Lam Lawrence T, Yang Li, Zheng Yanyan, Ruan Chong, Lei Zhenlain
The Royal Alexandra Hospital for Children, Westmead, NSW 2145, Sydney, Australia.
Accid Anal Prev. 2006 Nov;38(6):1176-82. doi: 10.1016/j.aap.2006.05.004. Epub 2006 Jun 19.
This study aims to investigate the association between ADD tendency, with or without hyperactivity, and all types of unintentional injuries among adolescents. This study was a population-based health survey utilising a two-stage random cluster sampling design. The study was conducted among high school students in Nanning, the capital city of the Guangxi Province, China. Subjects were recruited from the total population of adolescents who attended high school years 1, 2, and 3 with ages ranging from 13 to 17 years. Information on ADD was collected by trained health professional via personal interviews. Other information, including unintentional injury was collected via a self-report health survey questionnaire. One thousand and twenty-nine (n = 1429) students were recruited with 115 (7.9%) identified as having a high ADD tendency, and 340 (22.6%) reported as having experienced an injury in the last 3 months. After adjusting for other potential confounding factors, results from the logistic regression analyses indicated that adolescents who scored high on the ADD tendency had an increased risk of injury by about 70% as compared to those who scored low (OR = 1.68, 95%CI = 1.18-2.40). ADD tendency has been identified as a potential risk factor of injury among adolescents. Screening for risk factors can be considered as a potential preventive strategy.
本研究旨在调查有无多动症状的注意力缺陷倾向与青少年各类意外伤害之间的关联。本研究是一项基于人群的健康调查,采用两阶段随机整群抽样设计。研究在中国广西壮族自治区首府南宁市的高中生中开展。研究对象从13至17岁的高一、高二和高三全体青少年中招募。关于注意力缺陷的信息由经过培训的健康专业人员通过个人访谈收集。其他信息,包括意外伤害,通过自我报告健康调查问卷收集。共招募了1029名(n = 1429)学生,其中115名(7.9%)被确定为有高度注意力缺陷倾向,340名(22.6%)报告在过去3个月内经历过一次伤害。在对其他潜在混杂因素进行调整后,逻辑回归分析结果表明,注意力缺陷倾向得分高的青少年受伤风险比得分低的青少年增加约70%(比值比 = 1.68,95%置信区间 = 1.18 - 2.40)。注意力缺陷倾向已被确定为青少年伤害的一个潜在风险因素。筛查风险因素可被视为一种潜在的预防策略。