Farm Work-Related Injury among Middle School Students in Rural China
Farm Work-Related Injury among Middle School Students in Rural China
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DOI：
10.13031/2013.26800
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发表时间：
2009-01-01
影响因子：
1
通讯作者：
Xiang, H.
中科院分区：
文献类型：
--
作者：
Postel, M. W.;Jaung, M. S.;Xiang, H.
农业工伤被认为是农村地区青少年面临的一个重要问题。然而，在包括中国在内的发展中国家，这方面的研究却很少。本研究评估了中国中学生的农业工伤，重点是农业工作时间，睡眠模式，学校相关的压力和农业工伤之间的潜在联系。这项横断面研究调查了湖南省1,551名在农场工作的中学生。这些调查评估了他们在三个月的回忆期内参与农场工作，睡眠模式，学校活动和与农场工作有关的伤害。在1，187名报告在农场工作的学生中，农场工伤的累积发生率为15.6%。每月平均耕作天数、每月农药使用次数、睡眠障碍和学校相关压力与农场工伤显著相关（p < 0.05）。多变量logistic回归分析显示，在调整了年龄、性别和每月农活天数等可能的混杂效应后，（睡眠少于7小时：OR = 2.36，95%CI = 1.07-5.22;夜间醒来，难以入睡：OR = 2.70，95%CI = 1.36-5.37;做噩梦：OR = 2.24，95%CI = 1.18-4.24）和学校相关应激（作业难：OR = 2.45，95%CI = 1.21-4.99;家长经常布置额外作业：OR = 3.62，95%CI = 1.88-6.97;因学习成绩差被家长责骂：OR = 2.45，95%CI = 1.21 - 4.99）OR = 2.53，95% CI = 1.75-3.65）为农场工伤的危险因素（P < 0.05）。
Farm work-related injuries are considered an important issue facing rural area adolescents. However, little research has been done in developing countries, including China. This study evaluated agricultural work-related injuries among Chinese middle school adolescents, focusing on the potential association between farm work hours, sleep patterns, school-related stress, and farm work-related injuries. This cross-sectional study surveyed 1,551 middle school students in Hunan Province who reported working on farms. The surveys assessed their involvement in farm work, sleep patterns, school activities, and farm work-related injuries during a three-month recall period. The cumulative incidence of farm work-related injury was 15.6% among the 1,187 students who reported working on a farm. Average days per month farming, number of pesticide applications per month, sleep disturbances, and school-related stress were significantly associated with farm work-related injuries (p < 0.05). Multi-variable logistic regression analysis revealed that after adjusting for possible confounding effects of age, gender, and farm work days per month, sleep disturbance (less than 7 hours of sleep: OR = 2.36, 95% CI = 1.07-5.22; awakening at night and having trouble falling back to sleep: OR = 2.70, 95% CI = 1.36-5.37; having nightmares: OR = 2.24, 95% CI = 1.18-4.24) and school-related stress (difficult homework: OR = 2.45, 95% CI = 1.21-4.99; extra homework assigned often by parents: OR = 3.62, 95% CI = 1.88-6.97; and scolded/chastised by parents for poor school performance: OR = 2.53, 95% CI = 1.75-3.65) were statistically significant risk factors for farm work-related injuries (p < 0.05).