恩施农村留守初中生伤害发生影响因素的分析

Analysis on Factors of Injuries among Left-behind Junior High School Students in Rural areas of Enshi

目的分析湖北省西部恩施农村留守中学生伤害发生的影响因素,为制定农村留守儿童伤害干预策略提供科学依据。方法采用分层整群抽样方法抽取湖北省恩施农村3所中学七、八年级共1 935名中学生进行问卷调查,收集留守学生最近一年伤害发生的回顾性资料,并对资料进行单因素和多因素Logistic回归分析。结果本次调查农村留守中学生有875人,占学生总数的45.6%。留守初中生的伤害发生率为19.0%,高于非留守初中生(12.6%),差异有统计学意义(x^2=14.88,P<0.05)。多因素Logistic回归分析显示身体健康为留守中学生伤害发生的保护因素,低年级、爱打架、父母外出打工期间犯过严重错误和跟同伴去河沟游泳是留守中学生伤害发生的危险因素。结论恩施农村留守中学生伤害的发生是多因素共同作用的结果,其中学生个人条件及行为因素对发生伤害有着重要的影响,家长、学校和社会应该针对这些影响因素采取一定预防措施以降低其伤害发生率。

Objective To analyze influencing factors of injuries among junior high school students left-behind in rural area of Western Hubei to provide scientific basis for intervention.Methods1935junior high school students were drawn from three middle schools in Enshi with stratified sampling method and a survey was conducted using questionnaires.Unconditional univariate and multivariate logistic regression analysis were performed to evaluate the retrospective data collected of injuries among left-behind children during the past one year and on its influencing factors.Results There were875left-behind students which accounted for45.6%of all study objects.The incidence of injuries among left-behind students was19.0%,significantly higher than that of non-left-behind students(χ2=14.877,<0.05).Results from multivariate analysis indicated that good health was a protective factor;low grade,committing serious errors and swimming in a river were risk factors.Conclusion Many factors were found to be involved with the incidence of injuries among left-behind student in rural area of Enshi.Special preventive measures should be taken by parents,schools and society to reduce the incidence of injuries.