| 杨莉,农全兴,李春灵,冯启明.广西壮族自治区农村1-14岁儿童溺水死亡危险因素的病例对照研究[J].Chinese journal of Epidemiology,2006,27(10):853-856 |
| 广西壮族自治区农村1-14岁儿童溺水死亡危险因素的病例对照研究 |
| A case-control study on risk factors of drowning among children aged between 1 and 14 in rural areas of Guangxi |
| Received:January 26, 2006 |
| DOI： |
| KeyWord: 溺水死亡 危险因素 儿童 病例对照研究 |
| English Key Word: Drowning Risk factor Children Case-control study |
| FundProject:广西科学研究与技术开发基金资助项目(桂科攻0472002-32) |
| Author Name | Affiliation | | YANG Li | School of Public Health, Guangxi Medical University,Manning 530021,China | | NONG Quanxing | School of Public Health, Guangxi Medical University,Manning 530021,China | | LI Chunling | School of Public Health, Guangxi Medical University,Manning 530021,China | | FENG Qiming | School of Public Health, Guangxi Medical University,Manning 530021,China |
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| Abstract: |
| 目的探讨广西自治区农村儿童发生溺水死亡的危险因素。方法在广西自治区2县(市)随机整群抽取的20个乡镇中,筛查出在2002年1月1日至2004年12月31日期间发生溺水死亡的1-14岁儿童133例,进行1:2配对病例对照研究;资料分析采用单因素和多因素条件logistic回归分析。结果农村儿童溺水死亡以失足落水为主,男童高于女童(P=0．0264),夏秋季多见,大多数溺死在出事地点。经单因素及多因素条件logistic回归分析,危险因素有:母亲饮酒(OR= 13．282)、村中无懂溺水急救者(OR=10．520)、遇小孩溺水看护人不知所措(OR=6．410)、儿童常在水边玩耍(OR=2．002);保护因素有:经游泳培训(OR=0．004)、游泳时有看护人照看(OR= 0．034)、看护人健康(OR=0．030)、有事和大人沟通(OR=0．347)。结论农村儿童溺水死亡的危险因素具有多元性,应采取干预措施,改变其发生的危险因素;应加强监管、加强安全教育。 |
| English Abstract: |
| Objective To find out the risk factors of drowning among children aged 1 and 14 in rural areas and to provide evidence for prevention and to reduce such incidents.Methods 20 towns being selected as a cluster sampling study and screened out 133 drowning children aged 1-14 from Jan. 1.2002 to Dec.31.2004 were screened. 1:2 matched case-control method was conducted. Data was analyzed with conditional univariate and multivariate logistic regression analysis. Results Results showed that falling into water took the leading type of drowning among children from the rural areas. The component of drowning displayed that boys was higher than girls. The majority occurred during the warmer months, in summer and autumn. The places where drowning occurred was mainly at incidence site. Results from single and multiple factors analysis identified four major risk factors as: alcoholic drinking of his/her mother, lack of emergency treatment in the village, the child care-taker did not know what to do when drowning was occurring, the child usually played beside the water site. Factors preventing from drowning were: swimming training, the child caretaker keeping an eye on the child when he/she was swimming, the health condition of the caretaker and the communication with the parents. Conclusion The risk factors of drowning among children aged 1-14 in rural areas were caused by multiple factors. Prevention and control program on drowning should be focusing on supervision, safety water, safety education and teaching swimming. |
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