浙江省部分地区中小学生伤害危险因素logistic回归分析

目的探索浙江省部分地区中小学生伤害的危险因素.方法采用分层整群随机抽样的方法,对40 625名中小学生伤害调查资料采用单因素和多因素非条件logistic回归分析.结果单因素分析发现伤害与性别、年龄、近视、爱好户外运动、经常骑自行车、喜欢爬高玩耍、父亲文化程度、母亲文化程度、燃放烟花爆竹等有关;多因素分析显示：性别（OR=0.88）、近视（OR=1.11）、养猫（OR=1.18）、业余爱好户外运动（OR=1.25）、喜欢爬高玩耍（OR=1.14）、家里药物农药放置不安全（OR=1.11）、经常骑车（OR=1.13）是主要影响因素;跌伤、刀割伤、碰撞伤、动物咬伤的危险因素基本一致.结论学生伤害由多因素作用导致,学生个人行为特征和家庭因素起重要作用.

Study on the risk factors of injuries among school students in Zhejiang province

Objective To explore the risk factors of injury among school students in Zhejiang province and to provide the basic information for the development of injury intervention program. Methods A case-control study was conducted on 7454 cases and 34 611 controls. Data was analyzed by unconditional univariate and multivariate logistic regression using STATA 5.0. Results There were 7454 students suffered from varied injuries during the past one year with an incidence rate of 26.39 %. The leading causes of injuries were falis(10.52% ) ,knife-cutting(3.71%) ,collision(3.49% ) and bitten by animals(1.30%). Results from univariate analysis showed that injuries were associated with gender(OR=0.82) ,age(OR=1.02), frequenst outdoor exercises (OR=1.41), myopia (OR=1.17), frequently bycycle riding (OR= 1.20), having hobby of playing at high places(OR=1.24), education level of the parents(OR=0.88), firing fireworks etc. Results from multivariate analysis showed that gender(OR=0.88), myopia(OR = 1.11) .fostering pet cat(OR=1.18) ,good at outdoor sports(OR =1.25),riding bicycle frequently(OR=1.13), playing at high places (OR=1.14), unfit location of pesticide or medicine at home (OR = 1.11) were the main factors. Falls was significantly associated with gender(OR = 0.83), education of parents (OR=0.95) , riding bicycle frequently (OR =1.12), playing at high places (OR=1.12) and good at outdoor sporting(OR=1.31). Cutting by knives was associated with gender(OR=1.14) and good at reading and watching TV in leisure time(OR=0.88). Collision was associated with gender(OR=0.74), myopia (OR=1.21), education levels of the parents (OR = 0.94), good at outdoor sporting (OR = 1.39) and riding bicycle frequently (OR=1.16). Bitten by animals was associated with age (OR=0.95 ), fostering pet cats(OR=1. 53) and dogs(OR=1.41). Conclusion Injuries in school students were caused by multiple factors,especially the behavioral characteristics and situation of the families.