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[2006年至2015年中国儿童暴力伤害现状及变化趋势——基于全国伤害监测系统数据的分析]

[Current status and change trend of violence against children in China from 2006 to 2015, an analysis on data from National Injury Surveillance System].

作者信息

Yang L, Gao X, Jin Y, Ye P P, Wang Y, Deng X, Er Y L, Shen T, Duan L L

机构信息

Jinan Municipal Center for Disease Control and Prevention, Jinan 250021, China; Chinese Field Epidemiology Training Program, Beijing 100050, China.

National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2017 Sep 10;38(9):1222-1225. doi: 10.3760/cma.j.issn.0254-6450.2017.09.016.

Abstract

To understand the current status and change trend of violence against children in China and provide evidence for the risk factor and intervention priority identifications and intervention strategy development. The data of National Injury Surveillance System (NISS) from 2006 to 2015 were used to analyze the change in outpatient visit due to violence against children, injury cases'demographic characteristics, incidence of injury and clinical outcomes of injury cases. A total of 44 319 injury cases caused by violence against children were reported through NISS during this period. The proportion of violence related child injury cases in total child injury cases decreased year by year. In child violence cases reported in 2015, boys accounted for 81.31, the boy to girl ratio was 2.22∶1. Violence related injuries caused by blunt strike accounted for 65.69. The incidences of child violence were low in February and during July-August and 48.87 of violence related injuries occurred in schools and public places, bruise accounted for 63.52. The main injured body part caused by child violence was head (51.18), and most violence caused injuries (82.66) were mild, while 83.21 of the injury cases went home after treatment. Violence against children should not be ignored. Male students of middle/high schools are at high risk. Schools are the places where violence against children is prone to occur. Health and safety education should be strengthened to prevent the occurrence of campus violence and improve the child's awareness of self-protection and reduce the incidence of serious violence.

摘要

了解我国儿童暴力的现状及变化趋势,为危险因素及干预重点的识别和干预策略的制定提供依据。利用2006 - 2015年全国伤害监测系统(NISS)的数据,分析儿童暴力致伤的门诊就诊变化情况、伤害病例的人口学特征、伤害发生率及伤害病例的临床结局。在此期间,通过NISS共报告了44319例儿童暴力致伤病例。暴力相关儿童伤害病例在儿童总伤害病例中的比例逐年下降。2015年报告的儿童暴力案件中,男孩占81.31%,男女比例为2.22∶1。钝器打击所致暴力相关伤害占65.69%。儿童暴力发生率在2月及7 - 8月较低,48.87%的暴力相关伤害发生在学校及公共场所,擦伤占63.52%。儿童暴力导致的主要受伤身体部位是头部(51.18%),大多数暴力造成的伤害(82.66%)为轻度,83.21%的伤害病例经治疗后回家。儿童暴力不容忽视。初高中男学生是高危人群。学校是儿童暴力容易发生的场所。应加强健康安全教育,预防校园暴力的发生,提高儿童自我保护意识,降低严重暴力的发生率。

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