Associated factors of environmental health in primary and secondary schools in Beijing from 2017 to 2020
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摘要:
目的 了解北京市中小学校教学生活环境现状,为针对存在的问题开始干预行动提供依据。 方法 2017—2020年每年下半年对北京市16个区年平均92所学校开展卫生状况调查,调查内容包括学校饮用水、食堂、厕所、宿舍管理和设备配置。同时对部分学校教室环境进行检测,每所学校抽取6间教室,检测内容包括教室人均面积、课桌椅分配符合率、黑板反射比、课桌面平均照度和均匀度、黑板平均照度和均匀度、噪声。 结果 2017—2020年调查学校提供饮用水的方式主要以使用净水器或直饮水为主,2020年达到85.1%。城区学校建立学生食堂的比例不断增加,2020年90.5%的学校建设了食堂,郊区学校变化不大。学校厕所配置肥皂比例明显增加,2020年有92.0%的学校厕所全部配备肥皂。学生宿舍人均面积 < 3 m2的比例逐年下降,2020年全部达标。教室人均面积、课桌面平均照度和均匀度、噪声合格率均高于80%,黑板平均照度和均匀度、黑板反射比、课桌椅分配符合的合格率低于80%。 结论 近年来北京市教学生活环境有所改善,但仍存在一定问题。 Abstract:Objective To understand the current situation of teaching and living environment in primary and secondary schools in Beijing and to provide basis for further intervention. Methods According to the national plan, an annual average of 92 schools in 16 districts of Beijing were investigated from 2017 to 2020, including school drinking water, canteen, toilet, dormitory management and equipment allocation. Classroom environment of some schools were tested, including the per capita area of classrooms, the agreement rate of desks and chairs distribution, blackboard reflectance, the average illumination and uniformity of desks, the average illumination and uniformity of blackboards, and noise. Results From 2017 to 2020, most of schools provided water purifiers and direct drinking water, accounting for 85.1% of all investigated schools. The proportion of students' canteens in urban schools was increasing, accounting for 90.5% of all schools in 2020. And there was little change in suburban schools, reaching 85.1% in 2020. The proportion of school toilets equipped with soap increased significantly, 92.0% of school toilets were equipped with soap in 2020. The proportion of student dormitories with a per capita area of less than 3 m2 decreased by year, and all reached the standard in 2020. The qualified rates of various classroom testing indicators, including per capita area in classroom, desk illumination uniformity, and noises, were higher than 80%, while the qualified rates of the blackboard illumination uniformity, desk allotment were lower than 80%. Conclusion The teaching and living environment in Beijing has improved in recent years, but there are still some problems need to be solved. 1) 利益冲突声明 所有作者声明无利益冲突。 -
表 1 北京市2017—2020年学校为学生提供饮用水方式比较
Table 1. Comparison of the ways of Beijing schools will provide drinking water for students in 2017-2020
年份 学校数 开水 桶装水 自己带水 净水器 直饮水 净水/直饮 2017 88 32(36.4) 4(4.5) 14(15.9) 46(52.3) 22(25.0) 65(73.9) 2018 82 28(34.1) 2(2.4) 14(17.1) 28(34.1) 51(62.2) 73(89.0) 2019 100 37(37.0) 1(1.0) 15(15.0) 34(34.0) 47(47.0) 77(77.0) 2020 101 37(36.6) 1(1.0) 25(24.8) 24(23.8) 67(66.3) 86(85.1) χ2值 0.19 3.70 3.95 17.03 39.14 8.55 P值 0.98 0.30 0.27 < 0.05 < 0.05 < 0.05 注: ()内数字为报告率/%。 表 2 北京市2017—2020年学校宿舍建设报告率比较
Table 2. Comparison of school dormitory construction in Beijing from 2017 to 2020
年份 学校数 学校有地下或半地下宿舍 宿舍床铺安排并床现象 男女生宿舍分区/单元布置 人均面积<3 m2 2017 41 0 1(2.7) 39(95.1) 6(14.6) 2018 34 1(2.9) 1(2.9) 34(100.0) 6(18.2) 2019 40 2(5.0) 1(2.5) 39(97.5) 2(5.0) 2020 43 2(4.7) 3(7.0) 42(97.7) 0 χ2值 2.61 1.58 1.79 10.62 P值 0.46 0.66 0.62 0.01 注: ()内数字为报告率/%。 表 3 北京市2017—2020年学生宿舍的功能分区比较
Table 3. Comparison of functional zoning of student dormitories in Beijing from 2017 to 2020
年份 学校数 管理室 盥洗室 厕所 贮藏室和清洁用具室 2017 41 38(92.7) 39(95.1) 39(95.1) 23(56.1) 2018 34 30(88.2) 31(91.2) 32(94.2) 21(61.8) 2019 40 33(82.5) 39(97.5) 40(100.0) 29(72.5) 2020 43 42(97.7) 42(97.7) 41(95.3) 32(74.4) χ2值 11.09 2.64 3.44 3.98 P值 < 0.05 0.45 0.33 0.26 注: ()内数字为报告率/%。 表 4 北京市2017—2020年学校教室环境监测合格率比较
Table 4. Comparison of qualified rate of school classroom environmental monitoring in Beijing from 2017 to 2020
年份 教室数 教室人均面积 课桌分配符合率达80% 课椅分配符合率达80% 课桌椅分配均符合达80% 黑板反射比 黑板平均照度 黑板照度均匀度 课桌面平均照度 课桌面照度均匀度 噪声 2017 288 237(82.3) - - 177(61.5) 130(45.8) 155(53.8) 177(61.5) 246(85.4) 256(88.9) 280(97.2) 2018 306 271(88.6) 205(68.3) 201(67.0) - 106(34.6) 143(46.7) 208(68.0) 266(86.9) 238(77.8) 302(98.7) 2019 600 535(89.2) 375(65.9) 352(62.2) 307(54.0) 271(45.6) 305(51.3) 345(58.1) 474(79.0) 548(91.3) 540(90.0) 2020 606 538(88.8) 426(72.4) 422(71.8) 376(64.0) 285(47.8) 348(58.4) 344(57.7) 513(84.7) 529(87.3) 588(97.3) χ2值 9.93 8.27 16.08 16.82 13.62 10.77 12.45 12.58 34.3 48.6 P值 < 0.05 < 0.05 < 0.05 < 0.05 < 0.05 < 0.05 < 0.05 < 0.05 < 0.05 < 0.05 注: ()内数字为合格率/%;“-”未检测。2019年有31间教室是走班教室, 未测量课桌椅型号; 6间教室黑板为白板等,不做黑板反射比、黑板照度和均匀度测量;2020年有18间教室是走班教室, 未测量课桌椅型号; 10间教室黑板为白板等,不做黑板反射比、黑板照度和均匀度测量。 -
[1] 国家卫生健康委员会疾控局, 北京大学儿童青少年卫生研究所. 2020年全国学生常见病和健康影响因素监测与干预工作手册[Z]. 北京, 2020.Disease Control Bureau of National Health Commission of the PRC, Institute of Child and Adolescent Health, Peking University. Manual for monitoring and intervention of common diseases and health influencing factors among students in 2020[Z]. Beijing, 2020. [2] 卫生部. 学校卫生综合评价: GB/T 18205-2012[S]. 北京: 中国标准化出版社, 2013.Ministry of Health of the PRC. Comprehensive appraisement for health in schools: GB/T 18205-2012[S]. Beijing: China Standardization press, 2013. [3] 国家质量监督检验检疫总局. 照明测量方法: GB/T 5700—2008[S]. 北京: 中国标准化出版社, 2008.General Administration of Quality Supervision, Inspection and Quarantine of the PRC. Measurement methods for lighting: GB/T 5700-2008[S]. Beijing: China Standardization Press, 2008. [4] 国家质量监督检验检疫总局. 公共场所卫生检验方法第一部分: 物理因素: GB/T 18204.1—2013[S]. 北京: 中国标准化出版社, 2014.General Administration of Quality Supervision, Inspection and Quarantine of the PRC. Examination methods for public places-Part1: Physical parameters: GB/T 18204.1-2013[S]. Beijing: China Standardization press, 2014. [5] 国家住房和城乡建设部. 中小学校设计规范: GB 50099—2011[S]. 北京: 中国建筑工业出版社, 2012.Ministry of Housing and Urban Rural Development of the PRC. Code for design of school: GB 50099—2011[S]. Beijing: China Construction Industry Press, 2012. [6] 国家质量监督检验检疫总局. 学校课桌椅功能尺寸及技术要求: GB/T 3976—2014[S]. 北京: 中国标准化出版社, 2014.General Administration of Quality Supervision, Inspection and Quarantine of the PRC. Functional sizes and technical requirements of chairs and tables for educational institutions: GB/T 3976-2014[S]. Beijing: China Standardization Press, 2014. [7] 卫生部. 中小学校教室采光和照明卫生标准: GB 7793—2010[S]. 北京: 中国标准化出版社, 2011.Ministry of Health of the PRC. Hygienic standard for day lighting and artificial lighting for middle and elementary school: GB 7793-2010[S]. Beijing: China Standardization Press, 2011. [8] 沈利明, 陈晖, 钱晨颖. 西湖区中小学校饮用水微生物污染情况调查[J]. 预防医学, 2018, 30(1): 96-97. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX201801030.htmSHEN L M, CHEN H, QIAN C Y. Investigation on microbial pollution of drinking water in primary and secondary schools in Xihu District[J]. Prev Med, 2018, 30(1): 96-97. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYFX201801030.htm [9] 黄隽, 余慕莎, 梁锡念. 珠三角某市2015—2017年中小学直饮水卫生状况[J]. 中国学校卫生, 2019, 40(7): 1108-1110. doi: 10.16835/j.cnki.1000-9817.2019.07.043HUANG J, YU M S, LIANG X N. Hygienic status of direct drinking water in primary and secondary schools of a city in the Pearl River Delta from 2015 to 2017[J]. Chin J Sch Health, 2019, 40(7): 1108-1110. doi: 10.16835/j.cnki.1000-9817.2019.07.043 [10] 林燕, 张宝津, 金顺亮, 等. 杭州市余杭区2014—2018年学校直饮水微生物检测结果[J]. 中国学校卫生, 2020, 41(10): 1581-1582. doi: 10.16835/j.cnki.1000-9817.2020.10.039LIN Y, ZHANG B J, JIN S L, et al. Microbial test results of school direct drinking water in Yuhang District of Hangzhou City from 2014 to 2018[J]. Chin J Sch Health, 2020, 41(10): 1581-1582. doi: 10.16835/j.cnki.1000-9817.2020.10.039 [11] 林相如, 赵靖毅, 宋华斌, 等. 上海市杨浦区2017—2018年中小学直饮水卫生状况调查[J]. 健康教育与健康促进, 2019, 14(4): 365-367, 380. https://www.cnki.com.cn/Article/CJFDTOTAL-JYCJ201904024.htmLIN X R, ZHAO J Y, SONG H B, et al. Stuudy on the quality of direct drinking water in primary and secondary school in Yangpu District of Shanghai from 2017 to 2018[J]. Health Educ Health Promot, 2019, 14(4): 365-367, 380. https://www.cnki.com.cn/Article/CJFDTOTAL-JYCJ201904024.htm [12] 戴洁, 胡佩瑾, 王珺怡, 等. 中国中小学校食堂基础设施建设和卫生管理现况[J]. 中国学校卫生, 2019, 40(9): 1383-1385. doi: 10.16835/j.cnki.1000-9817.2019.09.029DAI J, HU P J, WANG J Y, et al. Infrastructure and sanitation practice of Chinese primary and middle schools canteens[J]. Chin J Sch Health, 2019, 40(9): 1383-1385. doi: 10.16835/j.cnki.1000-9817.2019.09.029 [13] 罗新苗, 赵思睿, 李伊珈, 等. 新冠肺炎疫情期儿童青少年分餐制认知和行为现况网络调查[J]. 保健医学研究与实践, 2020, 17(5): 1-5. https://www.cnki.com.cn/Article/CJFDTOTAL-GXBJ202005002.htmLUO X M, ZHAO S R, LI Y J, et al. The indivial food serving related cognition and practices among children and adolescents during the COVID-19: an Internet-based cross-sectional survey[J]. Health Med Res Prac, 2020, 17(5): 1-5. https://www.cnki.com.cn/Article/CJFDTOTAL-GXBJ202005002.htm [14] 赵怡楠, 周春碚, 李怡. 重庆市2015—2017年农村学校厕所卫生状况[J]. 中国学校卫生, 2019, 40(1): 116-118. doi: 10.16835/j.cnki.1000-9817.2019.01.032ZHAO Y N, ZHOU C B, LI Y. Rural school toilet sanitation in Chongqing during 2015-2017[J]. Chin J Sch Health, 2019, 40(1): 116-118. doi: 10.16835/j.cnki.1000-9817.2019.01.032 [15] 戴文军, 何义林, 徐小兵, 等. 1起腺病毒引起的急性呼吸道感染爆发疫情调查[J]. 中国校医, 2016, 30(8): 598-599.DAI W J, HE Y L, XU X B, et al. Investigation on an outbreak of acute respiratory tract infection caused by adenovirus[J]. Chin J School Doctor, 2016, 30(8): 598-599. [16] 赵金辉, 郭欣, 赵海, 等. 北京市2019年中小学校教学环境卫生监测[J]. 中国学校卫生, 2020, 41(10): 1562-1565. doi: 10.16835/j.cnki.1000-9817.2020.10.032ZHAO J H, GUO X, ZHAO H, et al. Monitoring of teaching envrionmental health in primary and secondary in 2019 in Beijing[J]. Chin J Sch Health, 2020, 41(10): 1562-1565. doi: 10.16835/j.cnki.1000-9817.2020.10.032 -

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