兰州市中学生伤害相关行为状况及影响因素分析  

Analysis on injury related behaviors and influencing factors of middle school students in Lanzhou City

作　　者：张娜娣 杜美霞 郑贵森 殷晓春 杨海霞[2] ZHANG Na-di;DU Mei-xia;ZHENG Gui-sen;YIN Xiao-chun;YANG Hai-xia(School of Public Health,Gansu University of Traditional Chinese Medicine,Lanzhou Gansu,730000,China;Environmental Sanitation Department,Gansu Center for Disease Control and Prevention,Lanzhou Gansu,730000,China)

机构地区：[1]甘肃中医药大学公共卫生学院,甘肃兰州730000 [2]甘肃省疾病预防控制中心环境卫生科,甘肃兰州730000

出　　处：《职业与健康》2021年第22期3118-3120,3124,共4页Occupation and Health

摘　　要：目的了解甘肃省兰州市中学生伤害相关行为现状及其影响因素,以便通过可能控制和消除不良影响因素进而更好地预防伤害行为的发生。方法于2019年9月采取分层整群抽样的方法,抽取兰州市2所高中和4所初中共计1 982人进行现场问卷调查,并对数据进行分析。结果伤害相关行为中,步行违规行为和非安全场所游泳行为的发生率分别为28.3%和2.0%,且男生显著高于女生(P<0.05);严重危害、校园欺凌、家庭欺凌和打架行为发生率分别为6.3%、2.3%、23.9%和10.6%,校园欺凌行为存在初中阶段显著高于高中阶段(P<0.05),家庭欺凌和打架行为发生率存在性别差异和学段差异,即男性显著高于女性,初中显著高于高中。步行违规的危险因素有男生(OR=1.670,95%CI:1.355~2.060)和抑郁(OR=1.676,95%CI:1.309~2.148),家庭欺凌的危险因素有男生(OR=1.387,95%CI:1.115~1.726)、初中(OR=2.515,95%CI:2.001~3.161)和抑郁(OR=2.266,95%CI:1.767~2.907)。结论兰州市男学生和初中生是伤害相关行为的高发人群,需要学校、家长乃至社会关注,并采取积极有效措施来防止伤害相关行为的发生。Objective To understand the status and influencing factors of injury related behaviors among middle school students in Lanzhou City of Gansu Province,in order to better prevent the occurrence of injury behaviors through possible control and elimination of adverse influencing factors. Methods In September 2019,a stratified cluster sampling was adopted to select 1 982 students from two high schools and four middle schools in Lanzhou City for the on-site questionnaire survey,and the data were analyzed. Results Among the injury related behaviors,the incidence of walking violations and swimming in unsafe places was28.3% and 2.0% respectively,and the incidences in boys were significantly higher than those in girls(P<0.05). The incidence of serious harm,school bullying,family bullying,and fighting behavior were 6.3%,2.3%,23.9% and 10.6%,respectively. The school bullying in junior high school was significantly higher than that in senior high school(P<0.05). There were significant differences in the incidences of family bullying and fighting behavior in gender groups and academic section groups,that is,the incidences in males were significantly higher than those in females,and the incidences in junior high schools were significantly higher than those in senior high school. The risk factors for walking violations were boys(OR=1.670,95%CI:1.355-2.060) and depression(OR=1.676,95%CI:1.309-2.148),and the risk factors for family bullying were boys(OR=1.387,95%CI:1.115-1.726),junior high school(OR=2.515,95%CI:2.001-3.161)and depression(OR=2.266,95%CI:1.767-2.907). Conclusion Male students and junior middle school students in Lanzhou City have a high incidence of injury related behaviors,which need the attention of school parents and even the society,and active and effective measures should be taken to prevent the occurrence of injury related behaviors.

关 键 词：中学生 伤害相关行为状况 影响因素 

分 类 号：R181.3[医药卫生—流行病学]