江苏省昆山市少年儿童伤害现状及危险因素分析
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摘要
目的了解江苏省昆山市0～17岁常住少年儿童伤害及其危险因素的流行特征,为开展少年儿童伤害预防、制定有针对性的预防策略和措施提供依据。方法采用分层随机抽样和普查相结合的方法,2017年10—12月调查昆山市17 036名0～17岁常住少年儿童的伤害现状,并从少年儿童自身、家庭和行为三方面探寻伤害发生的危险因素。结果2017年昆山市0～17岁常住少年儿童伤害发生率为7.26%,男童8.21%、女童6.16%;男性、高年级、父亲外出打工、照料者文化程度高、照料者年长可能增加伤害发生,而每日亲子沟通时间长、亲子沟通双方都主动或照料者主动、上下学由机构或家长接送可能减少伤害发生。结论应针对昆山地区少年儿童伤害特点采取有针对性的干预措施,预防伤害发生。
Objective To understand the epidemic features and risk factors of injury in children and adolescents of 0-17 year-old in Kunshan city of Jiangsu province, and provide evidence for formulating effective prevention strategies to reduce children injury. Methods The stratified random sampling and general survey were taken to investigate injury among 17 036 permanent children at age of 0-17 years from October to December, 2017, and explore the risk factors of injury from the view of children themselves, families and behaviors. Results The injury incidence of children at age of 0-17 years was 7.26% in Kunshan in 2017, with 8.21% in boys and 6.16% in girls. Male, high grade, father out for work, caregiver with good education background and caregiver at elder age could increase the occurrence of injury. Long time and active communication between parent and child, active communication of caregiver, taking child to or from school by parents or institution could reduce the injury. Conclusions Targeted intervention should be taken to prevent the child and adolescents from injury according to the characteristics of injury in Kunshan.
Objective To understand the epidemic features and risk factors of injury in children and adolescents of 0-17 year-old in Kunshan city of Jiangsu province, and provide evidence for formulating effective prevention strategies to reduce children injury. Methods The stratified random sampling and general survey were taken to investigate injury among 17 036 permanent children at age of 0-17 years from October to December, 2017, and explore the risk factors of injury from the view of children themselves, families and behaviors. Results The injury incidence of children at age of 0-17 years was 7.26% in Kunshan in 2017, with 8.21% in boys and 6.16% in girls. Male, high grade, father out for work, caregiver with good education background and caregiver at elder age could increase the occurrence of injury. Long time and active communication between parent and child, active communication of caregiver, taking child to or from school by parents or institution could reduce the injury. Conclusions Targeted intervention should be taken to prevent the child and adolescents from injury according to the characteristics of injury in Kunshan.
引文
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[2]邓芳明,龚学民,崔虹艳,等.湖南醴陵农村儿童意外伤害的危险因素调查[J].中国当代儿科杂志,2014,16(5):524-528.
[3]殷蕾,李芳,陈立章.中国大陆地区学龄前儿童伤害发生率的Meta分析[J].中华疾病控制杂志,2017,21(10):1022-1026.
[4]张译天,万幸,余小鸣,等.2005-2015年中国青少年伤害发生率的Meta分析[J].中国儿童保健杂志,2016,24(10):1062-1064,1069.
[5]吴康敏.我国儿童意外伤害现状及干预分析[J].中国儿童保健杂志,2013,21(10):1009-1011,1015.
[6]王文明,薛黎坚.6 550例狂犬病暴露者流行病学调查及应对策略[J].上海预防医学杂志,2007,19(6):262.
[7]杨学文,查文婷,张国超,等.湖南农村学龄儿童意外伤害及影响因素多水平模型分析[J].中华疾病控制杂志,2016,20(3):266-270.
[8]邵丽文.慈溪市儿童意外伤害流行特征分析[J].中国预防医学杂志,2011,12(3):273-276.
[9]何春燕,周晓军,周文正,等.重庆市3~6岁儿童伤害现状及影响因素分析[J].中国儿童保健杂志,2017,25(5):530-533.
[10]胡洋,宇翔,廖珠根.中国农村地区留守儿童意外伤害发生率的Meta分析[J].现代预防医学,2015,42(23):4240-4243.
[11]朱晓霞,刘庆敏,方顺源,等.杭州市民工子弟学校学龄儿童伤害流行特征分析[J].中国学校卫生,2011,32(2):203-205.
[12]郭书芹,孙业桓,范亚平,等.家庭因素对儿童伤害相关行为的影响[J].中华流行病学杂志,2004,25(3):218-220.