彭娟娟, 高宁, 喻彦, 周德定, 苏慧佳, 徐乃婷, 施燕, 仲伟鉴. 上海市中小学生非致死性伤害流行病学研究[J]. 上海预防医学, 2018, 30(9): 723-729. DOI: 10.19428/j.cnki.sjpm.2018.18802
引用本文: 彭娟娟, 高宁, 喻彦, 周德定, 苏慧佳, 徐乃婷, 施燕, 仲伟鉴. 上海市中小学生非致死性伤害流行病学研究[J]. 上海预防医学, 2018, 30(9): 723-729. DOI: 10.19428/j.cnki.sjpm.2018.18802
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PENG Juan-juan, GAO Ning, YU Yan, ZHOU De-ding, SU Hui-jia, XU Nai-ting, SHI Yan, ZHONG Wei-jian. Epidemiological survey on non-fatal injuries among students in Shanghai[J]. Shanghai Journal of Preventive Medicine, 2018, 30(9): 723-729. DOI: 10.19428/j.cnki.sjpm.2018.18802
Citation: PENG Juan-juan, GAO Ning, YU Yan, ZHOU De-ding, SU Hui-jia, XU Nai-ting, SHI Yan, ZHONG Wei-jian. Epidemiological survey on non-fatal injuries among students in Shanghai[J]. Shanghai Journal of Preventive Medicine, 2018, 30(9): 723-729. DOI: 10.19428/j.cnki.sjpm.2018.18802
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上海市中小学生非致死性伤害流行病学研究

Epidemiological survey on non-fatal injuries among students in Shanghai

    摘要
  • 摘要:
    目的了解上海市中小学生非致死性伤害发生状况和流行特征，为制定伤害预防干预策略提供依据。
    方法采用多阶段抽样的方法，在上海市随机抽取60所全日制学校的8 555名在读中小学生作为调查对象，问卷调查过去12个月内非致死性伤害发生情况和相关行为的危险因素。
    结果在过去12个月内上海市中小学生非致死性伤害发生率为9.3%。其中，男生为10.1%，女生为8.5%, 男女之间差异无统计学意义(χ2=5.80，P=0.173)；小学生为9.4%, 初中生为9.4%，高中/中职校为8.9%, 不同学段之间差异无统计学意义(χ2=0.25，P=0.911)；城市中心地区为9.7%, 城郊结合地区为9.7%，远郊地区为7.3%, 不同区域之间差异无统计学意义(χ2=7.05，P=0.415)。跌倒/坠落为首位伤害发生原因，占59.2%，其次为刀/锐器伤，占10.2%，第三位为道路交通伤害，占8.8%；伤害发生时活动主要为休闲活动(24.8%)，其次为体育活动(22.1%)，此外行走占21.9%、驾乘交通工具占7.6%；伤害发生时间以7、8、9、10月份较高；最主要的受伤地点是家中(33.4%)，其后依次为学校(24.3%)、公路/街道(20.1%)，体育和运动场所(11.0%)；致伤意图非故意伤害为主(97.7%)，其次为故意(暴力、攻击)伤害(1.1%)；自残/自杀占0.5%；因伤住院比例为1.8%, 因伤住院10天及以上占0.3%，10天以下占1.5%。
    结论上海市中小学生非致死伤害问题应引起重视，学校、家庭、社会应携手合作预防中小学生的伤害。

     

    Abstract:
    ObjectiveTo investigate the occurrence and epidemiological characteristics of non-fatal injuries among students in Shanghai, and to provide evidence for developing injury prevention strategies.
    MethodsUsing multi-stage sampling to select 8 555 students from 60 elementary, middle and high/vocational schools to participate in the questionnaire survey, the characteristics of non-fatal injuries and related risk factors were investigated during the past 12 months in Shanghai.
    ResultsNon-fatal injury incidence of Shanghai students was 9.3% during the past 12 months, of which the incidence of male students was 10.1%, and that of female students 8.5%, and there was no significant difference in incidence between different genders (χ2=5.80, P=0.173);the incidence of elementary school students was 9.4%, middle school students 9.4%, and high/vocational school students 8.9%.There was no significant difference in incidence between different school stages (χ2=0.25, P=0.911);the incidence of urban area was 9.7%, suburban contiguous area 9.7%, and exurb area 7.3%.There was no significant difference in incidence between different regions (χ2=7.05, P=0.415).Fall was the first leading cause of injuries, accounting for 59.2%;followed by cut/pierce, accounting for 10.2%;the third leading cause was road traffic injuries, accounting for 8.8%. Jnjuries occurred with leisure and play (24.8%), sports (22.1%), walking (21.9%) and transports (7.6%).The time of injury occurrence was in July, August, September and October.The most important injury places were home (33.4%), followed by schools (24.3%), road / Street (20.1%), sports places (11.0%).And 97.7% of injuries was unintentional injury, 1.1% intentional injury (violence, assault), 0.5% self-harm or suicide.The proportion of hospitalized injuries was 1.8%, hospital stay for 10 days and above accounted for 0.3%, and less than 10 days accounted for 1.5%.
    ConclusionSchools, families and society should take injury problems with students seriously, and prevent students from injuries inside and outside school.

     

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