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上海市黄浦区中学生意外伤害危险因素病例对照研究
Case control study of accidental injury risk factors of middle school students in Huangpu District of Shanghai City
【摘要】 目的探讨中学生意外伤害发生的危险因素,为制定预防学生意外伤害措施提供科学依据。方法按性别、年龄、班级1∶1配对原则,选择伤害病例和对照共240例,危险因素分析采用单因素分析和多因素条件logistic回归分析。结果单因素分析结果显示:父母婚姻状况、学生体重、体重指数(BMI)、夜间睡眠质量、学习成绩、精神质(倔强性格)和神经质(情绪性)心理、攀爬危险地方、与他人动手打架、喝酒、运动前不热身、疲倦时运动、无老师指导做高难度运动、无防护做器械锻炼、过马路闯红灯、不走人行道是意外伤害发生的危险因素。多因素分析结果显示:BMI、夜间睡眠质量、神经质(情绪性)心理是意外伤害发生的主要危险因素。结论意外伤害的发生是诸多因素综合作用的结果,父母婚姻状况、学生不良的身心健康与行为对中学生意外伤害发生的影响不容忽视。学生意外伤害的防控应注重家庭教育与学校教育的相辅相成;学校应发挥心理咨询室在促进学生身心健康中的作用,增强学生体质需讲究方式方法,循序渐进。
【Abstract】 [Objective]To investigate accidental injury risk factors of middle school students,and provide scientific evidence for developing accidental injury prevention measures.[Methods]A total of 240 cases,1: 1 matched by gender,age and class were assigned into case group and control group.Risk factors were analyzed by univariate analysis and multivariate Logistic regression analysis.[Results]]Univariate analysis showed that following factors were risk factors of accidental injury,such as parents’ marital status,students’ body weight,BMI index,nighttime sleep quality,academic performance,the psychoticism(stubborn character) and neuroticism psychology(emotional),climbing a dangerous place,fighting,drinking,exercising without warming up,tired exercising,difficulty sports without teacher guidance,exercising without protected equipment,running red lights,don’t walk the sidewalks.Multivariate analysis showed that BMI index,nighttime sleep quality and neuroticism psychology were major risk factors of accidental injury.[Conclusion]Occurrence of accidental injury is the result of combined effects of many factors.The effects of parents’ marital status,poor physical and mental health and behavior of middle school students cannot be ignored.Prevention and control of accidental injury should focus on school education and the complementary family education.School counseling room should play a role in promoting students’ physical and mental health.Attentions should be paid to ways and means of enhancing students’ physical fitness,step by step
【Key words】 Accidental injury; Risk factor; Case control study; High school student;
- 【文献出处】 职业与健康 ,Occupation and Health , 编辑部邮箱 ,2013年18期
- 【分类号】R181.3
- 【被引频次】5
- 【下载频次】106