中学生伤害与相关行为特征关系的病例对照研究

Injury related behavior of middle school students:a case study

目的了解影响中学生伤害发生的行为特征,为中学生伤害的预防提供依据。方法采用青少年自评量表(YSR)对171例伤害组学生和171例对照组学生进行行为评定,比较伤害组和对照组各行为因子的平均得分,以非条件Logistic回归分析探索伤害与各行为因子及同伴好友相关行为之间的关联。结果伤害组行为问题的检出率(15.79%)高于对照组(8.19%),差异具有统计学意义(χ2=4.683,P<0.05);伤害组男生、女生行为自评总分均高于对照组,差异具有统计学意义(男生:t=2.942,P=0.004;女生t=3.766,P=0.001);多因素Logistic回归分析显示注意缺陷(OR=5.376)、思维问题(OR=3.672)、社交问题(OR=2.204)及同伴好友相关行为是伤害的危险因素。结论学生的行为问题和同伴行为对学生的伤害发生有显著影响,有行为问题者是伤害发生的危险人群。

Objective To explore the behavioral patterns of middle school students and provide basis for unintentional injury prevention in these students. Methods 171 injury students and 171 normal students as controls were evaluated by Youth Self-Report （YSR）, and mean scores were compared between the two groups by t Test. Logistic regressions were performed to analyze the relationship between injury students and behavioral problems. Results The rate was higher in injury group （15.79 % ） than in control group （8. 19%）. The score of injury group of boys was higher than thar of control group （t= 2.942, P =0.004）; the score of injury group of girls was higher than thar in control group （t =3.766, P=0.000 ）. Multi-factor Logistic regression analysis showed that attention-deficit （OR= 5. 376）, the problem of thinking （ OR =3. 672）, social problems （ OR = 2. 204） and friendly fellows＇ action was a risk factor. Conclusions There is a significant effect of the behavior of students and fellow students on the injury to students.