摘要
目的 分析安阳市城乡中学生伤害行为和严重伤害发生情况及主要危险因素,为制定针对性的伤害防控措施提供依据。方法 采用分层整群抽样方法,对20所城乡中学的学生开展问卷调查,使用SPSS 21.0软件进行统计分析。结果 收回有效问卷4 605份。4种非故意伤害行为中,骑车违规和步行违规发生率较高,分别为61.9%和47.3%;骑车违规(64.3%vs 59.1%)、步行违规(52.0%vs 41.8%)、非安全场所游泳(13.6%vs 5.2%)和非安全场所滑冰(10.0%vs6.4%)发生率均是男生高于女生(P均<0.05)。14种故意伤害行为中,发生率排在前3位的是学习压力大(84.2%)、孤独(73.8%)和失眠(63.3%);除自伤和出走计划外,初中生受欺侮、打架和学习压力大发生率高于高中生,其他均是高中生报告率更高(P均<0.05);受欺侮、打架、绝望、出走行为男生高于女生,上放学无安全感、孤独、学习压力大、失眠、出走意念发生率女生高于男生(P<0.05)。严重伤害发生率为13.4%(619/4 605),其中男生(16.1%)高于女生(10.3%),农村(15.2%)高于城市(11.4%)(P均<0.05)。多因素分析显示,自伤(OR=2.357,95%CI:1.890~2.938)、打架(OR=2.111,95%CI:1.736~2.566)和非安全场所滑冰(OR=1.635,95%CI:1.254~2.130)等因素是中学生严重伤害的危险因素。结论 中学生伤害行为广泛存在,政府及学校应根据伤害特点,采取针对性的措施进行干预。
Objective To analysis the incidence and main risk factors of injuries behaviors and serious injuries among secondary school students in urban and rural areas of Anyang,so as to provide the evidence for formulating targeted injury prevention and control measures.Methods The students among 20 schools in Anyang were selected by multistage stratified cluster sampling method for questionnaire survey.SPSS 21.0 software package were used for statistical analysis.Results Among the four kinds of unintentional injury behaviors,the incidences of cycling violation and walking violation were higher,which were 61.9%and 47.3%,respectively.The incidence of cycling violations(64.3%vs 59.1%),walking violations(52.0%vs 41.8%),unsafe swimming(13.6%vs 5.2%)and unsafe skating(10.0%vs 6.4%)were higher in boys than those in girls(all P<0.05).Among the 14 intentional harm behaviors,the top three were high study pressure(84.2%),loneliness(73.8%)and insomnia(63.3%).Except from self-injury and running-away-from-home plan,junior high school students reported higher rates of bullying,fighting and study pressure than senior high school students,and,high school students reported higher rates for the other(P<0.05)than junior high school students.The incidences of bullying,fighting,despair and running-away-from-home were higher in boys than those in girls(P<0.05).The incidences of insecurity,loneliness,study pressure,insomnia and running-away-from-home were higher in girls than those in boys(P<0.05).The incidence rate of serious injury was 13.4%(619/4605),and it was significantly higher in boys(16.1%)than that in girls(10.3%),and was higher in rural areas(15.2%)than that in urban areas(11.4%)(all P<0.05).Multivariate analysis showed that self-injury(OR=2.357,95%CI:1.890-2.938),fighting(OR=2.111,95%CI:1.736-2.566)and skating in unsafe places(OR=1.635,95%CI:1.254-2.130)were the risk factors for serious injury among secondary school students in urban and rural areas.Conclusions The injury behaviors are prevalent among secondary school students;the g
作者
郭丽
GUO Li(Anyang Center for Disease Control and Prevention,Anyang,Henan 455000,China)
出处
《现代疾病预防控制》
2023年第8期621-625,共5页
MODERN DISEASE CONTROL AND PREVENTION
关键词
伤害
中学生
危险行为
影响因素
Injury
Secondary school students
Risk behaviors
Influencing factor
