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目的 了解浙江省杭州市中学生步行安全状况,为中学生步行者交通伤害的干预提供依据.方法 于2015年3-7月采用多阶段随机整群抽样方法抽取杭州市4个区4所高中、4所初中共计690名学生参加问卷调查.结果 33.19％的中学生每天步行上下学,55.65％的学生在十字路口选择走到路口等绿灯亮起后再过马路,过马路时左右看、走斑马线、严格根据红绿灯指示过马路的学生分别占83.33％、90.76％、87.97％,平时在路段中间过马路、跑着过马路的学生分别占13.13％、21.30％,穿马路之前与就近车辆里的司机有眼神接触的学生仅为10.90％.边缘城区学生严格根据红绿灯指示过马路的行为报告率低于中心城区(P＜0.05),初中学生在与就近车辆里的司机有眼神接触和跑步过马路的行为报告率远高于高中生(P＜0.01).学校、家庭及交通部门对中学生步行上下学管理较少,24.38％的学生表示未曾在路口看到护导员,86.46％的学生认为司机和行人应承担相等的责任来维护道路安全.结论 中学生自身存在诸多易引发道路交通伤害的危险因素,应根据学生的交通行为、态度等开展有针对性的安全教育和行为干预.“,”Objective To examine safety condition of walking traffic among high school students in Hangzhou city of Zhejiang province and to provide evidences for intervention on road traffic injury among the students.Methods Using multistage random cluster sampling,we selected 690 students from 4 junior and 4 senior high schools in urban and suburban regions of Hangzhou city for a questionnaire survey between March and July 2015.Results Of all the students,33.19％ reported commuting to school by walking every day and 55.65％ reported waiting for green light before crossing intersections.Among the students,83.33％,90.76％,and 87.97％ reported looking around,using crosswalks,and strictly under the control of traffic light when crossing roads.There were 13.13％ and 21.30％ of the students reporting not using intersection and running frequently when crossing roads.Only 10.90％ of the students had eye contacts with drivers of automobiles approaching when crossing roads.The ratio of the suburban students strictly under the control of traffic light when crossing roads was significantly lower than that of the urban participants (P ＜ 0.05);while the junior high school students reported a significantly higher frequencies of having eye contacts with drivers of automobiles approaching and running when crossing roads than the senior high school students (both P ＜ 0.01).Insufficient management on their school commuting by schools,families,and transportation agencies were addressed by the students;24.38％ of the students indicated that they had never seen personnel engaged in assistant traffic management at intersections;while 86.46％ considered that drivers and pedestrians should take equal responsibilities to promote road traffic safety.Conclusion There are many individual risk factors for road traffic injury among high school students and specific education on traffic safety and behavior intervention should be carried out based on traffic behavior and attitude of the students.