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大学生意外伤害影响因素的配对病例对照研究 被引量:13

Injury-related factors in college students: a paired case-control study
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摘要 目的探讨大学生发生意外伤害的危险因素,为制定有效的干预措施提供依据。方法整群抽取山东济南某大学1 929名学生,将其2006年度发生伤害的全部学生280例(男115例、女165例)作为病例组,同时在1 929名学生中抽取与病例性别、年龄、系部、民族相同的未发生伤害的学生280例作为对照组,进行1∶1病例对照研究;资料分析采用单因素和多因素条件Logistic回归分析。结果大学生伤害发生率为14.52%,以跌落/碰撞伤的发生率最高(40.71%)。经单因素和多因素条件Logistic回归分析,影响学生伤害的危险因素是非独生子女(OR=1.718,95%CI:1.252~2.357)、父亲文化程度低(OR=1.282,95%CI:1.055~1.568)、神经性维度得分高(OR=1.121,95%CI:1.087~1.156);保护因素依次为母亲职业为教师或医生(OR=0.732,95%CI:0.619~0.865)、精神稳定性维度低(OR=0.975,95%CI:0.954~0.997)。结论母亲职业为教师或医生、精神稳定性维度低为大学生意外伤害的有效保护因素;非独生子女、父亲文化程度低、神经性维度得分高是危险因素。建议针对学生的人格特点和危险因素采取有效措施,开展健康教育,提高预防意识,减少伤害的发生。 ~: Objective To explore the risk and protective factors of injuries among college students. Methods A total of 1 929 students were investigated by cluster sampling, 280 students with injuries in 2006 served as the experimental group and 280 1 : 1 matched students without injuries served as the control group. The 280 students without injury as controls were randomly selected by the same gender, age, depamr^nt and nation as students with injuries. Data were analyzed by conditional univariate and multivariate logistic regress/on analyses. Results The incidence ratio of injury in college students was 14.52%, and that of fall/col- lision injury was the highest (40.71%). non-only child, father with low education and high nervous latitude score were risk factors and the OR values were respectively 1.718(95% CI: 1.252~2.357), 1.282 (95% CI: 1.055~1.568) and 1.121(95% CI:1.087~1.156), and maternal occupation and low latitude stability score were protective factors and the OR values were 0.732 (95% CI:0.619~0.865) and 0.975(95% CI:0.954~0.997). Conclusion College policy-makers should develop effective measurements to reduce health-risk behaviors with family and society and promote students' self-protective
出处 《山东大学学报(医学版)》 CAS 北大核心 2008年第8期812-814,818,共4页 Journal of Shandong University:Health Sciences
关键词 大学生 创伤和损伤 危险因素 病例对照研究 College students Wounds and injures Risk factors Case-control study
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