CAJ | 학술논문

目的：分析2012-2013年湖北省小学生因伤缺勤情况，为伤害防控工作提供理论依据。方法以湖北省潜江市和沙洋县为研究地区，共监测32所小学，总监测人数为21493名；监测内容包括缺勤日期、性别、班级、初次（连续）缺勤和具体缺勤原因；伤害分类主要参照WHO《国际疾病分类ICD-10》；从监测系统中导出2012-2013学年期间共182 d（秋季学期98 d，春季学期84 d）的因伤缺勤数据进行分析，采用χ2检验进行不同特征小学生每日缺勤率和伤害发生率的比较，并通过计算RR（95％CI）值分析小学生伤害的危险因素。结果2012-2013年湖北省32所小学学生因伤每日缺勤率为8.26/10万，秋季学期（9.16/10万）、潜江地区（9.63/10万）、村级小学（13.44/10万）、男生（9.57/10万）、1～2年级学生（10.41/10万）因伤每日缺勤率较高，且差异均具有统计学意义（P＜0.05）；伤害总发生率为0.46％（98/21493），农村小学学生（RR＝2.32，95％CI：1.46～3.70）、男生（RR＝1.88，95％CI：1.23～2.87）和3～4年级学生（RR＝1.85，95％CI：1.10～3.09）分别较县（市）小学学生、女生和5～6年级学生易发生伤害。结论2012-2013年湖北省农村小学、男生及低中年级学生因伤缺勤率和伤害发生率较高，应针对此部分学生进行重点监测和防控。
목적：분석2012-2013년호북성소학생인상결근정황，위상해방공공작제공이론의거。방법이호북성잠강시화사양현위연구지구，공감측32소소학，총감측인수위21493명；감측내용포괄결근일기、성별、반급、초차（련속）결근화구체결근원인；상해분류주요삼조WHO《국제질병분류ICD-10》；종감측계통중도출2012-2013학년기간공182 d（추계학기98 d，춘계학기84 d）적인상결근수거진행분석，채용χ2검험진행불동특정소학생매일결근솔화상해발생솔적비교，병통과계산RR（95％CI）치분석소학생상해적위험인소。결과2012-2013년호북성32소소학학생인상매일결근솔위8.26/10만，추계학기（9.16/10만）、잠강지구（9.63/10만）、촌급소학（13.44/10만）、남생（9.57/10만）、1～2년급학생（10.41/10만）인상매일결근솔교고，차차이균구유통계학의의（P＜0.05）；상해총발생솔위0.46％（98/21493），농촌소학학생（RR＝2.32，95％CI：1.46～3.70）、남생（RR＝1.88，95％CI：1.23～2.87）화3～4년급학생（RR＝1.85，95％CI：1.10～3.09）분별교현（시）소학학생、녀생화5～6년급학생역발생상해。결론2012-2013년호북성농촌소학、남생급저중년급학생인상결근솔화상해발생솔교고，응침대차부분학생진행중점감측화방공。
Objective To analyze absentees due to injury among primary school pupils in Hubei , 2012-2013;and to provide theoretical basis for the prevention and control of injuries.Methods A total of 32 primary schools in Qianjiang city and Shayang county were sampled to conduct injury absenteeism surveillance , and the total number of students was 21 493.The surveillance contents included absent dates , genders, grades, initial or return absent , and the detailed absent reasons.The classification of injury was based on the 10th Revision of the international classification of diseases developed by WHO.Data from 2012-2013 school-year were extracted from the surveillance system for analysis.The total surveillance period was 182 days, of which the fall semester was 98 days and the spring semester was 84 days.The absenteeism rate and injury rate in different characteristics of primary school students were compared by χ2 test, and the possible risk factors of injury were preliminary explored by calculating the RR ( 95%CI ) value.Results The total daily injury absenteeism rate was 8.26/100 100 during 2012-2013 school-year in 32 primary schools in Hubei province , which was higher in fall semester ( 9.16/100 000 ) , Qianjiang area ( 9.63/100 000), rural primary schools (13.44/100 000), boys (9.57/100 000), 1-2 grades (10.41/100 000), and the differences were significant ( P<0.05 ).The total injury rate was 0.46%.Rural primary schools (RR=2.32, 95%CI:1.46-3.70), boys (RR=1.88, 95%CI:1.23-2.87), and 3-4 grades (RR=1.85, 95%CI:1.10-3.09) were identified as high-risk factors, while using city primary schools , girls, and 5-6 grades as references , respectively.Conclusion The injury absenteeism rate and injury rate were more higher in rural primary schools , boys and low or middle grades in Hubei province during 2012 to 2013 school year, so monitoring and preventive measures should be focused on those students .