重庆市儿童青少年多次伤害发生现状及影响因素  

Current status and influencing factors of multiple injuries among children and adolescents in Chongqing,China

作　　者：丁贤彬[1] 高旸 杨弦弦 许杰 吴彩霞 吴畅 李万华 田科 Ding Xianbin;Gao Yang;Yang Xianxian;Xu Jie;Wu Caixia;Wu Chang;Li Wanhua;Tian Ke(Chronic Disease Prevention and Control Institute,Chongqing Center for Disease Control and Prevention,Chongqing 400042,China;Chronic Disease Department,Chongqing Qianjiang Center for Disease Control and Prevention,Chongqing 409000,China;Chronic Disease Department,Chongqing Dazu Center for Disease Control and Prevention,Chongqing 402360,China;Department of Epidemiology,College of Public Health,Chongqing Medical University,Chongqing 401331,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,重庆409000 [3]重庆市大足区疾病预防控制中心慢病科,重庆402360 [4]重庆医科大学公共卫生学院流行病教研室,重庆401331

出　　处：《保健医学研究与实践》2024年第8期1-8,共8页Health Medicine Research and Practice

基　　金：重庆市科卫联合项目(2022MSXM138)。

摘　　要：目的 了解重庆市儿童青少年多次伤害发生现状及影响因素,为开展儿童青少年多次伤害预防控制提供建议。方法2019年,采取分层随机整群抽样方法,抽取重庆市4~12年级在校学生进行问卷调查,问卷内容包括人口学特征、父母亲年龄、父母亲文化程度、父母亲健康状况、父母亲关系、教育方式、伤害相关的行为等内容。采用SPSS 25.0进行统计分析,不同人群多次伤害发生率的比较采用χ^(2)检验,多次伤害发生情况影响因素采用多因素logistic回归分析进行鉴别。结果共计调查14 056位学生,男生与女生分别调查6 954人(49.47%)与7 102人(50.53%),小学、初中、高中分别调查了4 939人(35.14%)、4 360人(31.02%)与4 757人(33.84%)。参与调查的儿童青少年中,有750人在过去6个月发生过伤害,伤害发生率为5.34%,其中246人发生过2次及以上伤害,多次伤害发生率为1.75%。多因素logistic回归分析结果提示:少数民族(OR=3.006,95%CI:2.315~3.903)、母亲健康状况一般(OR=1.542,95%CI:1.169~2.033)和患有慢性病(OR=1.951,95%CI:1.240~3.068)、过去12个月里去过6次及以上没有安全措施的地方游泳(OR=2.657,95%CI:1.537~4.592)、过去12个月里与他人(1人或多人)动手打架1次(OR=1.789,95%CI:1.204~2.658)或2次及以上(OR=1.602,95%CI:1.121~2.290)、过去12个月里曾经想过(OR=1.823,95%CI:1.335~2.487)或尝试过离家出走(OR=3.042,95%CI:1.886~4.906)是调查对象多次伤害发生的影响因素。结论 重庆市儿童青少年多次伤害发生率较低,母亲健康状况、有不安全的行为等是儿童多次伤害发生率的影响因素,应针对多次伤害发生的影响因素进行干预。Objective To understand the current status and influencing factors of multiple injuries among children and adolescents in Chongqing,China,and to provide recommendations for the prevention and control of multiple injuries in this population.Methods In 2019,a stratified random cluster sampling method was used to select students from grades 4 to 12 for a questionnaire survey.The questionnaire included demographic characteristics,parents'age,parents'education level,parents'health status,parents'relationships,educational methods,and injury-related behaviors.Statistical analysis was conducted using SPSS 25.0.In addition,theχ^(2) test was used to compare the incidence of multiple injuries among different populations,and multifactorial logistic regression analysis was used to identify influencing factors of multiple injury occurrence.Results A total of 14056 students were surveyed,including 6954 males(49.47%)and 7102 females(50.53%).Among them,4939(35.14%)were from elementary school,4360(31.02%)from middle school,and 4757(33.84%)from high school.Among the surveyed children and adolescents,750 had experienced an injury in the past 6 months,with an injury incidence rate of 5.34%,and 246 had experienced two or more injuries,resulting in a multiple injury incidence rate of 1.75%.Multifactorial logistic regression analysis indicated that being from an ethnic minority(OR=3.006,95%CI:2.315-3.903),mother's average health status(OR=1.542,95%CI:1.169-2.033)and having chronic diseases(OR=1.951,95%CI:1.240-3.068),swimming in places without safety measures six or more times in the past 12 months(OR=2.657,95%CI:1.537-4.592),engaging in physical fights with others(one time:OR=1.789,95%CI:1.204-2.658;two or more times:OR=1.602,95%CI:1.121-2.290),and having thought about running away from home(OR=1.823,95%CI:1.335-2.487)or attempted to run away from home(OR=3.042,95%CI:1.886-4.906)in the past 12 months are influencing factors of multiple injury occurrence.Conclusion The incidence rate of multiple injuries among children and adolescents

关 键 词：儿童青少年 多次伤害 发生率 伤害相关行为 

分 类 号：R179[医药卫生—妇幼卫生保健]