摘要
目的了解安徽省农村地区留守儿童伤害的分布及危险因素。方法采用分层整群抽样方法抽取安徽省长丰县农村3617名中小学生进行问卷调查，了解留守儿童最近1年伤害的发生情况，并对其伤害发生的相关因素进行单因素和多因素logistic回归分析。结果调查留守儿童1614名，占学生总数的45．83％。主要监护类型为单亲监护（55.82％）。中小学生伤害发生率为32．25％，男生伤害发生率为45．22％，女生为35，28％，差异有统计学意义（χ^2=16，245，P=0．000）；其中留守儿童伤害发生率为40．90％，高于非留守儿童（24．95％），差异有统计学意义（χ^2=101．730，P=0．000）。留守儿童在跌伤、交通伤、动物咬伤等7种伤害类型上发生率高于非留守儿童，差异有统计学意义。多因素分析显示：非独生子女（OR=1．445）、性格外向（OR=1.062）、矛盾性（OR=1．150）、独立性（OR=1．110）、娱乐性（OR=1.096）可能是留守儿童伤害的危险因素，而女生（OR=0．598）、亲密度（OR=0．933）、控制性（OR=0．917）可能是留守儿童的保护性因素。结论该地区留守儿童伤害由多种因素共同作用导致，家庭环境和个人性格起主要作用，应针对危险因素采取有效的预防措施，减少留守儿童伤害的发生。
Objective To explore the distribution and risk factors of injuries among home-stranded children and living in rural area of Anhui province and to provide basic information for the development of injury intervention program. Methods 3617 students were recurited from Changfeng county of Anhui province with stratified sampling method and a survey was conducted using questionnaires. Unconditional univariate and multivariate logistic regression analysis were performed to evaluate the situation of unintentional injuries among 1614 home-stranded children during the past one year and on its influencing factors. Results The number of home-stranded children accounted for 45.83% of the total number of students with the main type of guardianship was single-parent （55.82%）. The incidence of injuries of students was 32.25 %. The incidence of injuries of boys （36.43%） was higher than that of girls （27.44 % ） （χ^2 = 32. 340, P = 0. 000）. The incidence of injuries among children was 32.25 % but among children away from it was 40.90 %, significantly higher than that of children with parents （ 24.95 % ） （χ^2= 101.730,P = 0.000）. Seven kinds of injures including fall, transportation or animal-related factor for children who were away from their parents, were higher than that of children with parents around. Data from Univariate analysis showed that injuries of children without family around were associated with gender, monthly income, education level of mother, type of guardianship, introversion-extroversion, neuroticism, cohesion, conflict, independence, active-recreational orientation, intellectual-cultural orientation. Results from multivariate analysis indicated that injuries of home-stranded children were associated with gender （OR = 0.598）, being the only child （OR = 1.445）, introversion-extroversion （OR= 1.062）, cohesion （OR= 0.933）, conflict （OR= 1.150）, independence （OR= 1.110）, intellectual-cultural orientation （OR = 0. 928）, active-recreational orientation （OR = 1. 096） and ability of self-control （ OR = 0. 917）. Conclusion Many factors were found to be involved in injuries among children who were away from parents, especially regarding family environment and the individual personality. Special preventive measures should be taken to reduce the incidence of injuries among rural children who were away from their parents.
出处
《中华流行病学杂志》
CAS
CSCD
北大核心
2008年第4期338-342,共5页
Chinese Journal of Epidemiology
基金
国家自然科学基金资助项目（30671815）
安徽省自然科学基金资助项目（070413106）
关键词
伤害
留守儿童
危险因素
Injury
Home-stranded children
Risk factors
