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2012–2013年湖北省32所小学学生因伤缺勤情况的分析
作者:谭莉 严薇荣 王迎 范允舟 江洪波 杨雯雯 聂绍发

摘要:

目的分析20122013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21 493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20122013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RR95%CI)值分析小学生伤害的危险因素。结果20122013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%(98/21 493),农村小学学生(RR=2.3295%CI: 1.46~3.70)、男生(RR=1.8895%CI: 1.23~2.87)和3~4年级学生(RR=1.8595%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20122013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。

关键词:缺勤;流行病学研究;青少年;伤害

Abstract:

ObjectiveTo 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.MethodsA 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.ResultsThe 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.ConclusionThe 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.

Key words: Absenteeism;Epidemiologic studies;Adolescent;Injuries

发表日期:2014/9

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