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目的分析台山市在校青少年伤害相关危险行为的流行特征,为进一步制定有针对性的预防和干预措施提供科学依据。方法于2010年和2013年年底开展调查,每次调查均采用多阶段分层随机、整群抽样,随机抽取台山市重点初中、普通初中、重点高中、普通高中和职业高中各1所,采用广东省统一编制的《广东青少年健康危险行为监测调查表》进行调查。调查内容主要有非故意伤害行为和故意伤害行为等。结果台山市在校青少年伤害危险行为发生率的前3位为感到孤独、受到欺辱和行人违章,分别为77.49%、64.12%和59.24%。与2010年相比,2013年男生骑车违章和感到孤独行为发生率上升,而女生想离家出走行为发生率上升;初中学生骑车违章和想离家出走行为发生率上升,高中学生行人违章和感到孤独行为发生率上升,而职业高中学生想离家出走行为发生率上升,以上差异均有统计学意义(P<0.05)。2010年和2013年严重伤害总发生率分别为15.84%和22.50%,严重伤害发生率呈现上升的趋势,差异有统计学意义(P<0.05)。结论台山市在校青少年中存在多种容易导致伤害的危险行为,部分伤害行为发生率呈现上升趋势,并导致严重伤害发生率上升,应针对不同性别、不同年龄或学校采取有针对性的有效预防措施,减少伤害特别是再发伤害的发生。
Objective To analyze the epidemiological characteristics of harm-related behaviors among adolescents at school in Taishan, and to provide scientific evidence for the further development of targeted prevention and intervention measures. Methods The survey was carried out in 2010 and the end of 2013. Each survey was conducted in a stratified randomized, multistage cluster sampling and randomly selected one Taishan key junior high school, junior middle school, key high school, ordinary high school and vocational high school. Provincial unified preparation of “Guangdong Youth Health Dangerous Behavior Surveillance Survey” to investigate. The investigation mainly involved unintentional injuries and intentional injuries. Results The top 3 teenagers in Taishan City were found to be lonely, insulted and abused by pedestrians. They were 77.49%, 64.12% and 59.24% respectively. Compared with 2010, boys’ incidence of illegal riding and feeling lonely increased in 2013, while the incidence of girls wanting to run away from home increased; the incidence of bicycle riding violations and wanting to run away from home by junior high school students increased, (P <0.05). However, the prevalence rate of occupational high school students who wanted to leave home was significantly higher than that of the high school students (P <0.05). The total incidence of serious injuries in 2010 and 2013 were 15.84% and 22.50%, respectively. The incidence of serious injury tended to increase with a significant difference (P <0.05). Conclusion There are many kinds of risk behaviors in Taishan school-aged adolescents which may easily lead to injury. The incidence of some of the injuries is on the rise and the incidence of serious injuries is increased. Targeted and effective preventive measures should be taken for different genders, different ages or schools Measures to reduce the injury, especially the recurrence of injury.