首页|大连市2018-2020年学生肢体暴力伤害监测病例特征分析

大连市2018-2020年学生肢体暴力伤害监测病例特征分析

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目的 了解大连市学生肢体暴力伤害流行特征,为制定学生群体肢体暴力伤害防控策略提供依据。方法 分析2018-2022年大连市医院伤害监测系统收集的学生肢体暴力伤害数据,采用描述性流行病学方法分析其特征并计算构成比,采用x2检验进行组间比较。结果 共报告在校生肢体暴力伤害病例1 413例,男女性别比为4。12:1。各年度在校学生肢体暴力伤害报告数由2018年的414例下降到2022年的209例;高中/中专阶段病例占比最高(40。13%);各月份均有伤害发生,6,10和11月报告病例最多,共占33。97%;伤害原因主要为钝器伤和跌倒/坠落,分别占70。06%和23。35%,其中男生钝器伤占比(71。24%)高于女生(65。22%),差异有统计学意义(x2=3。84,P<0。05);伤害发生时的活动以休闲活动为主,占75。58%;伤害发生地点主要集中在学校和公路/街道,分别占51。52%和23。35%;伤害性质主要为挫伤/擦伤和锐器开放伤,分别占67。16%和22。29%;伤害部位主要集中在头部,占59。52%;伤害严重程度以轻度和中度为主,分别占72。26%和27。60%。结论 学校是学生肢体暴力伤害主要发生地点,男生和中学生是重点防控人群。应开展有针对性的干预措施,有效降低学生肢体暴力伤害的发生。
Analysis of case characteristics of physical assault injuries surveillance among students in Dalian,2018-2020
Objective To understand the epidemiological characteristics of physical assault injuries among students in Dalian,so as to provide evidence for the prevention and control of physical assault injuries among students.Methods Data of student phys-ical assault injuries came from the Dalian Hospital Injury Monitoring System from 2018 to 2022,descriptive epidemiological methods and Chi-square tests were used for statistical analysis.Results A total of 1 413 cases of physical assault injuries among students were reported,and the sex ratio between male and female was 4.12∶1.The number of reported physical assault injuries dropped from 414 cases in 2018 to 209 cases in 2022.The group of senior middle school/secondary vocational school had the highest propor-tion of cases(40.13%).Injuries occurred in all months,with the highest number of reported cases in June,October,and Novem-ber,accounting for 33.97%.The main causes of injuries were blunt instrument injuries and falls,accounting for 70.06%and 23.35%respectively.The proportion of male(71.24%)was significantly higher than female(65.22%)in blunt instrument injuries(x2=3.84,P<0.05).Nearly 75.58%of injuries occurred during leisure time.The main locations of injuries took place in schools and roads,accounting for 51.52%and 23.35%respectively.Contusions and sharp instrument injuries were one of the most common types of injuries,accounting for 67.16%and 22.29%respectively.The main area of injury was concentrated in the head,account-ing for 59.52%.Most of injuries were mild and moderate,accounting for 72.26%and 27.60%,respectively.Conclusions Schools are the main location for physical assault injuries among students,with boys and middle school students being the most vulnerable populations.Targeted intervention measures should be implemented to effectively reduce the occurrence of physical assault injuries among students.

ViolenceWounds and injuriesPopulation surveillanceStudents

周毅恒、张瑜、林红

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辽宁省大连市疾病预防控制中心慢性非传染性疾病防制科,116037

暴力 创伤和损伤 人群监测 学生

大连市医学科学研究计划

1722013

2024

中国学校卫生
中华预防医学会

中国学校卫生

CSTPCD北大核心
影响因子:1.423
ISSN:1000-9817
年,卷(期):2024.45(4)
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