Abstract:Objective To investigate the incidence and influencing factors of injury behavior among junior middle school students in Guang’an City so as to provide evidence for conducting effective intervention measures. Methods A stratified cluster random sampling method was used to select 1,103 students from Grade-one to Grade-three in 4 junior middle schools in Guang’an City in April, 2014. An anonymous self-administered questionnaire survey was conducted by using the Chinese Adolescent Health-related Behavior Questionnaire (junior middle school version), and the incidence rates of injuries and injury-related behavior and their influencing factors were analyzed. Results A total of 1,069 effective questionnaires were retrieved, with the effective rate being 96.9%. The incidence rate of injuries in the respondents was 20.7%, and it was slightly higher in the boys (22.4%) than in the girls (18.9%) as well as higher in Grade-one junior middle school students (24.7%) than in Grade-two (18.5%) and Grade-three (18.8%) ones, but no statistically significant differences were observed between genders and among grades (all P>0.05). The top 6 injury-related behavior was fighting with others (34.9%), the thought of staying away from home (26.7%), feeling depressed (24.8%), walking violation (20.4%), suicidal ideation (19.2%) and swimming in unsafe places (13.8%). Fighting with others and swimming in unsafe places were significantly commoner in the boys than in the girls, while suicidal ideation was significantly higher in the girls than in the boys (all P<0.05). The most common reasons of injuries were falling (19.4%) and collision (15.7%). Injuries from fighting occurred more commonly in boys, but injuries from self-injury occurred more commonly in girls, both showing statistically significant differences (P<0.05). The most frequent results of injuries were cut (5.3%) and bone-joint injuries (5.2%). In unintentional injury behavior, cycling violation and unsafe swimming behavior more easily led to injuries, showing statistically significant differences as compared with the respondents without the above-mentioned behavior (both P<0.05). In intentional injury behavior, violence and campus violence inclination, suicide or runaway behavior and suicide or runaway-related psychological issues/barriers more easily led to injuries, showing statistically significant differences as compared with the respondents without the above-mentioned behavior (all P<0.05). Unconditioned logistic regression analysis showed that staying away from home (OR=2.452, 95%CI:1.403-4.283, P=0.002), being isolated (OR=2.349, 95%CI:1.145-4.821, P=0.020), being laughed at maliciously (OR=2.173, 95%CI:1.214-3.892, P=0.009), fighting with others (OR=1.501, 95%CI:1.092-2.062, P=0.012) and feeling depressed (OR=1.462, 95%CI:1.039-2.058, P=0.029) more easily led to injuries. Conclusions The incidence rates of injuries in the junior middle school students in Guang’an City are lower than those of the well-developed cities. Staying away from home, being isolated, being laughed at maliciously, fighting with others and feeling depressed can more easily lead to injuries. Schools and families should attach more importance to psychological coping and violence prevention education of junior middle school students, and help them establish a good relationship with family and friends so as to prevent and reduce injuries in junior middle school students.
林潋, 李健, 宋湛, 彭波, 李玉梅. 2014年广安市初中生伤害行为现状及影响因素分析[J]. 实用预防医学, 2017, 24(7): 819-822.
LIN Lian, LI Jian, SONG Zhan, PENG Bo, LI Yu-mei. Current status of injury behavior and its influencing factors amongjunior middle school students in Guang’an City, 2014. , 2017, 24(7): 819-822.