中学生意外伤害相关危险因素负二项回归分析

Negative binomial regression analysis of relative factors of unintentional injury among middle school students

目的 了解马鞍山市中学生伤害的流行病学特征 ,为伤害干预措施提供线索和依据。方法 采用整群随机抽样的方法对马鞍山市的 4 0 4 3名中学在校生过去一年的伤害发生情况进行伤害回顾调查。结果 马鞍山市中学生伤害事件发生 (次 )率为 2 8.0 5 % ,伤害人平均发生伤害次数为 1.73次 ,负二项回归分析提示大家庭和重组家庭、父母亲从事的某些职业类别、家庭人均月收入、孩子每天的户外活动时间、不能集中精力是伤害发生的危险因素 ,母亲的文化程度为中学及以上、家庭与学校的距离很远可能为伤害发生的保护因素。结论 家庭情况、父母职业、文化程度及孩子的安全意识与伤害发生的关联显著 ,应在中学生中开展针对危险因素的健康教育干预。

Objective To describe the distribution of injury and explore relative risks of injury among middle school students in Maanshan city for later intervention. Methods A retrospective study was conducted in 4 middle schools in Maanshan city with 4 043 students. Results The results showed that the total rate of injuries was 28.05%. Statistical significance of relation between higher level of mother education, father's occupation of administration, type of family, higher per capita income of family, longer distance from home to school, drinking and injury incidence were found in multivariable analysis. Conclusions Targeted intervention should be used to reduce nonfatal injury incidence in the middle school students through the ways of health education and health promotion.