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目的了解绍兴市大中学生伤害发生现况,探讨心理社会因素对大中学生伤害发生的影响,为伤害的预防控制提供依据。方法整群抽取绍兴市1所大学、2所高中、2所初中的学生作为研究对象,在基线调查的基础上,继续前瞻性地进行了3次随访调查,完成1a的队列研究。采用自填式问卷调查的方式收集研究对象的人口统计学变量、各类伤害的发生率等。同时使用《亚健康多维评定问卷》评价青少年的心理卫生状况。结果绍兴市青少年伤害发生率为76.2%,男性伤害的发生率要高于女性,差异有统计学意义(χ2=13.850,P<0.01)。多因素分析结果显示,学习负担轻的青少年发生意外伤害的危险性较学习负担重者低,处于亚健康状态的青少年相对于健康状态者,其危险性增大了2.472(1.477～4.137)倍。结论青少年伤害发生率高,学习负担和亚健康状态可较好预测伤害发生。
Objective To understand the current situation of injury among middle and high school students in Shaoxing and to explore the impact of psychosocial factors on the injury of middle and high school students so as to provide the basis for the prevention and control of injuries. Methods A cluster of 1 university, 2 high schools and 2 junior high schools in Shaoxing was selected as the research object. Based on the baseline survey, 3 follow-up surveys were prospectively conducted to complete the cohort of 1a. A self-administered questionnaire was used to collect demographic variables and the incidence of various injuries. Simultaneous use of “sub-health multi-dimensional assessment questionnaire” to assess the mental health of adolescents. Results The incidence of injury among young people in Shaoxing City was 76.2%. The incidence of male injuries was higher than that of women (χ2 = 13.850, P <0.01). Multivariate analysis showed that adolescents with light learning burden had a lower risk of accidental injury than those with a heavier burden of learning. Adolescents with subhealthy status were 2.472 (1.477 ~ 4.137) times more likely to be in health status. Conclusions The incidence of injuries among adolescents is high, learning burden and sub-health status may be better predict injury.