2010-2014年浙江省儿童暴力伤害监测数据分析

Analysis on the Violence Related Injuries in Children during 2010-2014 in Zhejiang Province

目的了解儿童暴力伤害的主要流行特征,为开展针对性干预提供依据。方法对2010—2014年浙江省医院伤害监测系统收集的0~17岁儿童暴力伤害病例的主要特征进行分析。结果 2010—2014年共收集0~17岁儿童暴力伤害病例1 292例,占全部儿童伤害病例的2.10%,随时间的推移,儿童暴力伤害占比呈下降趋势。儿童暴力伤害病例中,男女性别比为4.79:1,伤害原因以钝器伤(83.13%)和锐器伤(7.89%)为主,学校(53.10%)和街道/城区(26.24%)为主要伤害发生地点,严重程度以轻度(50.15%)和中度(46.28%)为主,91.25%病例的伤害性质为软组织伤,主要受伤部位为头部(66.92%)。93.34%的儿童暴力伤害均由吵架、打架所引起,受伤者与施暴者关系主要为伙伴(63.54%)和陌生人(25.93%),通常以手或脚等身体的一部分作为直接施暴工具(72.50%)。结论需关注儿童暴力问题,利用监测系统和专题调查掌握儿童暴力的主要流行特征,并据此开展针对性干预。

Objective To provide evidence for the development of specific intervention for children injuries via analyzing theviolence related injuries in children in Zhejiang province.Methods Data were retrieved from hospital-based injury surveillancesystem in Zhejiang during2010to2014period and the characteristics of the injuries were analyzed.Results A total of1,292violence related injury cases between0~17years old were retrieved,which accounted for2.10%of all injury cases.Thispercentage decreased over time during this period.The ratio of injuries in males over females was4.79:1.Most of the cases wereblunt(83.13%)and sharp injuries(7.89%)and happened in schools(53.10%;including kindergarten)and city streets(26.24%).50.15%and46.28%of cases were minor and moderate injuries.91.25%injuries were damages to the soft tissue,mostly in the softtissue of the head(66.92%).93.34%of the injuries were caused by quarrels and fights between fellows/classmates(63.54%)orstrangers(25.93%).Instead of any weapons,the involved persons fighted their opponents mainly via body contacts(72.50%).Conclusion Children bullies and youth violence should be taken care and the surveillance system should be in place so as toobtain the relevant information on time and provide the evidence for the development of specific interventions.