湖南省中学生伤害发生率调查及其影响因素研究

李凌; 胡明; 胡国清; 孙振球

Abstract

李凌,胡明,胡国清,孙振球.湖南省中学生伤害发生率调查及其影响因素研究[J].Chinese journal of Epidemiology,2007,28(5):449-452

湖南省中学生伤害发生率调查及其影响因素研究

An investigation on the incidence and risk factors of injuries in middle school students of Hunan province

Received:August 15, 2006

DOI：

KeyWord: 伤害发生率中学生影响因素

English Key Word: Injuries Incidence Middle sch001 students Impact factors

FundProject:国家自然科学基金资助项目(30400355)

Author Name	Affiliation	E-mail
LI Ling	Department of Epidemiology and Health Statistics, School of Public Health, Central South University, Changsha 410078, China
HU Ming	Department of Epidemiology and Health Statistics, School of Public Health, Central South University, Changsha 410078, China
HU Guo-qing	Department of Epidemiology and Health Statistics, School of Public Health, Central South University, Changsha 410078, China
SUN Zhen-qiu	Department of Epidemiology and Health Statistics, School of Public Health, Central South University, Changsha 410078, China	szq@xysm.net

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Abstract:

目的了解湖南省中学生的伤害发生率，分析中学生伤害发生的影响因素。方法采用分层整群抽样方法随机抽取湖南省16个学校96个班的学生及其家长作为研究对象，采用国内公认的伤害判断标准、自行编制的影响因素调查表、国际公认的自评抑郁量表(SDS)、焦虑自评量表(SAS)、症状自评量表(SCL-90)、家庭功能评定量表(FAD)和子女教育心理控制源量表(PLOC)进行问卷调查。采用Χ²检验和logistic回归对数据进行统计分析。结果湖南省中学生伤害发生率为48。74%，95%CJ:47。43%～50。05%。伤害发生率分别在不同地区、年级、性别和是否独生子女间的差异有统计学意义(P＜0。05)，但在重点中学和非重点中学之间差异无统计学意义(P＞0。05)。多因素logistic回归分析显示，地区、年级、性别、是否独生子女、厌学、抑郁、焦虑、好友经常出入娱乐场所是伤害发生的影响因素，其对应的OR值分别为1。13、0。94、0。72、0。84、1。14、1。47、1。16和2。20;相对于父亲职业为无业或失业人员，父亲职业为离退休人员的中学生发生伤害的OR值为0。53。结论湖南省中学生伤害发生率为48。74%。伤害的发生受地区、性别、年级、是否独生子女、厌学、抑郁、焦虑、好友经常出入娱乐场所以及父亲职业影响。

English Abstract:

Objective To study the incidence of injuries in middle school students of Hunan province and to explore its influencing factors. Methods Both stratified and cluster sampling were used to obtain the samples in Hunan province, and students from 96 classes in 16 middle schools together with their parents were selected to participate in this investigation. Recognized criteria for injuries, self-rating depression scale,self-rating anxiety scale, interpersonal sensitivity of symptom checklist, family assessment device, parenting locus of the control scale, and self-developed questionnaire were used together to collect data. Chi-square test and logistic regression were employed for data analysis. Results The overall incidence rate of injuries among middle school students in Hunan province was 48. 74 % with 95%CI as (47.43%，50-05%)Data from the comparisons of injury incidences between males and females, single child and non-single child in the family or among different regions and grades, showed significant differences(P< 0.05).However, no statistical difference was found between students from key or ordinary middle schools(P>0.05).The Results of logistic regression showed that region, grade, gender, having single child or not in the family, tired of staying at school, depression, anxiety, and with peers who often hunt the recreational places were the influencing factors to injury with ORs seen as 1.13，0.94，0.72，0.84，1.14，1.47，1.16，and 2.20，respectively. In addition, compared to the students whose fathers were being unemployed or retirees had a lower chance to experience an injuries, OR=0. 53. Conclusion The overall prevalence of injuries among middle school students in Hunan province was 48. 74 %.The influencing factors for injuries in middle school students would include: region of resicence, grade, gender, being single child or not, tired of staying at school,under depression, anxiety, with peers who often hunt the recreational places, and father’s job situation.

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