张安慧,陶芳标,严双琴,徐叶清.回顾时限对伤害流行病学调查结果 可信度影响的研究[J].中华流行病学杂志,2009,30(10):1010-1012 |
回顾时限对伤害流行病学调查结果 可信度影响的研究 |
Influenceof retrospective time period on reliability of epidemiological survey to injuries |
收稿日期:2009-04-14 出版日期:2014-09-18 |
DOI: |
中文关键词: 伤害 监测 儿童 青少年 |
英文关键词: Iniury Surveillance Child Adolescent |
基金项目:安徽省自然科学基金(070413107) |
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中文摘要: |
目的探讨不同回顾时限对儿奄青少年伤害流行病学调查结果的影响。方法对马鞍山市4523名学生进行1年的伤害主动监测,各学校由校医或健康信息员每天收集学牛伤害事件,监测时间为2007年11月1日至2008年10月31日。监测对象分成3组,每组分别采用不同的间隔时限进行伤害自我回顾性报告。结果4523名学生,全年共发生伤害事件6350人次,总伤害事件年发生率为74.2%,男生发生率(78.6%)高于女生(70.0%),差异有统计学意义(P<0.01)。问隔3个月一次的网顾性报告伤害年发生率减低0.02%,伤害次数减少19人次;间隔6个月一次的回顾性报告伤害年发生率减低0.02%,伤害次数减少58人次;12个月回顾性调查过去一年内伤害事 件发生情况,伤害年发生率减低8.8%,伤害次数减少505人次,以3~6岁组和轻度及微小伤害减低更为显著。结论间隔3个月一次和间隔6个月一次回顾性报告的伤害年发牛率只有轻微减低,对伤害信息的获得较完整;12个月的回忆期限,低估了伤害的发生风险;儿童青少年伤害的回顾时限以6个月为宜。 |
英文摘要: |
Objective To analyze the influence of different recall time periods on epidemiological survey of injuries among children and adolescents.Methods Astudy on injuries for 12 months foilow-up period was actively surveyed among 4523 pupils selected by cluster sampling from 12 kindergartens,1 elementary school,l iunior high school,l senior high school and l college in Maanshan city in November,2007 to November,2008.1njury events were actively surveyed by school doctors or class health workers simultaneously.Participants were divided into three groups.the first group including self-reported injuries by 3.months interval.the second group with self-recalled injuries by 6.months interval and the third group with self-reported injuries in the past 12 months. Validity and reliability of iniuries between surveillance injuries and retrospective injuries were compared.Resuits The overall rate of in{ury events was 74.2%and injury events and rate was higher in boys than that in girls(P<0.01).In total.6350 injury events were registered for the survey. Compare with surveillance findings,the injury rate declined 0.02%and the number of iniuries had a 1 9 person/time reduction from the retrospective iniuries by 3.months interval.The iniury rate declined O.02%and number of injuries reduced 58 person/times from the survey of retrospective injuries by 6.month interval.The rate of injuries declined 8.8%and frequencies had a505 reduction from data of self-reported injuries in the past l 2 months.The largest declines were found for the 3 to 6 year-old age group and for minor injuries.Conclusion The l 2.month recall period on underestimate injury rates was compared to the 3一month recall periods and 6一month recail periods.Recall periods of 6 months were recommended to be used in injury survey in children and adolescents. |
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