恩施州某农村留守儿童伤害综合干预效果评价

陶希; 张玲; 向兵; 罗菊; 李妍; 朱长才; 罗昌盛; 朱俊清

doi:10.16462/j.cnki.zhjbkz.2016.03.014

恩施州某农村留守儿童伤害综合干预效果评价

doi: 10.16462/j.cnki.zhjbkz.2016.03.014

陶希¹,
张玲¹,
向兵^1, ,,
罗菊¹,
李妍¹,
朱长才¹,
罗昌盛²,
朱俊清²

1. 武汉科技大学医学院公共卫生学院儿少卫生与妇幼保健学教研室, 湖北武汉 430065;
2. 建始县疾病预防控制中心疾病控制科, 湖北恩施 445300

基金项目:

教育部人文社会科学研究规划基金（13YJAZH104）

详细信息

作者简介:
陶希(1990-),女,湖北黄冈人,在读硕士研究生。主要研究方向:伤害流行病学与儿童青少年健康促进。

中图分类号: R339.31;R181
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- 被引次数: 0
出版历程
- 收稿日期: 2015-11-05
- 修回日期: 2016-01-24

Effectiveness evaluation of comprehensive intervention about injury among the left-behind children in rural area of Enshi

1. Department of Child, Adolescence and Woman Health, School of Public Health, Medical College, Wuhan University of Science and Technology, Wuhan 430065, China;
2. Department of Disease Control, Center for Disease Control and Prevention of Jianshi, Enshi 445300, China

摘要

摘要: 目的探讨综合措施对农村留守儿童伤害干预的效果，为减少农村留守儿童伤害提供依据。方法分层整群抽取恩施某乡镇6所中小学校的3~5年级和7~8年级的留守儿童，以学校为单位随机分为干预组和对照组。对干预组留守儿童开展为期一年的伤害综合干预活动，对照组不进行干预，在干预前后分别进行问卷调查来评价综合干预效果。结果一年后，干预组留守儿童知识得分为（11.53±1.56）分，高于对照组（11.07±2.30）分，差异有统计学意义（t=3.540，P<0.001）；不安全行为得分为（2.64±1.79）分，低于对照组留守儿童（3.48±1.78）分，差异有统计学意义（t=7.070，P<0.001）；有11项指标的知晓率提高，有2项不安全行为的发生率降低，差异均有统计学意义（均有P<0.05）；伤害发生率由23.53%降低至11.69%，差异有统计学意义（χ²=23.127，P<0.001）。结论综合干预可以降低农村留守儿童伤害发生率，是预防留守儿童伤害的有效途径。
- 儿童 /
- 干预性研究 /
- 问卷调查
Abstract: Objective To explore the effectiveness of comprehensive intervention about injury and provide evidence for eliminating injury among the left-behind children in rural area. Methods Left-behind children were recruited from grades 3-5 in 3 primary schools and grades 7-8 in 3 secondary schools of rural Enshi by stratified and cluster sampling and randomly divided into an intervention group and a control group by school. The intervention group was given comprehensive intervention for 1 year, while the control group without any interventions. Before and after the intervention, a questionnaire survey was conducted among the two groups. Results After 1 year, the score of injury knowledge in the intervention group (11.53±1.56) were higher than that of the control group (11.07±2.30), respectively(t=3.540,P<0.001). The score of unsafe behavior in the intervention group (2.64±1.79)were lower than that of the control group (3.48± 1.78), respectively(t=7.070,P<0.001). Awareness rates about 11 indicators of the intervention group were higher and incidence rates about 2 unsafe behaviors of the intervention group were lower than before intervention, and all the differences were statistically significant(all P<0.05). The incidence rate of injury in the intervention group decreased from 23.53% to 11.69% and the difference was statistically significant(χ²=23.127,P<0.001). Conclusions Comprehensive intervention can reduce the incidence rate of injury, which is an effective measure for injury control among the left-behind children.
- Child /
- Intervention studies /
- Questionnaires

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参考文献(15)

World report on child injury prevention: summary. The WHO report [R]. Geneva, 2008.

李小攀,杨黎明,孙乔,等. 基于社区卫生服务中心报告的浦东新区0~14岁儿童伤害情况分析 [J]. 中华疾病控制杂志, 2013,17(10):871-874.

朱丽萍,李艾,陈轶英,等. 农村儿童伤害综合性干预效果评价 [J]. 中国公共卫生, 2012,28(6):754-756.

Pressley JC, Barlow B, Durkin M, et al. A national program for injury prevention in children and adolescents: the injury free coalition for kids [J]. J Urban Health, 2005,82(3):389-402.

罗菊,向兵,丁彦培,等. 汉川市农村留守儿童伤害影响因素分析 [J]. 中国妇幼保健, 2014,29(4): 553-555.

贾改珍,宋龙笛,徐天和,等. 菏泽市东明县农村儿童意外伤害特征及其影响因素研究 [J].中国儿童保健杂志, 2014,22(4):423-426.

全国妇联课题组. 全国农村留守儿童城乡流动儿童状况研究报告 [J]. 中国妇运, 2013, (6):30-34

李志义,郭祖鹏,黄红儿,等. 我国伤害预防与控制的现状 [J]. 中国慢性病预防与控制, 2007,15(2):181-183.

周福林,段成荣. 留守儿童研究综述 [J]. 人口学刊, 2006,(3):60-64,封3.

中华预防医学会伤害预防与控制分会. 关于伤害界定标准的决定 [J]. 中华疾病控制杂志, 2011,15(1):9-10.

王声湧. 伤害研究应着眼于伤害的预防与控制 [J]. 疾病控制杂志, 2001,5(3):193-194.

Bruce B, McGrath P. Group interventions for the prevention of injuries in young children: a systematic review [J]. Inj Prev, 2005,11(3):143-147.

Boufous S, Ali M, Nguyen HT, et al. Child injury prevention in Vietnam: achievements and challenges [J]. Int J Inj Contr Saf Promot, 2012,19(2):123-129.

蓝剑,王萍,韦琳,等. 乡村中小学生伤害综合干预模式效果研究 [J]. 国外医学·医学地理分册, 2011,32(2):106-108

,111.

王虹,林艳,刘一心,等. 深圳市社区儿童伤害监测干预模式的研究 [J]. 中华疾病控制杂志, 2010,14(10):962-964.

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