Department of Maternal and Child Health, Injury Control Research Center, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Hubei 430030, China.
Inj Prev. 2009 Aug;15(4):244-7. doi: 10.1136/ip.2008.019869.
To investigate patterns of non-fatal unintentional injuries among "left-behind children" in Macheng, China.
A cross-sectional survey was conducted in September and October, 2006. Age-specific and sex-specific injury rates were calculated.
3019 students were interviewed in six schools. Of these, 1182 were identified as "left-behind"; 62.3% had both parents away from home, and 37.7% had one parent away from home. The annual injury rate per 1000 among left-behind children was more than twice that of children living with both parents: 252.9 (95% CI 233.0 to 273.0) and 119.8 (95% CI 105 to 134), respectively. Male left-behind children had the highest annual injury rate: 316.4 (95% CI 295 to 338) per 1000. The three leading external causes of injury were similar for both groups of children: falls (33.8%); mechanical injuries (16.2%); and animal bites (14.5%).The location where injuries occurred were home (32.0%), school (26.0%) and roadways (23.9%) for left-behind children. There were no significant associations between the identified guardian and injury mechanism.
A large proportion of students in the schools of rural Macheng are left-behind children. Left-behind children have a higher injury rate than those in the care of both parents. This may be important in the development of injury prevention strategies in rural communities in China.
调查中国麻城“留守儿童”中非致命性意外伤害的模式。
2006 年 9 月至 10 月进行了横断面调查。计算了特定年龄和性别的伤害率。
在六所学校共采访了 3019 名学生。其中，有 1182 名被确定为“留守儿童”；62.3%的儿童父母双方均外出，37.7%的儿童父母一方外出。留守儿童的年伤害率是与父母双方同住的儿童的两倍多：分别为 252.9（95%CI 233.0 至 273.0）和 119.8（95%CI 105.0 至 134.0）。男性留守儿童的年伤害率最高：每 1000 名儿童中有 316.4（95%CI 295.0 至 338.0）。两组儿童受伤的三个主要外部原因相似：跌倒（33.8%）；机械伤（16.2%）；和动物咬伤（14.5%）。留守儿童受伤发生的地点是家（32.0%）、学校（26.0%）和道路（23.9%）。确定监护人与伤害机制之间没有显著关联。
麻城农村学校的学生中有很大一部分是留守儿童。留守儿童的伤害率高于父母双方都在身边的儿童。这在中国农村社区制定伤害预防策略方面可能很重要。
