【摘要】 目的　了解马鞍山市中学生再发意外伤害流行病学特征 ,探讨伤害再发的危险因素 ,为伤害干预措施提供线索和依据。方法　采用整群随机抽样的方法 ,对马鞍山市 4所中学的 4 0 4 2名在校学生过去一年的伤害发生情况进行伤害回顾调查。结果　发生各种类型伤害 1 1 34人次 ,共有6 5 7名学生发生伤害 ;其中再发伤害组的 2 6 5名学生发生 74 2次伤害 ,占伤害总事件的 6 5 .4 3% ;父、母亲文化程度、家庭类型、人均收入、儿童饮酒行为、学校类别、儿童注意力易分散以及学生安全意识等因素与中学生再发伤害有关。结论　可以通过健康教育干预和健康促进手段提高儿童安全意识及自我保护能力 ,从而改变与再发伤害密切相关的因素 ,以预防儿童意外伤害的发生更多还原

【Abstract】 Objective To describe the epidemiological features and relative risk factors of recurrent injuries of middle school students in Ma’anshan City to provide the basis for implementing the preventive intervention. Methods A retrospective study was conducted in 4 middle schools in Ma’anshan City with 4 042 students. Results 657 students suffered amounting to 1 134 injuries. The recurrent group consisted of 265 students who suffered 742 injuries. Results of polytomous multivariate logistic regression analysis showed that there was statistical significance of relation between higher education level of mother and father, type of family, higher per capita income of family, drinking behavior of children, level of school, attention of student, consciousness of safety and injury incidence. Conclusions Health education and health promotion could be used to prevent unintentional injuries through changing the related factors which correlated with occurrence of unintentional injuries.更多还原