惠州潼湖地区儿童非故意伤害认知情况调查及其相关因素分析

Investigation of children cognition to unintentional injury and analysis of related factors in Tonghu area of Huizhou

目的 调查惠州潼湖地区儿童非故意伤害认知情况及其相关因素分析.方法 采取分层整群随机抽样法,在惠州潼湖地区随机抽取城镇小学和农村小学各两所,整群选取四、五、六年级学生共1000人作为调查对象,采用自制的《小学生非故意伤害调查表》进行问卷调查,根据最终的评分分为及格组和未及格组,对比两组学生的一般相关资料.采用多因素Logistic回归分析影响儿童非故意伤害认知情况的相关因素.结果 及格组儿童的年级是六年级、学校为城镇、是独生子女、发生过非故意意外伤害以及父母的文化程度为高中以上的人数占比比例高于未及格组(P<0.05),未及格组儿童是留守儿童的人数占比比例高于及格组(P<0.05);多因素Logistic回归分析结果显示,学校为农村小学、留守儿童是发生非故意伤害知识不及格的独立危险因素(OR=0.698、0.726,P<0.05);年级为六年级、父母的文化程度为高中以上是非故意伤害知识不及格的保护因素(OR=-0.756、-0.726,P<0.05);及格组儿童的非故意伤害预防能力和行为的评分明显高于未及格组(P<0.05).结论 儿童缺乏对非故意伤害的认知,安全意识普遍较低,开展相关的教育干预对提高儿童的认知水平很重要,且应对农村小学和留守儿童加强关注.

0bjective To invesigate the children cognition 1o unintenional injury and analyve the related factors in Tonghu area of Huichou Methods Acording to statified cluster randon sampling method,a total of 1,000 students in grades 4.5 and 6 were randomly enolld from two primary sehools in the county and Iwo primary schools in the illge as the investigation objects in Tonghu area of Huizhou.The questinnaire survey was conducted on all the objects by sel-made Children's Unintentional Injury Qusionaire.Aecorling to the final scores,hey were divided into qualification group and n-qulicatin group.The general data between the two goups were compared.The influencing factors of children's cognition to unintentional injury were analyzed by multivariale Logistic regression analysis.Results The proportions of ehildren at grade 6,in town school and only--child family,with unintentional injuries and parenlal education level of high school or above in qualification group were higher than those in non qauaificaion group(P<0.0),while proportion of lef-behind children was lower than that in non-qaulifcation group(P<0.05),The resuls of Mutlivariale Lgisie regression analysis shnowed that vllage primary school and lef-bcehind children were independent risk factors of unqualified childen cognition to unintentional injury(OR=0.698.0.726.P<0.05),while children at grade 6 and parental edueation level of high sehool or above were protetive faector(OR=-0.756,-0.726P<0.05).The scores of prevention ability and behaviors to unintentional injury in qualifeation group were higher than those in nn-qualficaion group(P<0.05).Conclusion There is a lack of children cognition 1o unintentional injury,and their safety awareness is generally low.It is important to carry out relevant educational interventions to improve children's cognitive leve.And more atetions should be payed to for children in vllage primary schools and left-behind children.