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[安徽省南部中学生伤害危险因素的病例对照研究]

[A case-control study on the risk factors of injuries in middle school students in southern part of Anhui province].

作者信息

Yao Ying-shui, Ye Dong-qing

机构信息

Department of Preventive Medicine, Wannan Medical College, Wuhu 241001, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2003 Jul;24(7):581-4.

Abstract

OBJECTIVE

To investigate the risk factors of injuries in middle school students and to provide basis for the prevention and reduction of such incidence.

METHODS

1:1 case-control study was conducted on 254 cases and 254 controls on a basis of sex, age and grade. The relationship between risk factors and injuries were analyzed by conditional univariate and multivariate logistic regression.

RESULTS

Seven risk factors responsible for the incidence of injury were identified as follows: high risk behaviors (OR = 18.0600), negligence of defence (OR = 12.6455), scramble (OR = 9.6552), father being illiterate (OR = 7.7191), risky environment around their houses (OR = 5.7402), extrovert temperament (OR = 5.4707) and mother being illiterate (OR = 3.0581). We also distinguished 5 protective factors as follows: education on safety (OR = 0.2356), harmonic relation between parents (OR = 0.4941), one-child per families (OR = 0.5233), students were more knowledgeable and having positive attitude towards road traffic (OR = 0.5340) and high economy level (OR = 0.5609).

CONCLUSION

The injuries in middle school students were caused by multiple factors, hence should carry out intervention measures to modify the influencing factors of injuries. Injury prevention and control program should focus on certain strategies such as education and supervision of environment hazards.

摘要

目的

探讨中学生伤害的危险因素,为预防和降低此类发生率提供依据。

方法

以性别、年龄和年级为基础,对254例病例和254例对照进行1:1病例对照研究。通过条件单因素和多因素logistic回归分析危险因素与伤害之间的关系。

结果

确定了导致伤害发生的七个危险因素如下:高危行为(OR = 18.0600)、防御疏忽(OR = 12.6455)、争抢(OR = 9.6552)、父亲文盲(OR = 7.7191)、房屋周围危险环境(OR = 5.7402)、外向性格(OR = 5.4707)和母亲文盲(OR = 3.0581)。还区分出五个保护因素如下:安全教育(OR = 0.2356)、父母关系和谐(OR = 0.4941)、独生子女家庭(OR = 0.5233)、学生交通安全知识丰富且态度积极(OR = 0.5340)和高经济水平(OR = 0.5609)。

结论

中学生伤害是由多种因素引起的,因此应采取干预措施来改变伤害的影响因素。伤害预防与控制计划应侧重于某些策略,如教育和环境危害监督。

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