志》2016年第3期266-270,共5页Chinese Journal of Disease Control & Prevention

基　　金：湖南师范大学大学生创新实验计划项目(201232)

摘　　要：目的 了解湖南农村学龄儿童意外伤害发生现状及可能影响因素。方法 采用分层整群抽样的方法,于2013年4月-8月,在我省经济发达程度不同的三个区域抽取12个村合计1083名学龄儿童作为调查对象,收集、整理资料并运用SPSS17.0和MLwiN2.0软件进行统计分析。结果 在过去一年内,农村61.0%的学龄儿童发生过意外伤害,71.6%的伤害发生在家里或学校,56.7%的儿童伤后仅自行处理或未处理,63.3%的伤害无资金花费,21.0%的伤害会影响美观、导致活动长期受限或致残;多水平模型显示,年龄、性别、民族、性格、体质指数、父母外出务工情况等6个因素对意外伤害发生情况有影响。结论 应以8岁以上、男童、性格外向、体质指数异常、留守儿童为重点监护对象,树立其安全防护意识,提高意外伤害的预防和救助水平,大力加强经济欠发达区域对农村儿童意外伤害的投入力度。Objective To investigate the status and influencing factors of accident injury among rural school-age children in Hunan Province. Methods Stratified cluster sampling was used to investigate 1083 children aged 6-14 from the developed, more developed, underdeveloped areas of 12 villages in Hunan during April to August in 2013, SPSS 17. 0 and MLwiN 2. 0 software were used for statistical analysis. Results 61.0% children had accident injuries in the past year, 71.6% accident happened at home or school, 56. 7% were treated by children themselves or untreated, 63.3% of them spent no money after the injury. 21.0% affected the appearance, long-term limited and disability;Multilevel model a- nalysis showed that age, sex, race, body mass index, personality, whether the parents go out to work were the influencing factors of children accidental injury. Conclusion We must focus on children aged above 8 years-old, boys, with outgoing personality or abnormal body mass index, especilly the ＂left-behind children＂ as the monitoring objects, enhance the secu- rity awareness and hedge skills of them, and increase the investment from government of Hunan Province especilly in minority areas.

关 键 词：农村卫生 儿童 危险因素 

分 类 号：R179[医药卫生—妇幼卫生保健]