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预防医学  2016, Vol. 28 Issue (11): 1098-1102    
  论著 本期目录 | 过刊浏览 | 高级检索 |
宁波市流动儿童溺水综合干预效果评价
朱银潮1, 李辉1, 黄亚琴2, 丁可3, 周逸夫2, 王慧3, 陈洁平1, 张涛1
1.宁波市疾病预防控制中心,浙江 宁波 315010;
2.宁波市江北区疾病预防控制中心;
3.宁波市鄞州区疾病预防控制中心
An effect evaluation on the model of integrated drowning interventionsfor the floating children in Ningbo City
ZHU Yin-chao, LI Hui, HUANG Ya-qin, DING Ke, ZHOU Yi-fu, WANG Hui, CHEN Jie-ping, ZHANG Tao
The Center for Disease Control and Prevention of Ningbo City, Ningbo,Zhejiang, 315010, China
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摘要 目的 评价2013—2015年宁波市流动儿童溺水综合干预效果,为预防儿童溺水提供依据。方法 采用多阶段整群抽样方法,从宁波市江北区和鄞州区分别抽取4所外来民工子弟学校1~9年级所有学生。以江北区为干预组,实施基于生态学模型建立的溺水综合干预;以鄞州区为对照组。分别于干预前和干预2年后进行基线和终期问卷调查,比较两组非致死性溺水发生率,评价综合干预效果。结果 基线和终期分别回收有效问卷7 736份和7 730份。干预组学生干预后非致死性溺水发生率为4.45%,低于基线的13.12%(P<0.01);对照组学生终期非致死性溺水发生率为7.47%,与基线的6.90%比较,差异无统计学意义(P=0.344)。多因素Logistic回归分析显示,接受综合干预的流动儿童发生非致死性溺水的危险性是未干预儿童的0.762倍(OR=0.762,95% CI:0.691~0.840)。结论 基于生态学模型的溺水综合干预对预防儿童溺水效果明显,具有推广价值。
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朱银潮
李辉
黄亚琴
丁可
周逸夫
王慧
陈洁平
张涛
关键词 溺水流动儿童综合干预效果评价    
AbstractObjective This study aimed to evaluate the model of integrated drowning interventions for the floating children in Ningbo City.Methods A two-year program of integrated drowning intervention had been carried out in Ningbo City since 2013, and the floating children in Jiangbei District and Yinzhou District were selected as the experiment and control group respectively. Baseline and final survey was all conducted in these two groups. A total of 7 736 and 7730 students from 1st-9th grade in the Migrant Workers' Children Schools were recruited by multi-stage random sampling and surveyed by the self-reported questionnaires in these two surveys respectively. The unconditional logistic regression model was adopted mainly for the multivariate analysis.Results The incidence rate of non-fatal drowning for the floating children in the experiment group after intervention was 4.45%, being significantly lower than 13.12% before intervention (χ2=188.293,P<0.001). While the incidence rate of non-fatal drowning in the control group after intervention was 7.47%, having no significant difference with 6.90% before intervention (χ2=0.896,P=0.344). And the probability of non-fatal drowning for the intervention group was 0.762 time of the control group. Conclusion The model of integrated drowning interventions, based on the ecological approach and initiated by Ningbo, was proven to be effective and worth popularizing.
Key wordsDrowning    Floating children    Effect evaluation    Health promotion
收稿日期: 2016-04-21          
中图分类号:  R179  
基金资助:宁波市科技惠民项目(2016C51009)
通信作者: 张涛,E-mailzhangt@nbcdc.org.cn   
作者简介: 朱银潮,硕士,副主任医师,主要从事伤害监测和预防工作
引用本文:   
朱银潮, 李辉, 黄亚琴, 丁可, 周逸夫, 王慧, 陈洁平, 张涛. 宁波市流动儿童溺水综合干预效果评价[J]. 预防医学, 2016, 28(11): 1098-1102.
ZHU Yin-chao, LI Hui, HUANG Ya-qin, DING Ke, ZHOU Yi-fu, WANG Hui, CHEN Jie-ping, ZHANG Tao. An effect evaluation on the model of integrated drowning interventionsfor the floating children in Ningbo City. Preventive Medicine, 2016, 28(11): 1098-1102.
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