贵州省初中生伤害相关行为流行状况  

Prevalence of injury-related behaviors among junior high school students in Guizhou province

作　　者：王艳 李冬娥 李秀玲 张江萍 WANG Yan;LI Dong-e;LI Xiu-ling(Yunyan District Center for Disease Control and Prevention,Guiyang,Guizhou Province 550004,China)

机构地区：[1]贵阳市云岩区疾病预防控制中心,贵州550004 [2]贵州医科大学 [3]贵阳市云岩区卫生和计划生育局

出　　处：《中国公共卫生》2019年第6期755-758,共4页Chinese Journal of Public Health

基　　金：贵州省卫生计生委科学技术基金项目(gzwjkj2017-1-068)

摘　　要：目的了解贵州省初中生伤害相关行为流行特征,为预防措施和政策的制定提供科学依据。方法本研究于2016年9月采用多阶段分层整群抽样方法,抽取6所初中2380名学生作为调查对象,采用问卷方式调查。结果伤害相关行为发生率排前3项的依次是学习压力(80.0%,1903人)、孤独(69.5%,1655人)和受欺侮(61.6%,1467人),地区分布中非故意伤害行为中除到非安全场所滑冰外,其余非故意伤害行为的发生率差异均有统计学意义(均P<0.05),故意伤害行为中受欺侮、打架、出走意念和出走行为均为经济水平好的城市初中生发生率最高(χ2=98.740、49.079、8.312、14.924,均P<0.05);学习压力、失眠、自我伤害、自杀意念、自杀计划、自杀未遂、出走意念和出走等相关行为发生率均为初三学生高于初一和初二年级学生(均P<0.05),男女生之间除自我伤害和出走行为2种行为外,其余伤害相关行为的发生率差异均有统计学意义(均P<0.05)。结论贵州省初中生是伤害相关行为高发人群,学校、家庭和社会应根据地区、年级和性别开展针对性的干预措施,以预防和减少初中生伤害相关行为的发生。Objective To analyze the prevalence of injury-related behaviors among junior high school students in Guizhou province and to provide evidences for developing relative prevention strategies.Methods We conducted a self-administered questionnaire survey among 2 380 junior students selected with stratified multistage cluster sampling from 6 high schools in 3 prefectures of Guizhou province during September 2016.Results The top three frequently reported injury-related behaviors were learning stress (reported by 80.0%[1 903] of the students), loneliness (69.5%[1 655], and being bullied (61.6%[1 467]). There were significant regional differences in the occurrence of all forms of unintentional injury-related behaviors (P < 0.05 for all), except for skating in an unsafe place. Compared to those in other cities, the students in cities with a better economic development reported higher occurrence of being bullied (χ2 = 98.740), fighting (χ2 = 49.079), idea of leaving away from home (χ2 = 8.312), and behavior of leaving away from home (χ2 = 14.924)(all P < 0.05). Significant higher occurrence of stress, insomnia, self-harm, suicidal ideation, suicide plan, attempted suicide, idea of leaving away from home, and behavior of leaving away from home were reported among the third-year students than among the first-year and second-year students (P < 0.05 for all). There were significant differences in the occurrence of all forms of injury-related behaviors between male and female students (P < 0.05 for all), except for the occurrence of self-harm and leaving away from home.Conclusion Junior high school students in Guizhou province are at high risk of injury-related behaviors. Targeted interventions should be promoted in schools, families and communities to prevent and reduce injury-related behaviors in the population.

关 键 词：初中生 伤害行为 现况调查 

分 类 号：R179[医药卫生—妇幼卫生保健]