重庆市7~19岁儿童青少年伤害发生率及相关影响因素分析  

Analysis on injury incidence and its influencing factors among children and adolescents(7-19 years old)in Chongqing

作　　者：丁贤彬[1] 高旸 杨弦弦 许杰 唐文革[1] 吴彩霞 刘勇言 廖晓晨 李万华 DING Xian-bin;GAO Yang;YANG Xian-xian;XU Jie;TANG Wen-ge;WU Cai-xia;LIU Yong-yan;LIAO Xiao-chen;LI Wan-hua(The Department of Chronic Non-communicable Disease Control and Prevention,Chongqing Center for Disease Control and Prevention,Chongqing 400042,China)

机构地区：[1]重庆市疾病预防控制中心慢性非传染性疾病预防控制所,重庆400042 [2]重庆市黔江区疾病预防控制中心慢病科 [3]重庆市大渡口区疾病预防控制中心慢病科 [4]重庆市南岸区疾病预防控制中心慢病科 [5]重庆市大足区疾病预防控制中心慢病科

出　　处：《中国慢性病预防与控制》2022年第5期365-369,共5页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：中国疾病预防控制中心慢病中心2017—2019年度伤害干预试点项目(8)。

摘　　要：目的了解重庆市儿童青少年伤害发生率及其影响因素,为开展伤害干预提供建议。方法于2019年采用分层整群随机抽样法抽取重庆市4~12年级在校学生进行问卷调查。采用SPSS 25.0进行χ^(2)检验和多因素logistic回归分析。结果共调查14051名7~19岁儿童青少年,男生与女生分别为6951人(49.47%)和7100人(50.53%)。750名儿童青少年过去6个月发生过伤害,伤害发生率为5.34%。多因素logistic回归分析结果提示,男生(OR=1.23,95%CI:1.05~1.43),父亲年龄为40~49岁(OR=3.55,95%CI:1.12~11.25)或50岁及以上(OR=3.83,95%CI:1.19~12.39),母亲健康状况一般(OR=1.34,95%CI:1.14~1.59)或有慢性病(OR=1.61,95%CI:1.20~2.17),过去12个月里去过没有安全措施的地方游泳(OR=1.42,95%CI:1.17~1.73),过去12个月里在上下学时很少(OR=1.29,95%CI:1.07~1.56)、有时(OR=1.57,95%CI:1.26~1.96)、经常(OR=2.07,95%CI:1.40~3.06)或总是(OR=2.40,95%CI:1.69~3.41)有不安全感觉,过去12个月里与他人(1人或多人)动手打架1次(OR=1.80,95%CI:1.44~2.26)或2次及以上(OR=1.71,95%CI:1.38~2.12),过去12个月里曾经想过(OR=1.46,95%CI:1.23~1.72)或尝试过离家出走(OR=2.19,95%CI:1.63~2.94)与儿童青少年伤害发生率高风险相关。结论重庆市儿童青少年伤害发生率较高,应关注弱势家庭,针对男生、有不安全感、有离家出走想法或行为、打架等伤害相关行为的儿童进行干预。Objective To understand the injury incidence and its influencing factors among children and adolescents(7-19 years old)in Chongqing,and provide the suggestion for the injury intervention.Methods In 2019,the stratified clustering random sample method was used to select the children and adolescents from 4 to 12 grades as the subjects.The investigation was performed with questionnaire.Theχ^(2)test and multivariate logistic regression were used to analyze the data.The used software was SPSS 25.0.Results A total of 14051 children and adolescents(7-19 years old)were investigated,including 6951 males(49.47%)and 7100females(50.53%).In the past six months,750 children and adolescents(5.34%)had the history of the injury.The multivariate logistic regression indicated that male(OR=1.23,95%CI:1.05-1.43),father’s age(40-49 years old OR=3.55,95%CI:1.12-11.25;50-years old OR=3.83,95%CI:1.19-12.39),mother’s health status was general(OR=1.34,95%CI:1.14-1.59)or chronic diseases(OR=1.61,95%CI:1.20-2.17),swimming in the danger place in the past 12 months(OR=1.42,95%CI:1.17-1.73),seldom,sometime,frequent or always had feeling insecure going to and coming from school in the past 12 months(OR=1.29,95%CI:1.07-1.56;OR=1.57,95%CI:1.26-1.96;OR=2.07,95%CI:1.40-3.06;OR=2.40,95%CI:1.69-3.41),fighting with others in the past 12 months once or more than twice(OR=1.80,95%CI:1.44-2.26;OR=1.71,95%CI:1.38-2.12),and thought or tried to go away from home in the past 12 months(OR=1.46,95%CI:1.23-1.72;OR=2.19,95%CI:1.63-2.94)were high risk factors of the injury among children and adolescents.Conclusion The injury incidence among children and adolescents in Chongqing is higher.It should pay attention to disasters families,and the intervention should be conducted to target male children and children with risk behaviors of the injury such as insecurity,having idea or behavior of running away from home and fighting.

关 键 词：伤害 儿童青少年 发生率 影响因素 

分 类 号：R195[医药卫生—卫生统计学]