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目的探讨农村学龄儿童伤害发生的影响因素,为开展伤害预防干预提供依据。方法随机选取某县农村小学、初中各3所学校,分层整群抽取小学三~五年级、中学七~八年级共2 196名学龄儿童作为研究对象;筛选出1年内发生过伤害的354名学龄儿童作为病例组,按照同班级、同年龄、同性别的原则1∶1选取未发生伤害的学龄儿童作为对照组。采用自拟调查表对儿童基本情况及伤害情况进行调查。结果过去1年内共有354人发生伤害,伤害人数发生率为16.12%;发生伤害375人次,伤害人次发生率为17.08%。非留守儿童(OR=0.467,95%CI=0.248~0.987)是伤害发生的保护因素,身体状况一般(OR=1.801,95%CI=1.187~2.733)、有伤害史(OR=3.161,95%CI=1.611~6.203)、非独生子女(OR=2.071,95%CI=1.413~3.037)是伤害发生的危险因素。结论农村学龄儿童伤害发生比较普遍,儿童自身因素对伤害的发生有重要影响。
Objective To explore the influencing factors of school-age children’s injuries in rural areas and provide the basis for prevention and treatment of injuries. Methods A total of 2 196 primary school-age children in primary and secondary schools were randomly selected from 3 primary schools and 3 secondary schools in rural primary and secondary schools in a county. A total of 354 school-age children who had been injured in 1 year were screened out. School-age children as the case group, according to the same class, same age, same-sex principle 1: 1 selected no harm of school-age children as a control group. A self-made questionnaire was used to investigate children’s basic conditions and injuries. Results In the past year, a total of 354 people were injured, the incidence of injuries was 16.12%; 375 injuries occurred, the incidence of injuries was 17.08%. Non-left-behind children (OR = 0.467, 95% CI = 0.248-0.987) were the protective factors of injury, with normal physical status (OR = 1.801, 95% CI = 1.187-2.733) CI = 1.611-6.203). Non-only children (OR = 2.071, 95% CI = 1.413-3.037) were the risk factors of injury. Conclusion The incidence of injuries among school-age children in rural areas is relatively common, and children’s own factors have an important impact on the incidence of injuries.