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目的了解宁夏南部山区居民农业伤害的发生情况及其影响因素,为开展农业伤害的预防控制工作提供科学依据。方法采用多阶段随机抽样的方法抽取宁夏地区西吉、海原、同心3个县的山区居民作为调查对象。结果 4 611人中419例发生了不同类型的农业伤害,伤害的发生率为9.1%;不同性别、年龄、民族、文化程度、婚姻状况、主要职业、农闲时活动、生产方式、伤残程度、是否吃药、服用安眠药、吸烟、饮酒、接受农业安全教育情况、伤害防范措施自我评价的山区居民农业伤害发生情况比较,差异均有统计学意义(均P<0.05);发生农业伤害的外部原因位居前3位的依次是刀/锐器伤184例,占43.9%,机动车伤66例,占15.8%,跌倒/坠落62例,占14.8%;内部原因位居前3位的依次是注意力不集中232例,占55.4%,不知道如何防护76例,占18.1%,其他原因58例,占13.8%;多因素logistic回归分析结果显示,主要职业是学生是宁夏南部山区居民发生农业伤害的危险因素,农闲时从事其他活动,伤残程度重及服用安眠药是发生农业伤害保护因素。结论学生是农业伤害干预的重点人群。
Objective To understand the occurrence and influencing factors of agricultural injury in mountainous areas of southern Ningxia and provide scientific basis for the prevention and control of agricultural injury. Methods A multi-stage random sampling method was used to extract mountain inhabitants from 3 counties in Xiji, Haiyuan and Tongxin of Ningxia as investigation objects. Results 419 out of 4 611 people suffered from different types of agricultural injuries and the incidence of injuries was 9.1%. The incidence of injuries was significantly different among different sexes, ages, nationalities, educational level, marital status, major occupations, activities during slack season, production methods, degree of disability, (All P <0.05); the external causes of agricultural injury occurred; the incidence of agricultural injury in mountainous areas residents who took medicine, taking sleeping pills, smoking, drinking, receiving agricultural safety education, and self-evaluation of injury prevention measures were all statistically significant Among the top three, 184 were knife / sharp injuries, accounting for 43.9%, 66 were motor vehicle injuries, accounting for 15.8%, falling / falling by 62, accounting for 14.8%; the top three internal causes were Inattention 232 cases, accounting for 55.4%, do not know how to protect 76 cases, accounting for 18.1%, 58 cases for other reasons, accounting for 13.8%; multivariate logistic regression analysis showed that the main occupation is students in southern mountainous areas in southern Ningxia agriculture The risk factors of injury, other activities during slack season, severe disability and taking sleeping pills are the protective factors of agricultural injury. Conclusions Students are the key people in agricultural injury intervention.