南充市中学生非故意伤害行为特征及影响因素分析

Investigation on the Characteristics and Influencing Factors of Unintentional Injuries among Middle School Students in Nanchong

目的:分析南充市中学生非故意伤害行为(步行/骑车/游泳相关行为)的流行现状及影响因素,为预防和控制学生伤害行为提供依据。方法:分层随机抽取南充市6所中学的2 485名在校学生进行调查,共收回有效问卷2 205份。结果:中学生步行违规行为的发生率为64.4%,其中,男生(68.1%)明显高于女生(61.5%),农村学生(83.2%)明显高于城市学生(46.7%)。中学生骑自行车违规行为的发生率为43.9%,其中,男生(48.2%)明显高于女生(39.5%)。中学生到非安全场所游泳的发生率为22.5%,其中,男生(27.1%)明显高于女生(18.4%),农村学生(39.1%)明显高于城市学生(13.7%)。logistic回归分析结果显示,女生是3种非故意伤害行为的共同保护性因素,学习成绩好是步行、骑车违规的共同保护性因素,喜欢学习和父亲的学历高分别是步行违规和骑车违规的独立保护性因素;而家庭所在地为农村是步行、游泳违规的共同危险因素,父母间感情差、和父母的关系差、家庭气氛紧张压抑分别是步行、骑车和游泳违规的独立危险因素。结论:南充市中学生非故意伤害行为发生率高,且与多种因素尤其是家庭环境因素密切相关,学校、家庭和社会应共同采取针对性措施进行预防和干预。

OBJECTIVE To analyze the prevalence and influencing factors of unintentional injury behavior( walking/cycling/swimming/related behaviors) among middle school students, and to provide evidence for the intervention measures. METHODS Questionnaire of Health Related Behaviors among Adolescents of China was conducted among 2 485 students in 6 schools in Nanchong, 2 205 valid questionnaires were collected. RESULTS The incidence of violating rules when walking on the road was 64.4%,boys( 68.1%) were higher than girls( 61.5%), students from rural areas( 83.1%) were higher than students from cities( 46.7%). The incidence of cycling violations among middle school students was 43.9%, among which boys(48.2%) were significantly higher than girls(39.5%). The incidence of middle school students swimming in non-safe places was 22.5%, among which boys(27.1%) were significantly higher than girls(18.4%), and rural students(39.1%) were significantly higher than urban students(13.7%). Logistic regression analysis showed that girls were the common protective factors of the three unintentional injury behaviors. Good academic performance was the common protective factor of walking and cycling violations. Such as learning and high education of their father were the independent protective factors of walking violations and cycling violations respectively. Family location in rural areas was the common risk factor of walking and swimming violations. Poor feelings between parents, poor relationship with parents and family atmosphere was tense and depressed were the independent risk factors of walking, cycling and swimming violations respectively. CONCLUSION Unintentional injury related behaviors among adolescents are serious. It is necessary for schools, families and society to take targeted measures to prevent and intervene.