Raman Sudha R, Boyce William, Pickett William
Department of Community Health and Epidemiology, Queen's University, Kingston, Canada.
Disabil Rehabil. 2007 Nov 30;29(22):1727-35. doi: 10.1080/09638280601129231.
Students with disabilities are at risk for poor health outcomes; however, the causes and consequences of injury in this group are not well understood. The epidemiologies of injuries among students with and without disabilities were profiled and compared.
The cross-sectional, 2002 Health Behaviour in School-aged Children Survey, was administered to a representative sample of 7235 students (grades 6-10) from Canada. Students who reported at least one functional difficulty due to a health condition were classified as having a disability. Primary outcomes were: (i) Medically attended injury; (ii) multiple injuries, and (iii) serious injury experiences during a 12-month period.
Some 16.3% of students reported a disability. Injuries were more common in students with disabilities compared to those without disabilities (67% vs. 51% annually, p < 0.01). Students with disabilities experienced 30% increases in the risk for medically attended injury, multiple injury, and serious injury as compared to their peers. Consistent and statistically significant associations (p < 0.05) were identified between different types of disability and all injury outcomes.
Canadian students who report disabilities experience higher risks for injury than their peers, perhaps due to an inability to perceive and avoid environmental hazards. Injury prevention programmes are needed to address these unique risk profiles in order to prevent additional disability or secondary conditions.
残疾学生面临健康状况不佳的风险；然而，这一群体受伤的原因和后果尚未得到充分了解。对残疾和非残疾学生的受伤流行病学情况进行了描述和比较。
对来自加拿大的7235名6至10年级学生的代表性样本进行了2002年学龄儿童健康行为横断面调查。报告因健康状况至少存在一种功能困难的学生被归类为残疾学生。主要结果包括：（i）需就医的伤害；（ii）多处受伤，以及（iii）12个月期间的严重伤害经历。
约16.3%的学生报告有残疾。与非残疾学生相比，残疾学生受伤更为常见（每年分别为67%和51%，p<0.01）。与同龄人相比，残疾学生需就医的伤害、多处受伤和严重伤害的风险增加了30%。在不同类型的残疾与所有伤害结果之间发现了一致且具有统计学意义的关联（p<0.05）。
报告有残疾的加拿大学生比同龄人面临更高的受伤风险，这可能是由于他们无法察觉和避免环境危害。需要开展伤害预防计划来应对这些独特的风险状况，以防止出现更多残疾或继发疾病。
