上海市2017-2018年中学生自行车伤害影响因素及家庭负担分析  

Influence factors and family burden analysis of bicycle injury among middle school students in Shanghai,2017-2018

作　　者：杨东玲[1] 纪和雨 周月芳[1] 曲爽笑 罗春燕[1] YANG Dongling;JI Heyu;ZHOU Yuefang;QU Shuangxiao;LUO Chunyan(Child and Adolescent Health Department,Shanghai Municipal Center for Disease Control and Prevention,Shanghai(200336),China;不详)

机构地区：[1]上海市疾病预防控制中心青少年健康科,200336 [2]上海交通大学医学院公共卫生学院卫生事业管理教研室

出　　处：《中国学校卫生》2020年第3期394-397,共4页Chinese Journal of School Health

基　　金：上海市卫健委面上项目(201640161)。

摘　　要：目的了解上海市中学生由于骑乘自行车而造成伤害的影响因素及造成的家庭负担,为制定中学生自行车伤害的干预措施提供依据。方法采用1∶2病例对照研究设计,在上海市学生伤害个案报告系统中选择2017年9月至2018年12月因骑乘自行车造成伤害的中学生为病例组,共收集到61例病例和122名(与病例同班、同性别、上学交通方式一致)。病例组及对照组学生和病例组学生家长采用自填式问卷进行调查,通过单因素和多因素条件Logistic回归分析自行车伤害发生的影响因素。结果视力不良(OR=2.27,95%CI=1.02~5.07)、住所附近有很多交叉路口(OR=2.00,95%CI=1.00~3.98)、住所附近骑自行车的人多(OR=2.15,95%CI=1.06~4.36)与中学生自行车伤害的发生呈正相关(P值均<0.05)。34.43%和8.20%的父母认为自行车伤害会对家庭造成中重度影响,自行车伤害对家庭休闲娱乐、家庭日常生活和家庭经济负担维度造成的负担较大。发生自行车伤害的学生中,有70.49%的学生因病缺课,36.07%的学生家长因病误工。平均缺课/误工时间分别为10.79,3.03 d,因误工而造成的经济总损失为84 950元,人均1 393元。结论上海市中学生自行车伤害对伤者及其家庭造成了一定的负担。视力不良、住所附近有很多交叉路口、住所附近骑自行车的人多与中学生自行车伤害发生呈正相关。Objective To understand the influencing factors and family burden of bicycle injury among middle school students in Shanghai for bicycle injury prevention. Methods Based on 1 ∶ 2 matched case-control design,students who were injured when cycling were selected from Shanghai student injury case reporting system during Sept. 2017 to Dec. 2018 as the case group. The same-sex control was selected from the same grade in the same school with the case. A total of 61 cases and 122 control were selected. Self-reported questionnaires were conducted by parents of children. Univariate and multivariate logistic regression were used to analyze the influencing factors of bicycle injury. Results Poor eyesight( OR = 2.27,95%CI = 1.02-5.07),lots of intersections near the residence( OR = 2.00,95%CI = 1.00-3.98),and lots of cyclists near the residence( OR = 2.15,95%CI = 1.06-4.36) were positively correlated with bicycle injuries among middle school students. About 34.43% and 8.20% of parents reckon bicycle injuries had a moderate impact on family economic,daily activities and recreational activities. Among the students with bicycle injury,70.49% of the students were absent from school because of illness,and 36.07% of their parents missed work because of illness. The average absence time for school and working were 10.79 days and 3.03 days respectively. The total economic loss caused by the lack of work was 84 950 yuan,with an average of 1 393 yuan. Conclusion Bicycle injury of middle school students in Shanghai causes certain family burden. Poor eyesight,lots of intersections near the residence,lots of cyclists near the residence are positively correlated with bicycle injuries among middle school students.

关 键 词：创伤和损伤 事故 交通 家庭 回归分析 学生 

分 类 号：R181.3[医药卫生—流行病学] G479[医药卫生—公共卫生与预防医学]