目的了解广东省广州市中小学生伤害相关危险因素,为开展学生伤害干预和监测提供科学依据。方法采用多阶段分层整群随机抽样方法对广州市24 168名中小学生进行伤害问卷调查。小学1~4年级学生由家长填写问卷,小学4年级以上学生自填问卷;校园安全情况由调查员现场勘察结合校医咨询后填写;运用非条件Logistic回归分析方法分析伤害相关危险因素。结果广州市中小学生伤害发生率为21.63%,伤害次数发生率为35.30%;非条件Logistic回归分析结果显示,性别、年龄、午休时间、学习成绩、父亲年龄、家庭月收入、是否爱好体育运动、鞋底磨损情况、运动器械维修情况、是否疲倦时进行体育运动、是否带病参加体育运动、与动物玩耍频率是伤害发生的影响因素。结论广州市中小学生伤害发生与个人、家庭及学校环境危险因素有关,制定学生伤害预防控制措施应综合考虑个人及环境因素影响。
Objective To identify risk factors of injury among primary and secondary school students in Guangzhou and to provide scientific evidence for injury intervention and monitoring.Methods A total of 24 168 students of primary and secondary school were sampled through multi-stage stratified cluster randomized sampling.The questionnaire survey for students of grade 1-4 was administered by their parents,and that of students of above grade 4 was self-administered.Campus security situation was investigated with on-site survey and consultation with school medical staff.Non-conditional logistic regression analysis was used to analyze the risk factors of injury.Results The incidence of injury among the students was 21.63% with a person-time incidence of 35.30%.The results of logistic regression analysis showed that gender,age,lunch break,academic records,paternal age,family monthly income,liking sport or not,wearing situation of shoes,the maintenance of sports' equipment,taking physical exercise with tiredness or not,taking part in physical exercise with illness or not,and the frequency of playing with animal were the influencing factors of injury.Conclusion The occurrence of injury among primary and secondary school students is associated with risk factors of individual,family and school environment.For the prevention and control of injury in school students,the risk factors should be considered comprehensively.