Departments of Emergency Medicine and.
Pediatrics. 2014 Feb;133(2):254-61. doi: 10.1542/peds.2013-2155. Epub 2014 Jan 13.
Previous studies have reported concerning numbers of injuries to children in the school setting. The objective was to understand temporal and demographic trends in intentional injuries in the school setting and to compare these with intentional injuries outside the school setting.
Data from the National Electronic Injury Surveillance System-All Injury Program from 2001 to 2008 were analyzed to assess emergency department visits (EDVs) after an intentional injury.
There were an estimated 7,397,301 total EDVs due to injuries sustained at school from 2001 to 2008. Of these, an estimated 736,014 (10%) were reported as intentional (range: 8.5%-10.7% for the study time period). The overall risk of an EDV after an intentional injury in school was 2.33 (95% confidence interval [CI]: 1.93-2.82) when compared with an EDV after an intentional injury outside the school setting. For intentional injury-related EDVs originating in the school setting, multivariate regression identified several demographic risk factors: 10- to 14-year-old (odds ratio [OR]: 1.58; 95% CI: 1.10-2.27) and 15- to 19-year-old (OR: 1.69; 95% CI: 1.01-2.82) age group, black (OR: 4.14; 95% CI: 2.94-5.83) and American Indian (OR: 2.48; 95% CI: 2.06-2.99) race, and Hispanic ethnicity (OR: 3.67; 95% CI: 2.02-6.69). The odds of hospitalization resulting from intentional injury-related EDV compared with unintentional injury-related EDVs was 2.01 (95% CI: 1.50-2.69) in the school setting. These odds were found to be 5.85 (95% CI: 4.76-7.19) in the outside school setting.
The findings of this study suggest a need for additional prevention strategies addressing school-based intentional injuries.
以往的研究报告显示，在学校环境中儿童受伤的情况令人担忧。本研究旨在了解学校环境中故意伤害的时间和人口统计学趋势，并将其与校外故意伤害进行比较。
对 2001 年至 2008 年国家电子伤害监测系统-所有伤害项目的数据进行分析，以评估因故意伤害而到急诊就诊（EDV）的情况。
在 2001 年至 2008 年期间，因在学校发生伤害而就诊的人数估计为 7397301 人。其中，估计有 736014 人（占 10%）报告为故意伤害（研究期间的报告率为 8.5%-10.7%）。与校外故意伤害相比，在学校发生故意伤害后到急诊就诊的总体风险为 2.33（95%置信区间[CI]：1.93-2.82）。对于源自学校环境的故意伤害相关 EDV，多变量回归确定了几个人口统计学风险因素：10-14 岁（比值比[OR]：1.58；95%CI：1.10-2.27）和 15-19 岁（OR：1.69；95%CI：1.01-2.82）年龄组、黑种人（OR：4.14；95%CI：2.94-5.83）和美洲印第安人（OR：2.48；95%CI：2.06-2.99）种族以及西班牙裔（OR：3.67；95%CI：2.02-6.69）。与非故意伤害相关 EDV 相比，故意伤害相关 EDV 导致住院的可能性在学校环境中为 2.01（95%CI：1.50-2.69），而在校外环境中为 5.85（95%CI：4.76-7.19）。
本研究结果表明，需要制定更多的预防策略来解决学校内故意伤害问题。
