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[波兰11至15岁学生非致命性伤害医学治疗的回顾性概述(1994 - 2002年)]

[Retrospective overview of medically treated non-fatal injuries in pupils aged 11-15 years in Poland (1994-2002)].

作者信息

Jodkowska Maria, Oblacińska Anna, Mazur Joanna

机构信息

Zakład Medycyny Szkolnej Instytutu Matki i Dziecka w Warszawie.

出版信息

Przegl Epidemiol. 2004;58(4):701-12.

Abstract

The aim of the study was to analyse: annual occurrence of injuries in pupils aged 11, 13 and 15 years in Poland, common location of injury occurrence and type of activity, as well as the type of body harm. The results of the survey were compared with similar studies in 1994 and 1998 and series of trends were drawn. The survey was carried out in Poland within the Health Behaviour in School-aged Children. A WHO Collaborative Cross-national Study (HBSC). The representative sample (N = 6383) was selected by two-stage, cluster drawing with stratification by place of residence. As the survey instrument the international questionnaire was used, translated and adapted for national purposes. Selected determinants of injuries were examined by crude odds (OR) with 95 per cent confidence interval (CI) calculated from contingency tables with the use of EPI INFO 6.04d software. Results of the study indicated the linear increase of non-fatal injuries among 11, 13, 15 years old pupils in 1994-2002 (from 17.6% to 28.4%) and even more evident increase of repeated injuries in the same time (from 2.1% to 8.6%, respectively). School and home were the most common location of injuries occurrence, while training for sport was the most common type of activity. Boys, living in urban areas were at highest risk of injuries in total, and by selected injuries outcomes. An increase of awareness that injuries are preventable and implementation of well know in the world prevention strategies are needed to stop disadvantageous trends in non-fatal medically treated injuries among school-aged children.

摘要

该研究的目的是分析

波兰11岁、13岁和15岁学生的年度受伤情况、受伤发生的常见地点和活动类型,以及身体伤害的类型。将调查结果与1994年和1998年的类似研究进行比较,并绘制了一系列趋势图。该调查是在波兰“学龄儿童健康行为”(一项世界卫生组织合作的跨国研究,简称HBSC)范围内开展的。通过两阶段整群抽样,并按居住地分层,选取了具有代表性的样本(N = 6383)。作为调查工具,使用了经翻译和改编以适用于本国目的的国际问卷。通过列联表,利用EPI INFO 6.04d软件计算出粗略比值比(OR)及其95%置信区间(CI),对选定的伤害决定因素进行了检验。研究结果表明,1994年至2002年期间,11岁、13岁和15岁学生的非致命伤害呈线性增加(从17.6%增至28.4%),同期重复性伤害的增加更为明显(分别从2.1%增至8.6%)。学校和家庭是伤害发生最常见的地点,而体育训练是最常见的活动类型。总体而言,居住在城市地区的男孩受伤风险最高,在某些特定伤害结果方面也是如此。需要提高对伤害可预防的认识,并实施世界上知名的预防策略,以阻止学龄儿童非致命性需医疗处理伤害的不利趋势。

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