云南省某县小学生非故意伤害认知水平及其影响因素分析

Analysis on unintentional injury cognitive level and its influencing factors among pupils in a county,Yunnan Province

目的调查某县小学生非故意伤害认知水平现状并分析其影响因素,为针对性的开展非故意伤害干预工作提供科学依据。方法采用横断面调查方法,分层整群随机抽样某县5所小学1084名小学生进行非故意伤害知识现况调查。结果小学生伤害有关知识最高得分42分,最低得分2分,平均得分30.02分,伤害知识总得分及格率为61.4%。二分类Logistic回归结果显示:小学所在地为镇(OR=2.100,95%CI:1.463~3.017)和村(OR=3.908,95%CI:1.639~9.319)、母亲职业为工人(OR=4.417,95%CI:1.402~13.916)是伤害知识得分不及格的危险因素,而高年级(OR=0.527,95%CI:0.368~0.755)是伤害知识得分不及格的保护因素。结论小学生对非故意伤害相关知识认识不够,应积极开展有关伤害预防与应急处置的教育干预,尤其要将学生就读学校所在地为镇/村、母亲职业为工人的学生作为重点干预人群。

Objective To investigate current unintentional injury cognitive level and its influencing factors among pupils in a county, and to provide the scientific basis for unintentional injury intervention. Methods A cross-sectional study was conducted among 1084 pupils. 5 primary schools were selected by stratified cluster random sampling method from all primary schools in a county to collect the information regarding unintentional injury cognition. Results The mean score for cognition of unintentional injury was 30. 02. The highest and lowest score was 42 and 2, the passing rate of injury knowl- edge score was 61.4%. Binary logistic regression analysis indicated that risk factors related to cognition score of unintentional injury were primary school in town （ OR = 2. 100, 95% CI： 1. 463 - 3. 017）, village （ OR = 3. 908, 95% CI： 1. 639 - 9. 319） and mother occupation （ OR =4. 417, 95% CI： 1. 402 - 13. 916）. The protective factors of cognition score was sen- ior students （ OR = 0. 527, 95% CI： 0. 368 - 0. 755）. Conclusion It is a common phenomenon that pupils are lack of the cognition for unintentional injury, more educational intervention about prevention of unintentional injury and disposal of e- mergency should be considered and carried out, especially for the students whose schools are located in town/village or whose mothers are workers.