安徽省马鞍山市大中学生多发伤害现况及危险因素的前瞻性研究

A prospective study on the current status of repeated injuries and its risk factors in middle school and college students

目的了解安徽省马鞍山市大中学生多发伤害流行病学特征，探讨伤害多发的危险因素。方法选择马鞍山市3所学校的中学生及大学生1494名，开展为期1年的伤害发生情况的监测；运用多因素logistic回归模型分析大中学生多发伤害的危险因素。结果3所学校发生各种类型伤害1639人次，总伤害人数为799人，伤害总发生率为53．48％。多发伤害组的200名学生共发生伤害854人次，占总伤害事件的52．10％。多因素分析显示，男性、家庭共同生活人口数多于4人、性格外向、焦虑评分高是多发伤害的危险因素；母亲文化程度为高中、家庭经济状况中等、中等以上、抑郁评分高是保护因素。结论3所学校学生多发伤害发生率较高；人口统计学变量和情绪状态可能预测伤害多发。

Objective To examine the epidemiological features and relative risk factors of repeated injuries among middle, high and college students in Ma＇ anshan city of Anhui province. Methods A prospective study on repeated injuries for 1-year follow-up period was carded out among 1494 students from 3 middle schools or colleges. Risk factors for repeated injuries were analyzed with multivariate logistic regression model. Results 799 students suffered 1639 episodes of injuries, with an incidence rate of 53.48%. The repeated group consisted of 200 students who suffered 854 injuries, accounted for 52.10% among the total injuries. Results from Multi-normial logistic regression analysis showed that male, number of family members of 4 or over, extraversion of character trait, and upper quartile of self-rating anxiety symptoms were the risk factors for the occurrence of repeated injuries. Moderate or well-of family income, mothers with senior high school education, and upper quartile of self-rating depression symptoms were protective factors for repeated injuries. Conclusion Socio-demographic factors and emotional status may predict the occurrence of repeated injuries that called for further study.