上海市金山区2010—2016学年中、小学生伤害流行特征

Epidemiological characteristics on injuries among students of primary and middle schools between 2010 and 2016 in Jinshan District,Shanghai

【目的】了解上海市金山区中、小学生伤害的发生状况及流行病学特征,为政府和相关部门制订相关伤害干预策略和措施,降低学生伤害发生率提供依据。【方法】收集金山区2010-2016学年全部中、小学生伤害个案报告卡提供的数据,分析该人群伤害发生的原因、性质、临床特征等。【结果】2010-2016学年共监测学生伤害1387例,伤害发生率为0. 386%;小学生、初中生和高中生伤害发生率分别为0. 410%、0. 437%和0. 169%,差异有统计学意义(χ^2=70. 186,P<0. 01);男生女生伤害发生率分别为0. 522%及0. 231%,差异有统计学意义(χ^2=196. 987,P <0. 01);伤害原因主要为跌倒/落(69. 36%),其次是碰撞挤压伤(9. 22%)、交通事故(9. 15%)、烧烫伤(4. 04%);伤害发生时活动以消遣活动为主,占40. 45%,其次是体育活动33. 02%、日常起居活动13. 91%;伤害原因分布表现出性别差异和学段差异。【结论】我区中、小学生伤害发生情况在不同性别和学段之间存在差异,需针对性开展干预措施。

[Objective]To ascertain the prevalence and epidemiological characteristics of injury among students of primary and middle schools,and provide scientific basis for targeted prevention and intervention.[Methods]Data from“Injury cards”collected between2010and2016school year was analyzed to acquire the epidemiological characteristics,clinical features of injuries.[Results]A total of1387cases of injury were reported and the incidence rate was0.386%;injury incidence rate of primary school,junior and senior high school was0.410%,0.437%and0.169%respectively with significant difference(χ^2=70.186,P<0.01);incidence rate of injury in boys and girls was0.522%and0.231%respectively(χ^2=196.987,P<0.01);its main causes were falls(69.36%),collisions(9.22%),traffic accidents(9.15%)and scald(4.04%);main activities in which injury happened including recreation(40.45%),sports activity(33.02%)and daily living(13.91%);significant difference in features of injury existed between genders and school types.[Conclusion]The characteristics of injury among students show differences between genders and school types;it is necessary to implement interventions in this regard.