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中国大学生非故意伤害现状及影响因素:一项横断面研究。

Status and risk factors of unintentional injuries among Chinese undergraduates: a cross-sectional study.

机构信息

The First Affiliated Hospital of Wenzhou Medical College, Wenzhou 325000, China.

出版信息

BMC Public Health. 2011 Jul 5;11:531. doi: 10.1186/1471-2458-11-531.

DOI:10.1186/1471-2458-11-531
PMID:21729294
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3142514/
Abstract

BACKGROUND

Injuries affect all age groups but have a particular impact on young people. To evaluate the incidence of non-fatal, unintentional, injuries among undergraduates in Wenzhou, China, assess the burden caused by these injuries, and explore the associated risk factors for unintentional injuries among these undergraduates, we conducted a college-based cross-sectional study.

METHODS

Participants were selected by a multi-stage random sampling method, and 2,287 students were asked whether they had had an injury in the last 12 months; the location, cause, and consequences of the event. The questionnaire included demographic and socioeconomic characteristics, lifestyle habits, and the scale of type A behaviour pattern (TABP). Multivariate logistic regression models were used; crude odds ratios (ORs), adjusted ORs and their 95% confidence intervals (CIs) were estimated, with students having no injuries as the reference group.

RESULTS

The incidence of injuries among undergraduates in Wenzhou was 18.71 injuries per 100 person-years (95%CI: 17.12~20.31 injuries per 100 person-years). Falls were the leading cause of injury, followed by traffic injuries, and animal/insect bites. Male students were more likely to be injured than female students. Risk factors associated with unintentional injuries among undergraduates were: students majoring in non-medicine (adjusted OR: 1.53; 95% CI: 1.19-1.96); type A behaviour pattern (adjusted OR: 2.99; 95% CI: 1.45-6.14); liking sports (adjusted OR: 1.86; 95% CI: 1.41-2.45).

CONCLUSIONS

Injuries have become a public health problem among undergraduates. Falls were the major cause of non-fatal injury. Therefore, individuals, families, schools and governments should promptly adopt preventive measures aimed at preventing and controlling morbidity due to non-fatal injury, especially among students identified to be at high-risk; such as male students with type A behaviour pattern who like sports.

摘要

背景

伤害影响所有年龄段,但对年轻人影响尤其大。为评估中国温州大学生中非致命性、非故意伤害的发生率,评估这些伤害造成的负担,并探讨这些大学生意外伤害的相关危险因素,我们开展了一项基于大学的横断面研究。

方法

采用多阶段随机抽样法选取参与者,询问 2287 名学生在过去 12 个月中是否发生过伤害;记录事件发生的地点、原因和后果。问卷包括人口统计学和社会经济学特征、生活方式习惯和 A 型行为模式量表(TABP)。采用多变量逻辑回归模型;以无伤害的学生为参照组,估计未经调整的优势比(OR)、调整后的 OR 及其 95%置信区间(CI)。

结果

温州大学生的伤害发生率为 18.71 例/100 人年(95%CI:17.1220.31 例/100 人年)。跌倒为伤害的主要原因,其次是交通伤害和动物/昆虫咬伤。与女性学生相比,男性学生更易受伤。与大学生非故意伤害相关的危险因素为:非医学专业学生(调整后的 OR:1.53;95%CI:1.191.96);A 型行为模式(调整后的 OR:2.99;95%CI:1.456.14);喜欢运动(调整后的 OR:1.86;95%CI:1.412.45)。

结论

伤害已成为大学生的公共卫生问题。跌倒为非致命性伤害的主要原因。因此,个人、家庭、学校和政府应及时采取预防措施,旨在预防和控制非致命性伤害的发病率,特别是针对被确定为高风险的学生;例如,具有 A 型行为模式且喜欢运动的男性学生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f183/3142514/e891bf40036c/1471-2458-11-531-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f183/3142514/8a6f2f957520/1471-2458-11-531-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f183/3142514/e891bf40036c/1471-2458-11-531-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f183/3142514/8a6f2f957520/1471-2458-11-531-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f183/3142514/e891bf40036c/1471-2458-11-531-2.jpg

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