2013年苏北地区部分高校不同专业大学生意外伤害与心理健康状况关系分析  

Analysis on the relationship between accidental injuries and psychological health status among students with different majors in north Jiangsu,2013

作　　者：沈景亭 贺峰 沈菲[2] 高洁[3] 娄荷清 丁昕[3] 张训保[3] 

机构地区：[1]沛县疾病预防控制中心,江苏沛县221600 [2]江苏理工学院,江苏常州213001 [3]徐州医科大学公共卫生学院流行病与卫生统计学教研室,江苏徐州221004

出　　处：《预防医学论坛》2016年第10期727-729,735,共4页Preventive Medicine Tribune

基　　金：江苏省教育厅社科哲学基金(2011SJB190010);全国教育科学"十二五"规划课题(EIA110385);徐州医学院公共卫生学院课题(201113)

摘　　要：目的通过对苏北地区部分高校不同专业学生的调查,了解不同专业大学生意外伤害的流行特点及影响因素,为预防和控制其在大学生中的发生提供参考。方法 2013年3~10月采用整群抽样的方法,选取苏北地区部分高校,以不同专业的班级为单位,共抽取1 962名学生。以中国大学生心理健康量表（CCSMHS）、自制调查问卷、中文版知觉压力量表（CPSS）为调查工具,采用SPSS 16.0软件,对资料进行统计分析,并进行条件Logistic回归模型分析。结果调查1 962名学生,符合条件的1 857名,639人有1次以上意外伤害,伤害的年发生率为34.41%;非医学类专业学生的伤害年发生率为38.94%,医学类专业学生的伤害年发生率为31.75%;经单因素分析,大学生意外伤害的影响因素有学历（P〈0.01）、年龄（P〈0.05）、父母婚姻状况（P〈0.01）、学生及其父母的身体状况（P〈0.05）、与同学之间的关系（P〈0.05）、与室友是否发生摩擦（P〈0.01）、是否外出打工（P〈0.01）、大学生心理量表的10个因子和总压力及紧张感因子等25个因子（P〈0.01）;多因素Logistic分析：外出旅游、打篮球、踢足球、偏执因子和躯体化因子得分越高是伤害发生的危险因素;勤工助学、恋爱关系稳定、运动项目和临床专业是伤害发生的保护性因素。结论苏北地区不同专业在校大学生意外伤害发生率均较高,处于全国中等偏上水平;意外伤害的发生是多种因素的综合作用结果,不同专业在校大学生伤害发生状况与心理健康状况有一定的关系,但无法确定伤害和心理健康状况的时间顺序。Objective To understand the epidemiological characteristics and influencing factors for accidental injuries among students with different majors in some universities in north Jiangsu,so as to provide reference for prevention and control. Methods The random cluster sampling method was used to select 1 962 students from several classes in some universities in north Jiangsu,China College Student Psychological Health Scale（CCSMHS）,a self-design questionnaire and Chinese version of the Perceived Stress Scale（CPSS）were used to conduct the investigation during March-October,2013.SPSS 16 software was used for statistical analysis on the data,and the conditional Logistic regression model was used to analyze the data. Results Among the 1 857 students surveyed,639 people had accident more than 1time,the annual incidence rate was 34.41%;the annual injury incidence rate was 38.94%in non-medical students,31.75%in medical students.By single factor analysis,education（P〈0.01）,age（P〈0.05）,parents＇ marital status（P〈0.01）,the students and their parents＇ health（P〈0.05）,the relationship between the students（P〈0.05）,the roommate friction（P〈0.01）,migrant workers（P〈0.01）,10 factors of CCSMHS and 25 factors of CPSS（P〈0.01）were the influencing factors of College Students＇ accidental injury;Multivariate Logistic analysis：travelling,playing basketball,playing football,high scores of paranoid factor and somatization factor were the risk factors for injuries;work-study,stable relationships of love,sport events and clinical major were protective factors for injuries. Conclusion The incidence of accidental injury is high among school students with different majors in north Jiangsu,even above the national average level;accidental injury is the result of many factors.The injury of students with different majors has a certain relationship with their psychological health status;however,the time sequence of injury and psychological health status cannot be determined.

关 键 词：在校大学生 意外伤害 心理健康 

分 类 号：R193.64[医药卫生—卫生事业管理]