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台灣12歲以下兒童意外事故相關危險因子之研究

Risk Factors Analysis for Accidents of Children Under 12 Years Old in Taiwan

摘要


目的:本研究旨在利用衛生福利部資料科學中心2013年國民健康訪問調查檔,探討12歲以下兒童意外事故相關危險因子。方法:本研究之自變項為研究對象之兒童基本人口學特性、兒童家庭狀況與兒童健康狀態,依變項為兒童意外事件(跌倒、燒燙傷、交通意外事故)。以卡方檢定類別變項的相關性、複邏輯斯迴歸分析來評估各變項對於意外事故的獨立效應。結果:本研究結果顯示,研究對象為2,509名12歲以下的兒童,其中男性有1,259名,女性有1,250名,調查的兒童中過去一年有34.56%曾發生跌倒,有3.43%曾有燒燙傷意外,而有2.79%曾有交通意外事故,且相較於女生兒童,男生兒童較多有聽力狀態問題、氣喘狀態問題,且交通事故也較多,均達統計上顯著差異。在跌倒部份,於兒童家庭狀況之母親教育程度為大專以上、家庭收入情形為10萬以上,以及家庭同住狀態為五人(含)以上,為顯著影響兒童跌倒的獨立因子。兒童燒燙傷部份,於兒童基本人口學特性、兒童家庭狀況及兒童健康狀態均不是顯著影響燒燙傷的獨立因子。兒童交通事故部份,於兒童基本人口學特性為女性、以及兒童家庭狀況之父親教育程度為高中職,為顯著影響兒童交通事故的獨立因子。結論:建議家長應特別注意兒童跌倒事件的預防,建議政府應強化父母親對於兒童意外事故防範及預防衛生教育,同時建議應加強兒童的衛生教育及意外事故防範,並強化健康狀態差兒童家庭衛教,並且未來建議應識別出高風險家庭,並增加居家環境安全的檢視及設計,共同為兒童健康安全共同把關。

並列摘要


Objectives: The purpose of this study is to explore the risk factors related to accidents in children under the age of 12 using the 2013 National Health Interview Survey file of the Health and Welfare Data Science Center. Methods: The independent variable of this study are the basic demographic characteristics of the child, the child's family status and health status, and the dependent variable is the details around the child's accident (fall, burns and scalds, traffic accidents). Chi-square test was applied to test the correlation of categorical variable, and multivariate logistic regression was applied to evaluate the independent effects of each variable on accidents. Results: This study's results showed that the study subjects were 2,509 children under 12 years old, of which 1,259 were boys and 1,250 were girls. Among the children surveyed, 34.56% had a fall in the past year, and 3.43% had burns and scalds, and 2.79% had been in a traffic accident. Boys experienced more hearing problems, asthma problems, and more traffic accidents than girls, which are statistically significant differences. In terms of falls, a child's family status with a mother's education level of college or higher, a family income of $100,000 or more, and a family with five or more people living together are independent factors that significantly affect the child's fall. For children that had burns and scalds, their basic demographic characteristics, family status, and health status were not independent factors that significantly affected their accidents. Child traffic accidents were greatly influenced by the basic demographic characteristics of being female and having a father with a high school education. This independent factor significantly affected traffic accidents. Conclusions: It is recommended that parents should pay special attention to the prevention of children's falls. It is recommended that the government should strengthen parents' education on children's accident prevention and preventive hygiene. At the same time, it is recommended that children's hygiene education and accident prevention, and family hygiene for children with poor health should be strengthened. In the future, it is recommended to identify high-risk families, and increase the inspection and design of home environment safety, so as to jointly check the health and safety of children.

參考文獻


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