中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2009年
10期
1010-1012
,共3页
张安慧%陶芳标%严双琴%徐叶清
張安慧%陶芳標%嚴雙琴%徐葉清
장안혜%도방표%엄쌍금%서협청
伤害%监测%儿童%青少年
傷害%鑑測%兒童%青少年
상해%감측%인동%청소년
Injury%Surveillance%Child%Adolescent
目的 探讨不同回顾时限对儿童青少年伤害流行病学调查结果的影响.方法 对马鞍山市4523名学生进行1年的伤害主动监测,各学校由校医或健康信息员每天收集学生伤害事件,监测时间为2007年11月1日至2008年10月31日.监测对象分成3组,每组分别采用不同的间隔时限进行伤害自我回顾性报告.结果 4523名学生,全年共发生伤害事件6350人次,总伤害事件年发生率为74.2%,男生发生率(78.6%)高于女生(70.0%),差异有统计学意义(P<0.01).间隔3个月一次的回顾性报告伤害年发生率减低0.02%,伤害次数减少19人次;间隔6个月一次的回顾性报告伤害年发生率减低0.02%,伤害次数减少58人次;12个月回顾性调查过去一年内伤害事件发生情况,伤害年发生率减低8.8%,伤害次数减少505人次,以3～6岁组和轻度及微小伤害减低更为显著.结论 间隔3个月一次和间隔6个月一次回顾性报告的伤害年发生率只有轻微减低,对伤害信息的获得较完整;12个月的回忆期限,低估了伤害的发生风险;儿童青少年伤害的回顾时限以6个月为宜.
目的 探討不同迴顧時限對兒童青少年傷害流行病學調查結果的影響.方法 對馬鞍山市4523名學生進行1年的傷害主動鑑測,各學校由校醫或健康信息員每天收集學生傷害事件,鑑測時間為2007年11月1日至2008年10月31日.鑑測對象分成3組,每組分彆採用不同的間隔時限進行傷害自我迴顧性報告.結果 4523名學生,全年共髮生傷害事件6350人次,總傷害事件年髮生率為74.2%,男生髮生率(78.6%)高于女生(70.0%),差異有統計學意義(P<0.01).間隔3箇月一次的迴顧性報告傷害年髮生率減低0.02%,傷害次數減少19人次;間隔6箇月一次的迴顧性報告傷害年髮生率減低0.02%,傷害次數減少58人次;12箇月迴顧性調查過去一年內傷害事件髮生情況,傷害年髮生率減低8.8%,傷害次數減少505人次,以3～6歲組和輕度及微小傷害減低更為顯著.結論 間隔3箇月一次和間隔6箇月一次迴顧性報告的傷害年髮生率隻有輕微減低,對傷害信息的穫得較完整;12箇月的迴憶期限,低估瞭傷害的髮生風險;兒童青少年傷害的迴顧時限以6箇月為宜.
목적 탐토불동회고시한대인동청소년상해류행병학조사결과적영향.방법 대마안산시4523명학생진행1년적상해주동감측,각학교유교의혹건강신식원매천수집학생상해사건,감측시간위2007년11월1일지2008년10월31일.감측대상분성3조,매조분별채용불동적간격시한진행상해자아회고성보고.결과 4523명학생,전년공발생상해사건6350인차,총상해사건년발생솔위74.2%,남생발생솔(78.6%)고우녀생(70.0%),차이유통계학의의(P<0.01).간격3개월일차적회고성보고상해년발생솔감저0.02%,상해차수감소19인차;간격6개월일차적회고성보고상해년발생솔감저0.02%,상해차수감소58인차;12개월회고성조사과거일년내상해사건발생정황,상해년발생솔감저8.8%,상해차수감소505인차,이3～6세조화경도급미소상해감저경위현저.결론 간격3개월일차화간격6개월일차회고성보고적상해년발생솔지유경미감저,대상해신식적획득교완정;12개월적회억기한,저고료상해적발생풍험;인동청소년상해적회고시한이6개월위의.
Objective To analyze the influence of different recall time periods on epidemiological survey of injuries among children and adolescents. Methods A study on injuries for 12 months follow-up period was actively surveyed among 4523 pupils selected by cluster sampling from 12 kindergartens, 1 elementary school, 1 junior high school, 1 senior high school and 1 college in Maanshan city in November, 2007 to November, 2008. Injury events were actively surveyed by school doctors or class health workers simultaneously. Participants were divided into three groups, the first group including self-reported injuries by 3-months interval, the second group with self-recalled injuries by 6-months interval and the third group with self-reported injuries in the past 12 months. Validity and reliability of injuries between surveillance injuries and retrospective injuries were compared. Results The overall rate of injury events was 74.2% and injury events and rate was higher in boys than that in girls (P<0.01) , In total, 6350 injury events were registered for the survey. Compare with surveillance findings, the injury rate declined 0.02% and the number of injuries had a 19 person/time reduction from the retrospective injuries by 3-months interval. The injury rate declined 0.02% and number of injuries reduced 58 person/times from the survey of retrospective injuries by 6-month interval. The rate of injuries declined 8.8% and frequencies had a 505 reduction from data of self-reported injuries in the past 12 months. The largest declines were found for the 3 to 6 year-old age group and for minor injuries. Conclusion The 12-month recall period on underestimate injury rates was compared to the 3-month recall periods and 6-month recall periods. Recall periods of 6 months were recommended to be used in injury survey in children and adolescents.
