大学生意外伤害影响因素的配对病例对照研究

山东大学学报(医学版)

大学生意外伤害影响因素的配对病例对照研究

张远^1,2,李华锋¹,韩霞¹,张巍³,赵仲堂²,贾存显²

1. 山东医学高等专科学校检验系,济南 250002; 2. 山东大学公共卫生学院流行病与卫生统计学研究所, 济南 250012; 3.山东省疾病预防控制中心辐射放射与安全所, 济南 250014

收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2008-08-16 发布日期:2008-08-16
通讯作者: 赵仲堂

Injury-related factors in college students: a paired case-control study

ZHANG Yuan ^1,2, LI Hua-feng¹, HAN Xia¹, ZHANG Wei³, ZHAO Zhong-tang², JIA Cun-xian²

1. Department of Laboratory Medicine, Shandong Medical College, Jinan 250002, China;2.Institute of Epidemiology and Health Statistics, School of Public Health, Shandong University, Jinan 250012, China; 3. Institute of Radiological Protection and Nuclear Safety, Shandong Center for Disease Control and Prevention, Jinan 250014, China

Received:1900-01-01 Revised:1900-01-01 Online:2008-08-16 Published:2008-08-16
Contact: ZHAO Zhong-tang

摘要/Abstract

摘要：

目的〓〖HTK〗探讨大学生发生意外伤害的危险因素,为制定有效的干预措施提供依据。〖HTW〗方法〓〖HTK〗整群抽取山东济南某大学1929名学生,将其2006年度发生伤害的全部学生280例(男115例、女165例)作为病例组,同时在1929名学生中抽取与病例性别、年龄、系部、民族相同的未发生伤害的学生280例作为对照组,进行1∶1病例对照研究;资料分析采用单因素和多因素条件Logistic回归分析。〖HTW〗结果〓〖HTK〗大学生伤害发生率为14.52％,以跌落／碰撞伤的发生率最高(40.71％)。经单因素和多因素条件Logistic回归分析,影响学生伤害的危险因素是非独生子女(OR=1.718, 95％CI:1.252～2.357)、父亲文化程度低(OR=1.282, 95％CI:1.055～1.568)、神经性维度得分高(OR=1.121, 95％CI:1.087～1.156);保护因素依次为母亲职业为教师或医生(OR=0.732, 95％CI:0.619～0.865)、精神稳定性维度低(OR=0.975, 95％CI:0.954～0.997)。〖HTW〗结论〓〖HTK〗母亲职业为教师或医生、精神稳定性维度低为大学生意外伤害的有效保护因素;非独生子女、父亲文化程度低、神经性维度得分高是危险因素。建议针对学生的人格特点和危险因素采取有效措施,开展健康教育,提高预防意识,减少伤害的发生。

关键词: 危险因素, 病例对照研究, 创伤和损伤, 大学生

Abstract:

Objective〓〖WTBZ〗To explore the risk and protective factors of injuries among college students.〖WTHZ〗 Methods〓〖WTBZ〗A total of 1929 students were investigated by cluster sampling, 280 students with injuries in 2006 served as the experimental group and 280 1∶1 matched students without injuries served as the control group. The 280 students without injury as controls were randomly selected by the same gender, age, department and nation as students with injuries. Data were analyzed by conditional univariate and multivariate logistic regression analyses. 〖WTHZ〗Results〓〖WTBZ〗The incidence ratio of injury in college students was 14.52％, and that of fall／collision injury was the highest (40.71％). non-only child, father with low education and high nervous latitude score were risk factors and the OR values were respectively 1.718(95％CI:1.252～2.357), 1.282 (95％CI:1.055～1.568) and 1.121(95％CI:1.087～1.156), and maternal occupation and low latitude stability score were protective factors and the OR values were 0.732 (95％CI:0.619～0.865) and 0.975(95％CI:0.954～0.997). 〖WTHZ〗Conclusion〓〖WTBZ〗College policy-makers should develop effective measurements to reduce health-risk behaviors with family and society and promote students′ self-protective consciousness.

Key words: College students, Wounds and injures, Risk factors, Case-control study

中图分类号:

R181.2

张远,李华锋,韩霞,张巍,赵仲堂,贾存显 . 大学生意外伤害影响因素的配对病例对照研究[J]. 山东大学学报(医学版), 2008, 46(8): 812-814.

ZHANG Yuan ,LI Hua-feng,HAN Xia,ZHANG Wei,ZHAO Zhong-tang,JIA Cun-xian

Injury-related factors in college students: a paired case-control study

[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(8): 812-814.

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