天津市河北区中学生伤害相关行为及其影响因素分析  

Analysis on injury-related behaviors and influencing factors among middle school students in Hebei district of Tianjin

作　　者：王振芳 王梅[3] 蔚秀媛 李鹏程 李晋男 李莹 职心乐 谢娟 朱红 WANG Zhenfang;WANG Mei;WEI Xiuyuan;LI Pengcheng;LI Jinnan;LI Ying;ZHI Xinyue;XIE Juan;ZHU Hong(Department of Epidemiology and Statistics,School of Public Health/Tianjin Key Laboratory of Environment,Nutrition and Public Health/Center for International Collaborative Research on Environment,Nutrition and Public health,Tianjin Medical University,Tianjin 300070,China;Department of Food Safety and Endemic Disease Prevention and Control,Centre for Disease Control and Preventive,Hebei District,Tianjin 300150,China;不详)

机构地区：[1]天津医科大学公共卫生学院流行病与卫生统计学系天津市环境营养与人群健康重点实验室环境营养与人群健康国际联合研究中心,天津300070 [2]天津市河北区疾病预防控制中心食品安全与地方病预防控制科,天津300150 [3]天津市河北区疾病预防控制中心学校卫生管理科

出　　处：《中国慢性病预防与控制》2023年第10期759-763,共5页Chinese Journal of Prevention and Control of Chronic Diseases

基　　金：教育部人文社会科学研究青年基金项目(13YJCZH281)。

摘　　要：目的了解天津市河北区中学生伤害相关行为发生率及其影响因素,为制定中学生伤害的干预措施提供科学依据。方法于2021年9月采用二阶段抽样方法,抽取天津市河北区2所公立中学和1所职高共1601名在校学生进行调查。使用SPSS 19.0软件进行χ^(2)检验,采用多因素logistic分析伤害相关行为的影响因素。结果1601名学生中有424名发生过伤害相关行为,伤害相关行为发生率为26.5%,非故意伤害行为发生率为17.1%,故意伤害行为发生率为13.7%。5种伤害相关行为的发生率由高到低依次为步行违规(16.7%)、家庭欺凌(8.8%)、打架行为(5.4%)、校园欺凌(1.6%)和非安全场所游泳(0.7%)。伤害相关行为组合发生频数最高的是步行违规+家庭欺凌,发生率为7.1%。多因素logistic回归分析结果显示,男生(OR=1.60,95%CI:1.20~2.12)、职高(OR=1.69,95%CI:1.18~2.41)、曾饮酒(OR=2.26,95%CI:1.66~3.09)易出现步行违规行为,住校(OR=0.38,95%CI:0.22~0.64)不易出现步行违规行为;网络成瘾(OR=3.64,95%CI:1.13~11.77)、抑郁风险较高(OR=7.28,95%CI:2.76~19.20)易发生校园欺凌;男生(OR=2.35,95%CI:1.44~3.83)、初中生(OR=3.66,95%CI:2.06~6.50)、曾饮酒(OR=3.53,95%CI:2.14~5.82)、有抑郁风险(OR=1.99,95%CI:1.12~3.55)易出现打架行为;初中生(OR=2.78,95%CI:1.80~4.30)、网络成瘾(OR=3.25,95%CI:1.56~6.75)、曾饮酒(OR=1.58,95%CI:1.03~2.43)、有抑郁风险(OR=2.91,95%CI:1.85~4.59)、抑郁风险较高(OR=6.32,95%CI:3.70~10.79)易遭受家庭欺凌。结论天津市河北区中学生伤害相关行为普遍存在,男生、走读生、初中和职高阶段、网络成瘾者、曾饮酒、抑郁得分高者应作为重点干预对象。Objective To understand the incidence and influencing factors of injury-related behaviors of middle school students in Hebei District of Tianjin,and provide the scientific support for the development of injury intervention measures for middle school students.Methods The two-stage sampling method was used to select 1601 students from two public middle schools and one vocational high school in Hebei district of Tianjin as the subjects.The χ^(2) test and multivariate logistic regression method were use to analyze the influencing factors of injury-related behaviors.The used software was SPSS 19.0.Results In 1601 students,there were 424 students with injury-relative behaviors,the incidence was 26.5%;the incidence of unintentional injury behaviors was 17.1%;the incidence of intentional injury behaviors was 13.7%.The order of five injury-relative behaviors was walking violation(16.7%),family bullying(8.8%),fighting behavior(5.4%),school bullying(1.6%),and swimming in unsafe sites(0.7%).The most frequent combination of injury-related behaviors was walking violation+family bullying(7.1%).The multivariate logistic regression method showed that male students(OR=1.60,95%CI:1.20-2.12),vocational high school(OR=1.69,95%CI:1.18-2.41),previous drinking(OR=2.26,95%CI:1.66-3.09)easy had walking violation,and residential school(OR=0.38,95%CI:0.22-0.64)did not easy have walking violation;internet addiction(OR=3.64,95%CI:1.13-11.77)and higher risk of depression(OR=7.28,95%CI:2.76-19.20)easy had the school bullying;boys(OR=2.35,95%CI:1.44-3.83),junior high school students(OR=3.66,95%CI:2.06-6.50),previous drinking(OR=3.53,95%CI:2.14-5.82)and depression risk(OR=1.99,95%CI:1.12-3.55)easy had the fighting behaviour;the junior high school students(OR=2.78,95%CI:1.80-4.30),internet addicts(OR=3.25,95%CI:1.56-6.75),previous drinking(OR=1.58,95%CI:1.03-2.43),depression risk(risk of depression OR=2.91,95%CI:1.85-4.59,higher risk of depression OR=6.32,95%CI:3.70-10.79)easy had the family bullying.Conclusion Injury-related behaviors are common

关 键 词：中学生 伤害相关行为 影响因素 

分 类 号：R195[医药卫生—卫生统计学]