深圳市青少年单发伤害与再发伤害现况研究

目的了解深圳市青少年再发伤害的流行病学特征,探讨再发伤害的危险因素,为制定伤害干预措施提供线索和依据。方法采用多阶段分层整群抽样方法,于2007年对深圳市18所监测点学校共4350人进行《广东省青少年健康危险行为监测（2007）》问卷自填。结果深圳市青少年伤害的总报告率为23.57%,其中,再发伤害报告率为14.29%。伤害发生组的青少年每年人均发生伤害2.3次,而再发伤害组每年人均发生伤害3.2次。发生过伤害的人中60.6%会再次发生伤害,再发伤害组所发生的伤害事件占伤害总事件的82.9%。青少年的再发伤害与学习成绩、吸烟、饮酒、学校类型有关。结论青少年的再发伤害较为严重,应通过健康教育和干预提高青少年自我保护意识,降低再发伤害各危险因素对青少年的影响,预防伤害的发生。

Analysis on recurrent injuries among Shenzhen adolescents

Objective To describe the epidemiological features and relative risk factors of recurrent injuries among Shenzhen adolescents, and to provide a basis for implementing injury intervention. Methods A multi-stage stratified cluster sampling survey using a questionnaire entitled ＂Adolescent Health Risk Behavior Surveillance in Guangdong Province, 2007＂ was conducted in 2007 in 18 schools in Shenzhen with 4 350 students. Results The total reported rate of injuries was 23.57 % in Shenzhen adolescents, with 14.29% recurrent injuries. The average frequency of injury was 2.3/person among the injured group and 3.2/person among the recurrent injured group. 60.6% of injured adolescents experienced recurrent injuries. The recurrent injuries accounted for 82.9% of total injuries. Recurrent injury among adolescents was found to be related to factors including learning record, smoking and drinking behaviors, and type of school （middle, university, etc）. Conclusions The recurrent injury rate among Shenzhen adolescents was relatively high. Health education and intervention should be used to prevent recurrent injuries through improving self-protection consciousness and reducing the impact of related factors associat- ed with recurrent injuries on adolescents.