云南省农村地区小学生意外伤害流行现状及影响因素  

Prevalence and influencing factors of unintentional injury among primary school students in rural areas of Yunnan province

作　　者：张玲 顾蓉艳 盛建华 高建萍[3] 刘伟 ZHANG Ling;GU Rong-yan;SHENG Jian-hua;GAO Jian-ping;LIU Wei(School of Public Health,Kunming Medical University,Kunming,Yunnan 650500,China;不详)

机构地区：[1]昆明医科大学公共卫生学院,云南650500 [2]云南省医学会 [3]曲靖市疾病预防控制中心

出　　处：《应用预防医学》2020年第3期177-179,184,共4页Applied Preventive Medicine

基　　金：云南省应用基础研究(2015FB002)。

摘　　要：目的了解云南省农村地区小学生意外伤害的流行特征及其影响因素,为农村地区小学生意外伤害预防和控制策略制定提供依据。方法 2015年12月在云南省陆良县进行横断面调查研究。采用完全随机抽样方法从该县的9个乡镇中分别抽取1所小学,选取五、六年级的全部学生作为调查对象进行问卷调查,采用多因素logistic回归模型分析小学生意外伤害的影响因素。结果共调查1 631名小学生,意外伤害发生率为17.2%。单因素分析显示,意外伤害发生率以男生(19.7%)、独生子女(21.8%)、城镇户籍学生(24.2%)、留守儿童(22.1%)、伤害危险行为得分高(23.9%)、伤害相关知识得分低(27.5%)和生活满意度得分低者(18.8%)为相对较高(P值均<0.05)。多因素logistic回归模型分析结果显示,男生、留守儿童和伤害危险行为得分高是意外伤害发生的危险因素,OR值(95%CI)分别为1.39 (1.06-1.83)、1.66(1.23-2.23)和2.70(1.62-4.49);而伤害相关知识得分较高和生活满意度得分较高是意外伤害发生的保护因素(OR值均<1)。结论云南省农村地区小学生意外伤害发生总体情况不容乐观。应当将男生和留守儿童列入重点干预对象,开展预防伤害危险行为和伤害相关知识的健康教育,以降低意外伤害发生率。ObjectiveTo study the prevalent features and the influencing factors of unintentional injury amongprimary school students in rural areas of Yunnan province,provide basis for the development of accidentprevention and control strategies for pupils in rural areas.MethodsIn December 2015,a cross-sectional surveywas conducted at Luliang county,Yunnan province.A random sampling method was used to select one primaryschool from each of nine townships in this county, and students from fifth and sixth grades were selected as thesubject to conduct the questionnaire survey.Using multi-factor logistic regression model to analyze theinfluencing factors of pupils’ accidental injury.ResultsThe study surveyed 1 631 primary school students, andthe unintentional injury rate was 17.2%.Univariate analysis showed that the incidence of unintentional injuryamong the boys(19.7%),only-child in the family(21.8%),urban household registration(24.2%),children leftbehind(22.1%),high scores for injury risk behaviors(23.9%),low scores for injury-related knowledge(27.5%),and low scores for life satisfaction(18.8%) were relatively higher(all P values<0.05).The results of multi-factor logistic regression analysis showed thatboys,children left-behind,and high score for injuryrisk behaviors were the risk factors for unintentionalinjury;their OR(95%CI) were 1.39(1.06-1.83),1.66 (1.23-2.23), and 2.70(1.62-4.49),respectively.High score in injury-related knowledge and high score in lifesatisfaction were the protective factors for unintentional injury(all OR values were less than 1).Conclusion The overall situation of accidental injuries among primary school students in Luliang county,Yunnan provinceis not optimistic.Male students and left-behind children should be included in the key targets,and healtheducation including injury risk behaviors and injury-related knowledge should be carried out in order toreduce the incidence of accidental injuries.

关 键 词：小学生 意外伤害 流行 影响因素 

分 类 号：R179[医药卫生—妇幼卫生保健]