上海市松江区小学生跌倒伤害的影响因素调查

Related factors survey on pupils falling injury in Songjiang District of Shanghai

目的了解松江区小学生跌倒伤害发生现状,探讨小学生跌倒伤害的影响因素。方法采用整群抽样和系统抽样方法,抽取松江区4家小学4 880名小学生为研究对象,调查小学生跌倒发生现状及影响因素。结果松江区小学生跌倒伤害发生率为7.97%。影响小学生跌倒伤害发生的危险因素为运动时未佩戴护具(OR=2.148,95%CI:1.044~4.422)、不留意警示牌(OR=1.858,95%CI:1.151~2.999)、小区无警示标志(OR=1.393,95%CI:1.117~1.738);保护因素为女生(OR=0.760,95%CI:0.614~0.940)、家庭收入较高(OR=0.675,95%CI:0.511~0.892)、住所无致跌因素(OR=0.759,95%CI:0.603~0.957)。结论跌倒伤害严重影响松江区小学生健康,给家庭、社会带来沉重负担。应针对小学生跌倒伤害影响因素及早开展干预控制。

Objective To investigate the situation of pupils falling injury in Songjiang District,and explore the influencing factors. Methods Cluster sampling method and systematic sampling method were used to select 4880 pupils from 4 primary schools in Songjiang District; the situation and the influencing factors of pupils falling injury were surveyed. Results The incidence rate of pupils falling injury in primary schools of Songjiang District was 7. 97%. The risk factors of pupils falling injury were exercising without protective clothing（ OR = 2. 148,95% CI： 1. 044 ~ 4. 422）,ignoring warning signs（ OR = 1. 858,95% CI： 1. 151 ~ 2. 999） and no warning signs set up in community（ OR = 1. 393,95% CI：1. 117 ~ 1. 738）; and protective factors were female（ OR = 0. 760,95% CI： 0. 614 ~ 0. 940）,higher household income（ OR = 0. 675,95% CI： 0. 511 ~ 0. 892）,no falling injury causes in house（ OR = 0. 759,95% CI： 0. 603 ~ 0. 957）. Conclusion Falling injury severely affects pupils ＇ health in Songjiang District,which brings heavy burden to both family and society. Intervention and control of pupils falling injury should be done as soon as possible in relation to the influencing factors.