安徽省某农村地区儿童伤害倾性特征及其影响因素

发布时间：2018-06-13 16:23

本文选题：儿童 + 伤害倾性　；参考：《安徽医科大学》2012年硕士论文

【摘要】：目的了解农村儿童伤害及伤害倾性的流行病学特征，并进一步探讨儿童心理行为特征与伤害倾性间关系，为儿童伤害的预防提供科学依据。方法本研究采用横断面调查和病例对照研究相结合的研究方法。1.横断面调查：整群抽取安徽省长丰县3所中学、5所小学，对其3-9年级所有在籍学生采用自编伤害相关问卷进行调查，了解农村儿童伤害流行现状。2.病例对照研究：在横断面调查结果的基础上，以全部伤害倾性儿童作为病例组，并按照频数配比，选择单发伤害和未发生伤害两组儿童分别作为对照组1和对照组2，进行病例对照研究。对研究对象的认知功能及应对方式进行测量，并运用多因素二分类Logistic回归分析模型探讨其与伤害倾性的关系。结果本次横断面研究中，共调查儿童2917名，总的伤害事件发生率为17.4%(95%CI:15.9-19.0%)，男生伤害事件发生率为20.1%(95%CI:17.9-22.5%)高于女生14.4%(95%CI:12.5-16.5%)，留守与非留守儿童的伤害事件发生率分别为19.4%(95%CI:17.4-21.6%)和14.6%(95%CI:12.5-16.9%)。跌落伤(24.5%)是农村儿童的首位伤害类型，伤害事件最主要发生地点是在家中(42.0%)，农村发生伤害儿童伤害事件发生后的主要处理方式为到医院门诊/急诊诊后回家(45.0%)。农村儿童再发伤害报告率为2.13%，随着年级的升高，再发伤害报告率呈下降趋势(趋势检验χ2=16.621，P=0.000)，伤害倾性儿童年人均伤害次数为2.31次。以单发伤害儿童为对照组时，多因素二分类logistic回归分析显示，在控制人口学变量的潜在混杂作用影响后，平均反应时Q2等级与Q4等级相比是伤害倾性的保护性因素(OR=0.338，，95%CI=0.120-0.951)。以未发生伤害儿童为对照，多因素二分类logistic回归分析显示，在控制人口学变量的潜在混杂作用影响后，积极应对Q3等级与Q4等级相比是伤害倾性的危险因素(OR=2.755，95%CI=1.046-7.255)。消极应对Q2等级与Q4等级相比是伤害倾性的保护性因素(OR=0.390，95%CI=0.156-0.974)。结论农村儿童伤害事件发生率较高，并存在伤害倾性儿童。平均反应时、积极应对方式、消极应对方式可能是儿童伤害倾性的影响因素，应针对影响因素采取有效的干预措施，减少儿童伤害的发生，促进儿童健康成长。
[Abstract]:Objective to investigate the epidemiological characteristics of injury and injurious inclination of children in rural areas, and to explore the relationship between psychological behavior and injurious tendency of children, so as to provide scientific basis for the prevention of injury in children. Methods A cross-sectional investigation and a case-control study were used in this study. Cross-sectional investigation: cluster sampling from 3 middle schools and 5 primary schools in Changfeng County Anhui Province. All the students in grades 3-9 were investigated with self-made injury related questionnaire to understand the prevalence of injury among rural children. 2. Case-control study: based on the results of cross-sectional investigation, all children with injurious inclination were selected as case groups and matched according to frequency. The case-control study was carried out in two groups: single injury group and non-injury group as control group 1 and control group 2 respectively. The cognitive function and coping style of the subjects were measured, and the relationship between the cognitive function and the injurious inclination was investigated by using the multivariate two-classification logistic regression model. Results in this cross-sectional study, a total of 2917 children were investigated. The total incidence of injury events was 17.495% (CI: 15.9-19.0), and the incidence rate of male students' injury incident was 20.11.95% CI: 17.9-22.5) higher than that of female students (14.40.95 CI: 12.5-16.5. the incidence of injury incidents of left-behind and non-left-behind children were 19.495CIW 17.4-21.6) and 14.695CIv / 12.5-16.9C respectively. Fall injury 24.5B) is the first type of injury for rural children. The main place of injury is at home 42.00.The main way to deal with injuries in rural areas is to go home after outpatient / emergency consultation in hospital. The report rate of recurrent injury in rural children was 2.13%. With the increase of grade, the reporting rate of recurrent injury showed a downward trend (蠂 2 / 16.621 / P 0.000), and the number of injuries per person per year was 2.31 / year. When single injury children were used as control group, multiple factor two classification logistic regression analysis showed that after controlling for the potential confounding effect of demographic variables, the average response time Q2 grade was a protective factor of nociceptive inclination compared with Q4 grade. Compared with children without injury, multivariate logistic regression analysis showed that after controlling for the potential mixed effects of demographic variables, Q3 was a risk factor of nociceptive bias compared with Q4 and Q3 was a risk factor of 2.75595CI1.046-7.255. Compared with Q4 grade, negative coping Q2 level is a protective factor of nociceptive tendency. Conclusion the incidence of injury in rural children is high, and there are injury-prone children. The positive coping style and the negative coping style may be the influential factors of the injurious tendency of children in average reaction time. Effective intervention measures should be taken to reduce the occurrence of child injury and promote the healthy growth of children.
【学位授予单位】：安徽医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R179

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