CAJ | 학술논문

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.
목적 료해안휘성농촌지구류수인동상해적분포급위험인소.방법 채용분층정군추양방법추취안휘성장봉현농촌3617명중소학생진행문권조사,료해류수인동최근1년상해적발생정황,병대기상해발생적상관인소진행단인소화다인소logistic회귀분석.결과 조사류수인동1614명,점학생총수적45.83%.주요감호류형위단친감호(55.82%).중소학생상해발생솔위32.25%,남생상해발생솔위45.22%,녀생위35.28%,차이유통계학의의(χ2=16.245,P=0.000);기중류수인동상해발생솔위40.90%,고우비류수인동(24.95%),차이유통계학의의(χ2=101.730,P=0.000).류수인동재질상、교통상、동물교상등7충상해류형상발생솔고우비류수인동,차이유통계학의의.다인소분석현시:비독생자녀(OR=1.445)、성격외향(OR=1.062)、모순성(OR=1.150)、독립성(OR=1.110)、오악성(OR=1.096)가능시류수인동상해적위험인소,이녀생(OR=0.598)、친밀도(OR=0.933)、공제성(OR=0.917)가능시류수인동적보호성인소.결론 해지구류수인동상해유다충인소공동작용도치,가정배경화개인성격기주요작용,응침대위험인소채취유효적예방조시,감소류수인동상해적발생.
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%)(χ2=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%)(χ2=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.