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[台湾青少年非致命意外伤害的流行病学研究]

[An epidemiological study of the adolescent nonfatal unintentional injuries in Taiwan].

作者信息

Wang K C

机构信息

Graduate Institute of Health Education, National Taiwan Normal University, Taipei, Republic of China.

出版信息

Kaohsiung J Med Sci. 1998 Jun;14(6):348-56.

PMID:9715037
Abstract

In Taiwan, the unintentional injury is the major cause of morbidity, mortality, and school absenteeism among adolescents. This problem has been ignored in past years, so this investigation was undertaken to alert public, school, and parental attention and concern, to establish the baseline data for adolescent unintentional injuries, and to provide information and guidance for adolescent injury prevention and control programs. Two thousand-three hundred and seventeen students were randomly sampled from 1,115 junior high, senior high, and vocational schools in Taiwan during the 1994-1995 academic year through a multi-stage stratified cluster random sampling with probabilities proportional to sizes. The data were collected via the self-reported adolescent unintentional injury records, and analyzed with frequency distribution, Pearson's Chi-square statistics, and product-moment correlation coefficient. It was found that an overall injury rate (per season) was 56.37% (1292/2292). The rates were higher for boys than girls, for junior high students than senior high or vocational students, for those being near-sighted, for those having a history of previous injuries, and for younger students. Abrasions, sprains, bumps, cuts, and falls were the five most common injuries among adolescents, and mostly appeared in upper and lower extremities. Most injuries took place in athletic fields, classrooms, campus, stairways and corridors at school, mainly due to self, others of carelessness, and sports.

摘要

在台湾,意外伤害是青少年发病、死亡和缺课的主要原因。过去几年这个问题一直被忽视,因此开展这项调查,以引起公众、学校和家长的关注,建立青少年意外伤害的基线数据,并为青少年伤害预防与控制项目提供信息和指导。在1994 - 1995学年期间,通过多阶段分层整群随机抽样,按照与规模成比例的概率,从台湾1115所初中、高中和职业学校中随机抽取了2317名学生。数据通过青少年自我报告的意外伤害记录收集,并采用频率分布、皮尔逊卡方统计和积差相关系数进行分析。结果发现,总体伤害率(每季度)为56.37%(1292/2292)。男孩的伤害率高于女孩,初中生高于高中生或职业学校学生,近视者、有既往受伤史者以及年龄较小的学生伤害率更高。擦伤、扭伤、碰撞、割伤和跌倒,是青少年中最常见的五种伤害,大多出现在上肢和下肢。大多数伤害发生在学校的运动场、教室、校园、楼梯和走廊,主要原因是自身、他人的疏忽以及运动。

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