[湖北省农村留守儿童非致命性伤害研究]

Shen Min, Yang Sen-Bei, Guo Yong, Liu Xiao-Xian, Du Yu-Kai

Department of Marternal and Child Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.

Zhonghua Liu Xing Bing Xue Za Zhi. 2008 Apr;29(4):333-7.

OBJECTIVE

To understand the characteristics of nonfatal injuries among home-stranded children in the rural environment of Hubei province, and to evaluate the effect on child injury due to their parents going out for work.

METHODS

Cross-sectional study and cluster sampling surveys were applied in September 2006 to survey students in six schools in Macheng city, Baiguo town and Songpu town.

RESULTS

3019 students were surveyed, 1182 students were home-stranded children, constituting a rate to 39.15%. Male and female children accounted for 61.51% and 38.49% of students respectively. The rates of home-stranded male and female students were 39.92% and 37.98% respectively. Home-stranded students who had both parents accounted for a 62.29%, and those who had one parent at home accounted for 37.71%. Among these students, the total injury rate was 179.1 per thousand, while for home-stranded children it was 253.0 per thousand. Male home-stranded children had the highest injury rate, higher than the rate for females. The three leading causes of injury were fall (84.6 per thousand), mechanical (40.6 per thousand) and animal related injures (36.4 per thousand). The main injury sites were at home, school and on the street. The total length of stay in the hospital was 208 days, and the total cost was RMB 47 268 Yuan, and the average cost per person was RMB 201 Yuan.

CONCLUSION

There was a high proportion of home-stranded children in school of Macheng and two towns. Injuries were more serious than general students. It causes a high injury burden to these home-stranded children. It is important to pay close attention to these children and to improve their safety.

目的

了解湖北省农村留守儿童非致命性伤害的特征，评估父母外出务工对儿童伤害的影响。

方法

2006年9月采用横断面研究和整群抽样调查方法，对麻城市、白果镇和宋埠镇6所学校的学生进行调查。

结果

共调查学生3019名，留守儿童1182名，占39.15%。男、女生分别占学生总数的61.51%和38.49%。留守儿童中男生和女生的比例分别为39.92%和37.98%。父母双方均外出的留守儿童占62.29%，父母一方在家的占37.71%。这些学生中，总伤害发生率为千分之179.1，而留守儿童为千分之253.0。男性留守儿童伤害发生率最高，高于女性。伤害的三大主要原因是跌倒（千分之84.6）、机械伤（千分之40.6）和动物致伤（千分之36.4）。主要伤害地点在家中、学校和街道。住院总天数为208天，总费用为47268元，人均费用为201元。