泸州市2014年初中生伤害发生状况分析  

Injury among junior high school students in Luzhou city

作　　者：常豫红[1] 范颂[2,3] 陈航[1] 雷智[1] 刘霞[1] 凌莉[2] 

机构地区：[1]四川省泸州市疾病预防控制中心,646000 [2]中山大学流动人口卫生政策研究中心 [3]四川医科大学公共卫生学院

出　　处：《中国学校卫生》2016年第11期1666-1669,共4页Chinese Journal of School Health

基　　金：美国中华医学基金会"中山大学流动人口卫生政策研究中心能力建设"项目(12-111)

摘　　要：目的了解泸州市初中学生伤害发生状况,为制订预防措施提供依据。方法采用分层整群抽样方法,对泸州市22所中学七~九年级16 465名在校学生2014年伤害发生情况进行问卷调查。结果 16 465名初中生伤害总发生率为13.24%（2 180名）,轻、中、重度伤害分别占92.02%,5.50%,2.48%。城市学生伤害发生率为12.20%,农村学生为13.67%;男生为14.69%,女生为11.67%,差异均有统计学意义（χ~2值分别为6.379,32.531,P值均〈0.01）。2 180人发生各类伤害2 728人次,涉及伤害13种,以跌倒/坠落（39.22%）、割/刺伤（21.99%）为主;农村学生扭伤/拉伤、打架、交通事故发生率明显高于城市学生（χ~2值分别为4.685,8.563,4.294,P值均〈0.05）。约41.15%的城市学生伤害发生在家庭,农村学生主要发生在学校（37.28%）和家庭（35.91%）;轻度伤害主要发生在家庭（38.01%）,中、重度伤害主要发生在学校（39.20%）。结论泸州市初中生伤害发生率较高,以轻度伤害为主。应根据不同性别、不同地区、不同伤害类型发生特点,采取针对性的措施,以减少学生伤害的发生。Objective To determine the prevalence and types of injury among junior high school students in Luzhou city.Methods A multi-stage stratified cluster sampling method was used to collect injury information with questionnaire among 16 465 students in 2014. Results The overall injury rate was 13.24%（ 2 180 / 16 465）, mild, moderate, and severe injuries rates were92. 02%, 5.50% and 2.48% respectively; urban students 12.20%, rural students 13.67%; boys 14.69% and girls 11.67 %. A total of 2 180 persons were injured and 2 728 injuries with various types happened. Most common injuries included falling（ 39.22%）,cut / stab wounds（ 21.99%） and sprains / strains（ 15.65%）. For rural students, sprains / strains, fighting and traffic accidents were significantly higher than urban students（ P〈0.05）. About 41% urban student ＇s injuries occurred in the home. For rural school students, injury was often occurred in school（ 37. 28%） and home（ 35. 91%）. Minor injury occurred mainly in the home（ 38. 01%）, moderate and severe injuries occurred mainly in schools（ 39.20 %）. Conclusion Injuries are popular common in junior and high school students of Luzhou. Most injuries are in the mild category. Prevention should focus on rural students, boys, falling and cut / stab type. Specific prevention and intervention strategies should be implemented according to different features of students.

关 键 词：创伤和损伤 自我伤害行为 学生 

分 类 号：R181.37[医药卫生—流行病学] R195[医药卫生—公共卫生与预防医学]