中国18省市中学生伤害现状及危险因素分析

目的了解中国青少年伤害的流行状况,为进一步制定相关预防和控制措施提供依据。方法全国18省市中学生共170 602名进行《中国青少年健康相关行为调查问卷》自填。结果中学生伤害的发生率为43.7%,其中二次及以上伤害的报告率为20.9%。男生伤害报告率高于女生,主要差别是由于二次及以上伤害发生引起。该人群中随着年龄的增加,伤害报告率下降,特别是二次及以上伤害报告率。因跌倒和物体砸碰受伤是男女生最常见的受伤原因,割刺伤和骨关节伤是男女生最常见的受伤结果。重点中学、核心家庭和母亲高学历是各类伤害及再发伤害的保护性因素。结论中学生伤害发生率高,应针对原因采取有效措施,减少伤害特别是二次伤害的发生。

Study on incidences and effect factors of injuries among middle school students in 18 provinces, China

Objective To identify the current epidemiological situation of injuries among adolescents in China and to provide basis for prevention and control. Methods An anonymous questionnaire survey was conducted among 170 602 middle school students in 18 provinces and cities of China. Results The overall incidence of injuries among middle school students was 43. 7% while the incidence of recurrent injuries was 20.9 %. The incidence of boys was higher than that of girls mainly because of the difference of the recurrent injuries incidence. The incidence of injuries decreased with age in our investigation, especially the recurrent injuries. The main causes of injuries were fall and collision, and the most frequent results of injuries were cut and bone-joint injuries among boys and girls. Key school, nucleic family and higher education level of mothers were protective factors to injuries. Conclusion Adolescents seemed high-risk population for injuries. Some preventive measures should be carried out to decrease the incidence of injuries especially on recurrent injuries.