中国六座城市中学生意外伤害流行现况及影响因素

了解中国6城市中学生意外伤害现状,为更好地预防青少年意外伤害提供理论依据.方法 采用分层整群抽样方法,选取沈阳、新乡、阳江、重庆、乌兰察布、蚌埠33所学校共22 628名初、高中学生,进行青少年身心健康监测问卷调查.结果 中学生意外伤害总检出率为46.7%,其中男生(47.9%)高于女生(45.6%),初中生(50.6%)高于高中生(42.4%),差异均有统计学意义(x2值分别为12.643,150.656,P值均<0.05).最常见的意外伤害类型是擦伤/刮蹭伤(29.4%)、坠落/绊倒伤(19.7%)、刺伤/割伤(16.3%).多因素Logistic回归分析显示,初中生、生源地为农村、每周体力活动量多以及参加运动队是中学生发生意外伤害的危险因素(P值均<0.05),经济发达地区中学生意外伤害发生风险低于经济欠发达地区(OR=1.24,P<0.05).结论 中国6座城市中学生意外伤害检出率较高.意外伤害受多种危险因素影响,在制定预防措施时应针对不同危险因素有所侧重.

Prevalence and influence factors of unintentional injury among Chinese middle schools students in six cities

Objective To understand the current situation of unintentional injuries among middle school students in China.Methods A total of 22 628 middle school students from thirty-three schools in six cities of China were selected by stratified cluster sampling method.Demographic characteristics and unintentional injuries was collected through questionnaire survey.Results The total detection rate of injury was 46.7%,male students (47.9%) higher than female students (45.6%),and the junior high school students (50.6%) higher than senior high school students (42.4%).The differences were statistically significant (x2=12.643,150.656,P<0.05).The most common types of unintentional injuries were abrasions or scrapes (29.4%),falling or tripping (19.7%) and stabbing or cutting (16.3%).Logistic regression analysis showed that junior middle school students,live in rural areas,physical activities and participation in sports teams were risk factors for unintentional injuries among middle school students(P< 0.05).The risk of unintentional injury among middle school students in economically developed areas was lower than that in less developed areas(x2=55.11,P<0.05).Conclusion The prevalence rate of unintentional injuries among Chinese middle school students in six cities is higher.The unintentional injuries are multifactorial,and priorities should be given to the different risk factors when establish the preventive measures.