江苏省9所高校大学生伤害发生现况及影响因素

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[目的]了解江苏省大学生伤害流行特征及影响因素,为开展大学生伤害干预提供依据。[方法]采用整群随机抽样法,调查江苏省9所高校4 234名大一至大四的在校学生。使用自制结构性问卷调查其人口学特征、伤害发生现况和有关伤害的“知识-态度-行为”情况。采用χ2检验比较不同性别间的伤害发生特征,利用多元logistic回归分析大学生伤害发生的影响因素。[结果]4 234名大学生年伤害发生率及年伤害发生人次率分别为13.7%和17.6%。伤害发生时的活动状态以走路(24.0%)、体育运动(23.5%)及骑车(17.1%)为主,男生在骑车和体育运动时发生伤害的比例高于女生。男生、少数民族、伤害行为得分较低的大学生发生伤害的风险分别是女生、汉族和伤害行为得分较高者的1.6(95%CI:1.4~2.0)倍、1.9(95%CI:1.4~2.6)倍和1.8(95%CI:1.4~2.2)倍;母亲外出打工及双亲均外出工作的大学生发生伤害的风险分别是双亲均未外出者的2.0(95%CI:1.2~3.3)倍和1.5(95%CI:1.1~2.0)倍。[结论]大学生在骑车、步行和体育锻炼时的伤害发生率较高,应加以重点预防;不同性别、民族和家庭情况的大学生伤害发生率不同,制定措施时需加以考虑;应加强预防伤害的安全意识教育,减少大学生伤害相关行为的发生。 [Objective] To understand the characteristics and influencing factors of college students injury in Jiangsu Province, and provide the basis for college students’ injury intervention. [Methods] A cluster random sampling method was used to investigate 4 234 freshmen to senior students in nine colleges and universities in Jiangsu Province. A self-made, structured questionnaire was used to investigate demographic characteristics, the current status of injuries, and the “knowledge-attitude-behavior” status of the injuries. The χ2 test was used to compare the characteristics of injury among different sexes and the multivariate logistic regression was used to analyze the influencing factors of college students’ injuries. [Results] The incidence of annual injury and annual injury among 4 234 college students were 13.7% and 17.6% respectively. Injuries occurred at the time of walking (24.0%), sports (23.5%) and cycling (17.1%), while boys were harder to ride bicycles and sports than girls. Male students, minorities and college students with lower scores on harmful behaviors were 1.6 (95% CI: 1.4-2.0) times higher than girls, Han nationality and those with higher scores of harmful behaviors, 1.9 (95% CI: 1.4-2.6) ) And 1.8 (95% CI: 1.4-2.2) times. The risk of injury to college students who both went out to work and both parents were out of work was 2.0 (95% CI: 1.2-3.3) and 1.5 (95% CI: 1.1 ~ 2.0) times. [Conclusions] Undergraduates have a higher incidence of injury during cycling, walking and physical exercise, and should be given priority to prevention. The incidence of injuries among college students of different genders, nations and families is different, which should be taken into consideration when designing measures. Injury should be strengthened Safety awareness education to reduce the occurrence of college student harm-related behavior.
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