Current status and influencing factors for unintentional injuries among middle school students
NI Junyu1, YANG Yunjuan1,2
1. School of Public Health, Kunming University of Medical, Kunming, Yunnan 650500, China; 2. Yunnan Provincial Center for Disease Control and Prevention, Kunming, Yunnan 650500, China
Abstract：Objective To investigate the current status and influencing factors of unintentional injuries among middle school students, so as to provide evidence for formulating comprehensive prevention strategies for such injuries. Method as From September to December 2023, middle school students from four prefectures and cities in Yunnan Province were selected as research subjects by multi-stage stratified random cluster sampling. Data including demographic characteristics, depressive symptoms, lifestyle behaviors, family environment and the occurrence of unintentional injuries in the past one year were collected through questionnaire surveys. A multivariable logistic regression model was used to analyze the influencing factors for unintentional injuries among middle school students. Results A total of 4 172 middle school students were enrolled, including 1 962 boys (47.03%) and 2 210 girls (52.97%); 2 294 junior high school students (54.99%) and 1 878 senior high school students (45.01%). A total of 406 students suffered from unintentional injuries in the past year, with an incidence of 9.74%. Multivariable logistic regression analysis showed that boy (OR=1.329, 95%CI: 1.064-1.663), depressive symptoms (OR=1.505, 95%CI: 1.194-1.892), smoking (OR=1.436, 95%CI: 1.110-1.853), drinking alcohol (OR=2.066, 95%CI: 1.622-2.630), moderate and high-intensity physical exercise for 4-7 days per week (OR=1.490, 95%CI: 1.086-2.064) and family conflicts (OR=1.363, 95%CI: 1.064-1.735) were associated with higher risks of unintentional injuries among middle school students. Conclusion Approximately 10% of middle school students in Yunnan Province experienced unintentional injuries, which were correlated with gender, depressive symptoms, lifestyle behaviors and family conflicts.
倪俊煜, 杨云娟. 中学生非故意伤害现况及影响因素分析[J]. 预防医学, 2026, 38(5): 464-467,472.
NI Junyu, YANG Yunjuan. Current status and influencing factors for unintentional injuries among middle school students. Preventive Medicine, 2026, 38(5): 464-467,472.
[1] 吉园依,张宇,刘静,等.四省中学生故意和非故意伤害现状[J].中国学校卫生,2017,38(2):311-313. [2] RAZIK M A,ALSLIMAH F A,ALGHAMDI K S,et al.The severity of fall injuries in Saudi Arabia:a cross-sectional study[J/OL].Pan Afr Med J,2020,36[2026-05-08].http://doi.org/10.11604/pamj.2020.36.152.23944. [3] HUR D G,REN A L,YUE T M,et al.Pediatric trauma center access,regional injury burden,and socioeconomic disadvantage[J].JAMA Surg,2024,159(7):832-833. [4] 王莉.生命历程视角解析儿童青少年伤害危险因素及干预措施[J].中国学校卫生,2020,41(7):961-964. [5] 王伟,万宇辉,郝加虎,等.中学生心理亚健康和手机使用依赖行为的交互作用及与意外伤害的关联[J].中国学校卫生,2018,39(2):181-184. [6] REJAÄN Z,VAN DER VALK I E,BRANJE S.The role of sense of belonging and family structure in adolescent adjustment[J].J Res Adolesc,2022,32(4):1354-1368. [7] RADLOFF L S.The CES-D scale:a self-report depression scale for research in the general population[J].Appl Psychol Meas,1977,1(3):385-401. [8] 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中华预防医学会伤害预防与控制分会第一届第五次常委会通过[J].中华疾病控制杂志,2011,15(1):9. [9] 世界卫生组织.疾病和有关健康问题的国际统计分类:ICD-10[M].北京:人民卫生出版社,2023. [10] 白羽,樊富珉.大学生网络依赖测量工具的修订与应用[J].心理发展与教育,2005(4):99-104. [11] 中华人民共和国教育部办公厅.教育部办公厅关于进一步加强中小学生睡眠管理工作的通知[EB/OL].[2026-05-08].https://www.gov.cn/zhengce/zhengceku/2021-04/02/content_5597443.htm. [12] 林钲皓,覃春容,夏燕,等.深圳市在校中学生意外伤害现况及影响因素研究[J].吉林医学,2018,39(11):2067-2071. [13] 邓美荣,林霞,张振峰,等.中学生伤害发生情况与学校环境调查结果分析[J].中国公共卫生管理,2018,34(6):806-809. [14] 郭刚智,韦丹.2 286例儿童意外伤害的临床分析[J].中国小儿急救医学,2017,24(2):128-131. [15] 韩自华,田纪安,乔毅,等.银川地区10~18岁青少年在校学生意外伤害流行病学现况调查[J].宁夏医学杂志,2020,42(3):283-286. [16] ISMAIL S,ODLAND M L,MALIK A,et al.The relationship between psychosocial circumstances and injuries in adolescents:an analysis of 87 269 individuals from 26 countries using the Global School-based Student Health Survey[J/OL].PLoS Med,2021,18(9)[2026-05-08].http://doi.org/10.1371/journal.pmed.1003722. [17] ABOAGYE R G,MIREKU D O,NSIAH J J,et al.Prevalence and psychosocial factors associated with serious injuries among in-school adolescents in eight sub-Saharan African countries[J/OL].BMC Public Health,2022,22(1)[2026-05-08].http://doi.org/10.1186/s12889-022-13198-6. [18] PELTZER K,PENGPID S.Unintentional injuries and psychosocial correlates among in-school adolescents in Malaysia[J].Int J Environ Res Public Health,2015,12(11):14936-14947. [19] 曾庆勇,许乐为,万德芝,等.江西省中小学生健康危险行为流行现状及影响因素分析[J].中国健康教育,2022,38(3):203-207.
