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目的:探讨农村地区中学生自行车伤害发生的危险因素,为农村地区中学生自行车伤害的预防控制工作提供科学依据。方法:采用分层整群抽样方法,应用自填式问卷调查方式,对潮汕两英镇地区6所中学的3708名中学生的自行车伤害发生情况进行调查。对筛选出的502例伤害病例,根据同学校、同年级、同性别的原则,在骑乘自行车上下学而未发生自行车伤害的学生中,按照1:3匹配,采用病例对照研究方法进行相关因素的Logistic回归分析。结果:骑车者搭扶其他车辆(0R=1.603,95%CI=1.1 74~2.1 89)、骑车者骑车带人(0R=1.395,95%CI=1.119~1.74)、乘坐自行车时搭扶其他车辆(0R=1.776,95%CI=1.356~2.327)、乘坐自行车时与骑车者打闹(OR=1.594,95%CI=1.202~2.1 1 7)、父亲在外工作或经商(OR=1.500,95%CI=1.194~1.885)、家庭人均年收入低于5000元(OR=3.320,95%CI=1.979~5.570)为农村地区中学生自行车伤害发生的危险因素。家庭人均年收入高于5000元(OR=0.257,95%CI=0.076~0.719)为保护因素。结论:中学生自身不良的骑车行为、父亲在外和家庭经济水平低是影响农村地区中学生自行车伤害的危险因素。
Objective: To explore the risk factors of bicycle injuries among middle school students in rural areas and to provide a scientific basis for the prevention and control of bicycle injuries among middle school students in rural areas. Methods: A stratified cluster sampling method was used to investigate the bicycle injuries of 3,708 middle school students from 6 middle schools in Liangying Town of Chaoshan, using self-contained questionnaires. Of the 502 cases of injury selected, according to the same school, the same grade, same-sex principle, riding a bicycle to school without bicycle injury occurred in accordance with the 1: 3 match, using case-control study of relevant factors Logistic regression analysis. Results: Cyclists supported other vehicles (0R = 1.603, 95% CI = 1.1 74 ~ 2.1 89), cyclists bicycles (0R = 1.395, 95% CI = 1.119-1.74) (OR = 1.594, 95% CI = 1.202 ~ 2.1 1 7), father working outside or doing business (OR = 1.594, 95% CI = 1.356 ~ 2.327), riding a bicycle while riding other vehicles 1.500, 95% CI = 1.194-1.885). The per capita annual household income was less than 5000 yuan (OR = 3.320, 95% CI = 1.979-5.570), which was a risk factor for bicycle injuries among middle school students in rural areas. Family per capita annual income of more than 5,000 yuan (OR = 0.257, 95% CI = 0.076 ~ 0.719) as a protective factor. Conclusion: Middle school students’ bad self-cycling, father’s outside and low family level are the risk factors that affect bicycle injuries among middle school students in rural areas.