摘要
【目的】 探索行为、环境因素在儿童伤害发生中的作用机制及作用强度 ;识别伤害发生的影响因素 ,为开展伤害预防干预提供依据。 【方法】 选定麻城市宋埠镇辖区内全部 34个农业村为研究社区 ,对 1998年全年社区内发生非致命伤害的总共 16 5例 7~ 14岁儿童进行 1:1配对的病例对照研究 ;资料分析采用条件Logistic回归分析和因子分析。 【结果】 伤害发生的危险因素按贡献大小依次为 :高危行为 (OR =3.0 )、危险物理环境 (OR =2 .6 2 )、外向型性格 (OR =1.6 0 ) ;伤害发生的保护因素按贡献大小依次为 :家长对伤害认识程度高 (OR =0 .35 )、经济水平较好(OR =0 .6 2 )。 【结论】 应采取干预措施改变伤害的影响因素 ,通过教育、消除环境危险等策略控制农村儿童的伤害。
To explore the mechanism and strength of behavioral and environmental factors in the incidence of injuries; To identify therelated factors of injuries and provide guide for injury prevention and intervention. Selecting 34 rural villages of Songbu township as study community in Macheng city, we ascertained all non fatal injury children aged 7~14 of year 1998 and obtained total 165 cases. 1∶1 matched case control study method was applied to conduct the research. Data was analyzed withconditional logistic regression analysis and factor analysis. Three risk factors of injury incidence wereidentified as follows (ranked by contribution): high risk behaviors(OR=3.0), high risk physical environment(OR=2.62), and extroversion temperament(OR=1.60). Wealso distinguished 2 protective factors as follows (ranked by contribution): parent's more knowledge and positive attitude towards injuries(OR=0.35) and high economy level(OR=0.62). [Conclusion] We should carry out intervention measures to modify the related factors of injuries. The rural community injury prevention and control program should focus on certain strategies such as education andsupervision of environment hazard.
出处
《中国儿童保健杂志》
CAS
2001年第6期391-394,共4页
Chinese Journal of Child Health Care
基金
湖南省卫生厅科研课题
关键词
儿童
伤害
影响因素
预防
Wounds and injuries
Related factors
Prevention
Child