| Objective:To provide scientific evidence for formulating measures of protecting high schools students from accidental injury and reducing the harm of accidental injury in Huangpu District, Shanghai.Methods:Information of524students Injury Report Card was collected from2006to2010.240students,1:1matched by gender, age and class, were assigned into case and control groups for investigation of accidental injury related risk factors On-site Observation method was applied to all schools. Stratified random sampling was used to select interviewers, such as head teachers, PE teachers, health teachers and leaders in charge, for group and in-depth interview. Quantitative data such as questionnaires was recorded into Epidata and analyzed by SPSS. Qualitative data such as group interview was generically analyzed.Results:1. High School Student Accidental Injury Occurrence State QuoThe average incidence rate of accidental injury among high school student was4.09%o in Huangpu District between2006and2010, and the rate was higher in boys than in girls. Injuries were occurred mostly during the time of class and class break and were reported in each semester. The main sites were schools, home and other public places. The top three activities when injuries occurred were recreation, physical activity and daily living activities.The top five causes were fall, collision and crush injury, hit/kick/twist/bite/scratch injury, knife or sharp injury and traffic accident. Fracture, and dislocation, sprain and strain injuries were the leading injury types. Distal extremities, extremities and head-face were the main parts occurred.2. Risk factors of high school students accidental injury According to the comparison between case group and control group, statistical differences were observed in the following factors by univariate analysis:marital status of parents, BMI of students, sleep quality, school performance,"think twice before taking action" and "be nervous for something ought not to have done or said", climbing dangerous places such as roofs, fighting with others, drinking, sporting without any warming-up, sporting with tiredness, trying difficult movements without guidance, trying instrument movement without protection, unsafe traffic behavior such as running through the red light and walking out of the sidewalks. Multivariate analysis led to results that the risk of injury increased1.602times with every increased unit in BMI; students with poor sleep quality were1.913times more likely to get injured compared with good sleep quality students; and students who were not nervous about their behavior mistakes were2.784times more likely to get injured compared with those who were.3. The status quo of high school accidental injury preventionSchools have formulated certain procedures for preventing accidental injury, conducted health education and surveillances on accidental injury, and have equipped with the emergency handling capacity. However the environmental observation showed that,87.5%of the schools opened their gates towards the main road;58.33%had no deceleration strip outside the gates;33.33%had mobile stands around which sold fried foods;33.33%had no protection facilities such as plastic tracks in playground;37.50%had fixed placement for their protective equipment;20.83%occurred with students chasing, fighting and quarrelling during class break;62.50%had teachers patrolling during the class break;20.83%occurred with students running around;70.83%had safety warning signs.Interviewees considered that the status quo of accidental injury among students were identical with the investigation results that the injuries had certain impact on students, families and schools. The main causes were students’ poor physique, inadequate warming-up before sports and poor self-protection awareness. To prevent accidental injury among students, social media appeal should be promoted and the public opinions should be guided into correct orientation. Not only the schools but also the multi-departments should be involved.Conclusion:The inclusion criteria of accidental injury surveillance should be further unified and the missing reports should be controlled. There were some certain epidemiology characters of accidental injuries among high school students, factors such as marital status of parents, physical and mental health of students, personal dangerous behaviors and unsafe traffic behaviors were related with the occurrence of accidental injury. Currently, there remain some problems in the injury prevention in high schools in Huangpu District. Improvements are required regarding the implementation and management of regulations, improvement of health education forms, perfection of the surveillance system, and elimination of the potential risks. |
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