上海市长宁区学龄前儿童非故意伤害监测结果分析

发布时间：2018-04-13 16:48

本文选题：创伤和损伤 + 人群监测　；参考：《中国学校卫生》2014年12期

【摘要】：目的探讨长宁区学龄前儿童非故意伤害的流行特征及其主要影响因素,为制定切实可行的儿童伤害预防策略提供参考。方法以长宁区6所幼儿园小班和中班790名幼儿为研究对象,随访监测儿童1 a内非故意伤害的发生情况并分析其流行病学特征。结果 790名学龄前儿童1 a间共发生非故意伤害23人次,年发生率2.91%,其中男童发生率为2.38%(10/421),女童发生率为3.52%(13/369),差异无统计学意义(χ2=0.916,P=0.338)。非故意伤害类型以跌落/坠落为主(占52.2%),52.2%的伤害发生在家中或幼儿园,所有伤害均为轻微伤害。Logistic回归分析显示,与儿童非故意伤害有关的因素有年龄、性格、近1 a非故意伤害史、是否对家庭环境进行安全性评估和孩子健康状况(P值均0.05)。结论长宁区学龄前儿童非故意伤害发生率虽处于较低水平,但应继续针对儿童非故意伤害相关因素采取综合性安全防范措施,重点加强对家庭环境进行安全性评估,以及关注近1 a有非故意伤害史的儿童。
[Abstract]:Objective to explore the epidemic characteristics and main influencing factors of unintentional injury among preschool children in Changning District, and to provide reference for the formulation of feasible child injury prevention strategies.Methods 790 children in small and middle classes in 6 kindergartens in Changning District were studied. The incidence of unintentional injuries in children within 1 year was monitored and the epidemiological characteristics were analyzed.Results there were 23 unintentional injuries in 790 preschool children in one year, the annual incidence rate was 2.91. The incidence of male children was 2.38 / 421, and the incidence rate of girls was 3.52 / 3 699. There was no significant difference between them (蠂 ~ 2 / 0.916 / P ~ (0.3338)).The main type of unintentional injury was fall / fall (52.2% of the injuries occurred at home or kindergarten. All injuries were minor injuries. Logistic regression analysis showed that the factors related to unintentional injuries in children were age and personality.In the recent 1 year history of unintentional injury, whether to assess the safety of the family environment and the health status of the child was 0.05%.Conclusion although the incidence of unintentional injury among preschool children in Changning District is at a low level, comprehensive safety measures should be taken in view of the factors related to unintentional injury of children, with emphasis on strengthening the safety assessment of the family environment.And focus on children with a history of unintentional injury for nearly 1 year.
【作者单位】：上海市长宁区妇幼保健院;
【基金】：上海市长宁区妇女儿童工作委员会资助项目(Q2012-6)
【分类号】：R179;R181.3

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