上海市金山区2010—2016学年中、小学生伤害流行特征

张玲玲; 宣国; 俞丹丹

doi:10.19428/j.cnki.sjpm.2018.18727

上海市金山区2010—2016学年中、小学生伤害流行特征

Epidemiological characteristics on injuries among students of primary and middle schools between 2010 and 2016 in Jinshan District, Shanghai

摘要

摘要:
目的了解上海市金山区中、小学生伤害的发生状况及流行病学特征，为政府和相关部门制订相关伤害干预策略和措施，降低学生伤害发生率提供依据。
方法收集金山区2010—2016学年全部中、小学生伤害个案报告卡提供的数据，分析该人群伤害发生的原因、性质、临床特征等。
结果2010—2016学年共监测学生伤害1387例，伤害发生率为0.386%；小学生、初中生和高中生伤害发生率分别为0.410%、0.437%和0.169%，差异有统计学意义(χ² = 70.186，P＜0.01)；男生女生伤害发生率分别为0.522%及0.231%，差异有统计学意义(χ² = 196.987，P＜0.01)；伤害原因主要为跌倒/落(69.36%)，其次是碰撞挤压伤(9.22%)、交通事故(9.15%)、烧烫伤(4.04%)；伤害发生时活动以消遣活动为主，占40.45%，其次是体育活动33.02%、日常起居活动13.91%；伤害原因分布表现出性别差异和学段差异。
结论我区中、小学生伤害发生情况在不同性别和学段之间存在差异，需针对性开展干预措施。

Abstract:
ObjectiveTo ascertain the prevalence and epidemiological characteristics of injury among students of primary and middle schools, and provide scientific basis for targeted prevention and intervention.
MethodsData from "Injury cards" collected between 2010 and 2016 school year was analyzed to acquire the epidemiological characteristics, clinical features of injuries.
ResultsA total of 1387 cases of injury were reported and the incidence rate was 0.386%;injury incidence rate of primary school, junior and senior high school was 0.410%, 0.437% and 0.169% respectively with significant difference(χ² = 70.186, P < 0.01);incidence rate of injury in boys and girls was 0.522% and 0.231% respectively (χ²=196.987, P < 0.01);its main causes were falls (69.36%), collisions(9.22%), traffic accidents(9.15%)and scald(4.04%); main activities in which injury happened including recreation (40.45%), sports activity(33.02%)and daily living (13.91%); significant difference in features of injury existed between genders and school types.
ConclusionThe characteristics of injury among students show differences between genders and school types; it is necessary to implement interventions in this regard.

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