【摘要】 目的探讨事故倾向性儿童与行为问题及家庭环境因素的关系,为开展儿童伤害预防工作提供参考。方法采用多阶段抽样方法,以银川市筛查出243例事故倾向性儿童作为病例组,以年龄、性别、居住地、班级相同(近)作为匹配条件,按1∶1配对方式选择同期内未发生伤害的儿童作为对照组,通过问卷调查了解儿童家庭环境及行为问题状况。结果病例组儿童行为问题检出率高于对照组(χ2=18.241,P=0.000);不同民族病例组和对照组儿童行为问题检出率差异均无统计学意义(χ2病例=0.233,P=0.629;χ2对照=0.450,P=0.502)。通过家庭环境和行为问题的因子分析,从6个事故倾向性儿童指标中发现违纪、体诉和收入3个潜在因子。通径分析表明,病例组和对照组儿童体诉和违纪对行为健康有正向直接影响作用,母亲文化程度和家庭人口数通过父亲月收入这一间接环节发挥作用。结论事故倾向性儿童伤害的发生与家庭环境和行为问题有一定关系。应及早开展针对事故倾向性儿童心理健康的健康教育,提高儿童、家长、教师和社会对事故倾向性儿童的保护意识。更多还原

【Abstract】 Objective To investigate the relations between accident proneness and child behaviors in Yinchuan. Methods A total of 243 children with accident-proneness were selected as the case group. Each case was matched according to age,gender,residence,school. Results The detection rate of behavioral problems in accident proneness children was higher than control group. Factors analysis found out that discipline,complaint and income were potential factors that influence accident proneness.Discipline and complaint factor had effects on child’s behavior positively and directly in both case and control groups. And maternal education and family member affected indirectly through paternal monthly income. Conclusion Accident proneness among children could be influenced by family environment and mental health. Early education and mental health improvement strategy from family,school and community may then prevent those accident prone children from injury.更多还原