目的 了解遵义市农村地区学龄儿童遭意外动物致伤的流行学现况并探索相关其危险因素。方法 采用三阶段分层整群抽样方法, 随机抽取3个区县中7所学校共52个班级的中小学生2 854人进行问卷调查。结果 调查人群中共477人发生意外伤害, 其中动物致伤人数98人(占20.55%);受伤比例男生高于女生;男女比例为1.39∶1;受伤部位以脚/腿最多, 占51.02%, 其次为手掌/手臂占37.76%;致伤后只有43.88%及时到急诊室/门诊就诊。结论 儿童、青少年是被动物咬伤高危人群。应在学校、社区大力开展防治动物致伤的宣教活动以预防动物致伤的危害, 相关部门应加大对动物的制度化管理, 并将动物致伤纳入学校安全的常规教育内容中。
Abstract
Objective To explore the epidemic situation and related risk factors of animal-related injury among the school-age children in rural Zunyi. Method A total of 2 854 students were recruited from 52 classes, 7 schools of 3 counties using a 3-stage stratified cluster sampling method. Results A total of 477 rural children were injured, in which 98 children (20.55%) were the animal-related injuries; and among them boys was more than girls, the gender ratio was 1.39∶1; the injured part of the feet & legs was 51.02%, followed by the hands & arms (37.76%); only 43.88% of them went to the emergency room/clinic after the injury. Conclusions Children are vulnerable to animal-related injuries.More animal-related injury prevention and treatment activities should be conducted in schools and community to prevent and reduce the animal-related injuries, moreover, the relevant departments should give more supervision on animals and put animal-related injuries education into the school safety course.
关键词
动物致伤 /
农村儿童 /
调查
Key words
animal-related injury /
rural children /
survey
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参考文献
[1] 王声湧.中国伤害研究和伤害控制工作的进展[J].伤害医学(电子版), 2012, 1(1):1-6.
[2] Blum RW, Nelson-Mmari K.The health of young people in a global context[J].Journal of Adolescent Health, 2004, 35(5):402-418.
[3] 张铁道.安全小卫士儿童伤害预防学生手册[M].北京:教育科学出版社, 2007:1-10.
[4] 孙媛媛, 吕陈灏, 王卫卫, 等.我国儿童意外伤害干预研究现状分析[J].医学与社会, 2013, 26(4):60-62.
[5] 吴运凤.剑河县1105例动物致伤者流行病学分析[J].中国农村卫生事业管理, 2013, 33(7):778-780.
[6] Boland M, Staines A, Fitzpatrick P, et al.Urban-rural variation in mortality and hospital admission rates for unintentional injury in Ireland[J].Journal of Epidemiology and Community Health, 2005, 59(7):557-557.
[7] 季成叶.青少年健康危险行为预防[J].中国健康教育, 2004, 20(5):415-417.
[8] 金锦扬.江西省儿童动物致伤流行病学调查[J].实用预防医学, 2012, 19(7):1005-1007.
[9] 沈超华, 陈青山, 曾育富.2011-2012 年广东省五华县狂犬病暴露人群监测分析[J].职业与健康, 2013, 29(17):2183-2184.
[10] 叶发忠, 钟璋平, 李苑, 等.深圳市宝安区2004~2005年动物致伤的特征分析[J].预防医学论坛, 2006, 12(1):98-99.
[11] 朱理业, 周华涛, 刘奇泉, 等.5738例狂犬病暴露者流行病学监测分析[J].安徽预防医学杂志, 2006, 12(6):365-366.
[12] 俞永新.狂犬病和狂犬病疫苗[M].北京:中国医药科技出版社, 2001
基金
国家自然科学基金(81160350);贵州省优秀科技教育人才省长专项资金(2011-55)