安徽省长丰县农村留守儿童伤害分布及危险因素研究

来源 :中华流行病学杂志 | 被引量 : 0次 | 上传用户:az4620
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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(χ2=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(χ2=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.
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