Analysis of traffic injury and associated risk behaviors among secondary school students in Shanghai City

ZHOU Xinyi; ZHOU Yuefang; SUN Lijing; YUAN Linlin; ZHANG Zhe; ZHAI Yani; LUO Chunyan

doi:10.16835/j.cnki.1000-9817.2023.12.023

Volume 44 Issue 12

Dec. 2023

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Article Navigation > CHINESE JOURNAL OF SCHOOL HEALTH > 2023 > 44(12): 1867-1872

ZHOU Xinyi, ZHOU Yuefang, SUN Lijing, YUAN Linlin, ZHANG Zhe, ZHAI Yani, LUO Chunyan. Analysis of traffic injury and associated risk behaviors among secondary school students in Shanghai City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(12): 1867-1872. doi: 10.16835/j.cnki.1000-9817.2023.12.023

Citation:

ZHOU Xinyi, ZHOU Yuefang, SUN Lijing, YUAN Linlin, ZHANG Zhe, ZHAI Yani, LUO Chunyan. Analysis of traffic injury and associated risk behaviors among secondary school students in Shanghai City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(12): 1867-1872. doi: 10.16835/j.cnki.1000-9817.2023.12.023

Citation:

ZHOU Xinyi, ZHOU Yuefang, SUN Lijing, YUAN Linlin, ZHANG Zhe, ZHAI Yani, LUO Chunyan. Analysis of traffic injury and associated risk behaviors among secondary school students in Shanghai City[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2023, 44(12): 1867-1872. doi: 10.16835/j.cnki.1000-9817.2023.12.023

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Analysis of traffic injury and associated risk behaviors among secondary school students in Shanghai City

doi: 10.16835/j.cnki.1000-9817.2023.12.023

Institute of Child and Adolescent Health, Shanghai Municipal Center for Disease Control and Prevention, Shanghai (200336), China

Received Date: 2023-06-12
Rev Recd Date: 2023-09-06

Available Online: 2023-12-26

Publish Date: 2023-12-25

Abstract

Abstract

Objective To investigate incidence of traffic injury and its associated factors among secondary school students in Shanghai, so as to provide scientific basis for intervention. Methods Using the method of multi-stage stratified random cluster sampling, an on-the-spot anonymous questionnaire survey was conducted among 19 629 adolescents from 16 districts in Shanghai from May to June 2021. The multivariate Logistic regression was used to analyze possible associated factors. Results The rate of road traffic injuries among secondary school students in Shanghai was 0.74%, the highest reporting rate among secondary vocational school students (1.35%), followed by junior high school students (0.72%), and the lowest reporting rate of road traffic injuries among senior high school students (0.55%), with statistically significant differences (χ²=13.39, P < 0.01). The results of multivariate Logistic regression analysis showed that the junior high school (OR=0.56, 95%CI=0.35-0.89) or senior high school (OR=0.40, 95%CI=0.24-0.68) and residential school (OR=0.39, 95%CI=0.18-0.88) were protective factors of road traffic injuries(P < 0.05). Male (OR=1.65, 95%CI=1.14-2.37), unaware of seat belt (OR=6.38, 95%CI=2.81-14.50), had a cycling chase/fight (OR=2.33, 95%CI=1.39-3.90), music or phone calls on a bicycle (OR=2.54, 95%CI=1.72-3.75) were positively correlated with road traffic injury(P < 0.05). Conclusions The road traffic injury among secondary school students in Shanghai is related to many factors, and traffic hazards are common among students in all school sections. Targeted measures should be taken to strengthen traffic safety knowledge education and intervention in healthy behaviors among adolescents, in order to reduce the incidence of road traffic injury.
- Accidents, traffic,
- Wounds and injuries,
- Dangerous behavior,
- Regression analysis,
- Students

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References(25)

References

[1]	JAMES S L, CASTLE C D, DINGELS Z V, et al. Global injury morbidity and mortality from 1990 to 2017: results from the Global Burden of Disease Study 2017[J]. Inj Prev, 2020, 26(Suppl 1): i96-i114.
[2]	刘云飞, 钟盼亮, 党佳佳, 等. 1990—2019年中国5~24岁儿童青少年疾病负担趋势研究[J]. 首都公共卫生, 2021, 15(6): 321-325. https://www.cnki.com.cn/Article/CJFDTOTAL-SDGW202106003.htm LIU Y F, ZHONG P L, DANG J J, et al. Study on trends regarding to burden of disease among Chinese children and adolescents aged 5 to 24 years, 1990-2019[J]. Cap J Public Health, 2021, 15(6): 321-325. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SDGW202106003.htm
[3]	VOS T, LIM S S, ABBAFATI C, et al. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: a systematic analysis for the Global Burden of Disease Study 2019[J]. Lancet, 2020, 396(10258): 1204-1222. doi: 10.1016/S0140-6736(20)30925-9
[4]	杨妍婷, 严琼, 张喆, 等. 上海市2004—2019年青少年健康危险行为特征和变化趋势[J]. 中国学校卫生, 2022, 43(8): 1148-1151. doi: 10.16835/j.cnki.1000-9817.2022.08.007 YANG Y T, YAN Q, ZHANG Z, et al. Characteristics and trends of adolescents health risk behaviors in Shanghai from 2004 to 2019[J]. Chin J Sch Health 2022, 43(8): 1148-1151. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2022.08.007
[5]	中国疾病预防控制中心, 北京大学儿童青少年卫生研究所. 2005年中国青少年健康危险行为调研实施方案和检测细则[Z]. 北京, 2005: 1-11. Chinese Center for Disease Control and Prevention, Institute of Children and Adolescent Health, Peking University. Implementation plan and testing rules of Chinese adolescents in 2005[Z]. Beijing, 2005: 1-11. (in Chinese)
[6]	中华人民共和国国家卫生和计划生育委员会. 儿童青少年伤害监测方法: GB/T 31180—2014[S]. 2015-01-01. National Health and Family Planning Commission of the PRC. Methods for injury surveillance among child and adolescent: GB/T 31180-2014[S]. 2015-01-01. (in Chinese)
[7]	中华人民共和国卫生部疾病预防控制局. 关于印发伤害干预系列技术指南的通知[EB/OL]. (2011-09-07)[2023-05-11]. http://www.gov.cn/gzdt/2011-09/06/content_1941745.htm. Administration of Disease Prevention and Control of Ministry of Health of the PRC. Notice on issuing a series of technical guidelines for injury intervention[EB/OL]. (2011-09-07)[2023-05-11]. http://www.gov.cn/gzdt/2011-09/06/content_1941745.htm. (in Chinese)
[8]	彭娟娟, 高宁, 喻彦, 等. 上海市中小学生非致死性伤害流行病学研究[J]. 上海预防医学, 2018, 30(9): 723-729. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYI201809002.htm PENG J J, GAO N, YU Y, et al. Epidemiological survey on non-fatal injuries among students in Shanghai[J]. Shanghai J Prev Med, 2018, 30(9): 723-729. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-SHYI201809002.htm
[9]	段佳丽, 符筠, 耳玉亮, 等. 北京市中小学生交通伤害流行现状及其相关危险行为[J]. 中国学校卫生, 2014, 35(8): 1131-1135. http://www.cjsh.org.cn/article/id/zgxxws201408004 DUAN J L, FU J, ER Y L, et al. Current situation of traffic injuries and its related risk behaviors among primary and middle school students in Beijing[J]. Chin J Sch Health, 2014, 35(8): 1131-1135. (in Chinese) http://www.cjsh.org.cn/article/id/zgxxws201408004
[10]	谌丁艳, 熊华威, 王赟, 等. 深圳市中小学生道路交通伤害及其影响因素分析[J]. 中国学校卫生, 2016, 37(7): 1075-1078. doi: 10.16835/j.cnki.1000-9817.2016.07.033 CHEN D Y, XIONG H W, WANG Y, et al. Analysis of incidence of traffic injury and its associated factors among primary and middle school students in Shenzhen[J]. Chin J Sch Health, 2016, 37(7): 1075-1078. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2016.07.033
[11]	马洁, 江国虹, 朱传芳. 天津市青少年非故意伤害行为分析[J]. 中国学校卫生, 2015, 36(11): 1644-1647. http://www.cjsh.org.cn/article/id/zgxxws201511015 MA J, JIANG G H, ZHU C F. Analysis of unintentional injury behaviors among adolescents in Tianjin[J]. Chin J Sch Health, 2015, 36(11): 1644-1647. (in Chinese) http://www.cjsh.org.cn/article/id/zgxxws201511015
[12]	雍那, 任玉玲, 王春元, 等. 南充市中学生非故意伤害行为特征及影响因素分析[J]. 中国初级卫生保健, 2022, 36(5): 72-76. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCW202205021.htm YONG N, REN Y L, WANG C Y, et al. Investigation on the characteristics and influencing factors of unintentional injuries among middle school students in Nanchong[J]. Chin Prim Health Care, 2022, 36(5): 72-76. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCW202205021.htm
[13]	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. doi: 10.16835/j.cnki.1000-9817.2017.02.048 JI Y Y, ZHANG Y, LIU J, et al. The current situation of intentional and unintentional injuries among middle school students in four provinces[J]. Chin J Sch Health, 2017, 38(2): 311-313. (in Chinese) doi: 10.16835/j.cnki.1000-9817.2017.02.048
[14]	RANKAVAT S, TIWARI G. Pedestrians crossing behavior in Delhi, India[J]. J East Asia Soc Transp Stud, 2019, 13: 831-840.
[15]	RANKAVAT S, TIWARI G. Pedestrians risk perception of traffic crash and built environment features: Delhi, India[J]. Saf Sci, 2016, 87: 1-7. doi: 10.1016/j.ssci.2016.03.009
[16]	USECHE S A, HEZAVEH A M, LLAMAZARES F J, et al. Not gendered… but different from each other? A structural equation model for explaining risky road behaviors of female and male pedestrians[J]. Accid Anal Prev, 2021, 150: 105942. doi: 10.1016/j.aap.2020.105942
[17]	季成叶, 陶芳标. 儿童青少年非故意伤害预防[J]. 中国公共卫生, 2005, 21(9): 1150-1152. doi: 10.3321/j.issn:1001-0580.2005.09.066 JI C Y, TAO F B. Prevention of unintentional injury in children and adolescents[J]. Chin J Public Health, 2005, 21(9): 1150-1152. (in Chinese) doi: 10.3321/j.issn:1001-0580.2005.09.066
[18]	PEDEN A E, CULLEN P, FRANCIS K L, et al. Adolescent transport and unintentional injuries: a systematic analysis using the Global Burden of Disease Study 2019[J]. Lancet Public Health, 2022, 7(8): e657-e669. doi: 10.1016/S2468-2667(22)00134-7
[19]	林焘宇. 中小学生上学交通特征及规划对策: 以深圳为例[J]. 交通与运输(学术版), 2016(2): 136-141. https://www.cnki.com.cn/Article/CJFDTOTAL-JTYH201602031.htm LIN T Y. Travel characteristics of primary and secondary schools students and planning measures: a case of Shenzhen[J]. Traffic Transportat, 2016(2): 136-141. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-JTYH201602031.htm
[20]	丛伊, 马锦飞. 自我控制和冒险倾向对高中生过街行为的影响[J]. 校园心理, 2020, 18(4): 313-316. https://www.cnki.com.cn/Article/CJFDTOTAL-YXXL202004019.htm CONG Y, MA J F. The effects of self-control and risk-taking tendency on high school students' street crossing behavior[J]. Campus Life Mental Health, 2020, 18(4): 313-316. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-YXXL202004019.htm
[21]	包志梅. 结构与行动: 职校生身份建构的个案研究[D]. 南京: 南京师范大学, 2018. BAO Z M. Structure and action: a case study of vocational school students' identity construction[D]. Nanjing: Nanjing Normal University, 2018. (in Chinese)
[22]	CLIFTON K J, BURNIER C V, AKAR G. Severity of injury resulting from pedestrian-vehicle crashes: what can we learn from examining the built environment?[J]. Transp Res D Transp Environ, 2009, 14(6): 425-436. doi: 10.1016/j.trd.2009.01.001
[23]	WANG L, NING P, YIN P, et al. Road traffic mortality in China: analysis of national surveillance data from 2006 to 2016[J]. Lancet Public Health, 2019, 4(5): e245-e255. doi: 10.1016/S2468-2667(19)30057-X
[24]	PAWOWSKI W, GONIEWICZ K, SCHWEBEL D C, et al. Road traffic injuries in Poland: magnitude and risk factors[J]. Eur J Trauma Emerg Surg, 2019, 45(5): 815-820. doi: 10.1007/s00068-019-01093-6
[25]	余小鸣, 张译天, 黄思哲, 等. 青少年意外伤害与健康危险行为的关联研究[J]. 中华行为医学与脑科学杂志, 2017, 26(2): 163-166. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK201313013.htm YU X M, ZHANG Y T, HUANG S Z, et al. Relationship between unintentional injury and health risk behaviors among adolescents[J]. Chin J Behav Med Brain Sci, 2017, 26(2): 163-166. (in Chinese) https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK201313013.htm