湘西地区大学生伤害行为及其影响因素分析

Analysis of college students' injury behavior and its influencing factors in western Hunan Province

目的了解湘西地区大学生伤害行为现状并探讨其影响因素,为制定干预措施及实施健康教育提供参考依据。方法采用随机整群抽样方法对湘西地区在校大学生的伤害行为进行问卷调查,不同特征大学生伤害行为的比较采用X^2检验,影响因素采用Logistic回归分析。结果共调查647名大学生,步行违规、骑车违章、非安全游泳行为报告率分别为1. 2%、12. 5%和10. 0%,其中骑车违章、非安全游泳行为报告率男生均高于女生(P均<0.05)。打架行为报告率为6.8%,男生高于女生(P<0.01);自杀意念、常心情不愉快、常孤独报告率分别为:9.3%、11.6%和7. 7%,年级之间均存在显著差异(P均<0.05)。骑车违章行为的危险因素有男生(OR=1.829, 95%CI:1.132～2.954)、自杀意念(OR=2.496, 95%CI:1.294～4. 816);抑郁行为的危险因素有城镇(OR=1.742, 95%CI:1.082～2.806)、常孤独(OR=3. 385, 95%CI:1.740～6. 584)、自杀意念(OR=2.414, 95%CI:1.294～4. 816)。结论湘西地区大学生伤害行为问题普遍存在,学校应针对不同特征大学生的突出问题采取相应的干预措施,预防大学生伤害行为的发生。

Objective To understand the current situation of college students' injury behaviors in Xiangxi and to explore the influencing factors, and provide reference for the development of intervention measures and implementation of health education. Methods A stratified random cluster sampling method was used to conduct a questionnaire survey on the injury behaviors of college students in Xiangxi. The difference of injury behaviors of college students with different characteristics was tested by Х^2 test, and the influencing factors were analyzed by logistic regression. Results The reporting rates of college students' walking violations, cycling violations, and non-safe swimming behaviors in Xiangxi were 1. 2%, 12. 5%, and 10. 0%, respectively. Among them, cycling violations and non-safe swimming behavior reporting rates were higher for boys than girls ( P values are < 0. 05 ). The reported rate of fighting behavior was 6. 8%, male students were higher than female students (P value < 0. 01);suicidal ideation, often unhappy mood, and often lonely reporting rate were;9. 3%, 11.6%, 7.7%, between grades. There were significant differences ( P values < 0. 05). The risk factors for cycling violations were male students (OR= 1.829, 95% CI: 1.132 - 2.954) and suicidal ideation (OR=2. 496 , 95% CI: 1.294- 4.816). The risk factors for depression behavior were towns (OR = 1.742 , 95%CI;1.082 -2.806), often lonely (OR = 3.385, 95% CI: 1.740 - 6.584), suicidal ideation (OR =2.414, 95% CI: 1.294 -4.816). Conclusion The problem of college students' injury behavior is widespread. The school should takecorrespondingintervention measures for the prominent problems of college students with different characteristics to prevent the occurrence of injury behaviors.