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目的了解宁波市流动儿童非致死性溺水伤害发生现状及危险因素,为防控儿童溺水伤害提供依据。方法采取多阶段随机整群抽样的方法,抽取宁波市8所城区外来民工子弟学校的一~九年级学生共7 673名作为调查对象,采用宁波市学生溺水状况调查表进行问卷调查。结果近1年中,771名(10.05%)流动儿童自我报告发生了非致死性溺水事件。61.84%的溺水事件发生在自然水体中,跌落/滑入(48.19%)是发生溺水最主要的原因。多因素Logistic回归分析结果显示,高溺水知识知晓率(OR=0.99)、公办/公助学校(OR=0.67)、独生子女(OR=0.76)、家长护送上下学(OR=0.64)等可以降低非致死性溺水的发生率;男性(OR=1.25)、在无成人陪伴下在岸边玩耍或打闹(OR=1.36)、下水捕鱼(OR=1.69)、登船/划船(OR=1.48)、在不明水域跳水或潜水(OR=2.08)等会增加非致死性溺水的发生率(P值均<0.05)。结论流动儿童是发生溺水的高危人群,需要加强家长监护和社会大众的防溺水健康教育。
Objective To understand the current status and risk factors of non-fatal drowning among migrant children in Ningbo and to provide basis for prevention and control of children’s drowning injuries. Methods A total of 7 673 freshman-year students from 8 migrant children’s schools in Ningbo City were sampled by multistage randomized cluster sampling method. Questionnaires were carried out using questionnaire of Ningbo City Students’ Drowning Status. Results In the past year, 771 (10.05%) floating children self-reported non-fatal drowning. 61.84% of drowning events occurred in natural waters. Dropping-in (48.19%) was the most common cause of drowning. Multivariate logistic regression analysis showed that the awareness of drowning in water (OR = 0.99), public / private school (OR = 0.67), only child (OR = 0.76) The incidence of non-fatal drowning was significantly higher in men (OR = 1.25), playing or slamming on the shore (OR = 1.36) without adult companionship, OR ). Diving or diving in unidentified waters (OR = 2.08) increased the incidence of non-fatal drowning (all P <0.05). Conclusion Migrant children are at high risk of drowning and need to guard their parents and prevent the public against drowning.