Hu Guo-qing, Zhu Song-lin, Wang Qi-qi, Chen Tian-mu, Tan Ai-chun, He Qiong, Liu Xin, Xu Ling
Department of Epidemiology and Health Statistics, School of Public Health, Central South University, Changsha 410078, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2011 Aug;32(8):773-6.
To determine the incidence of non-fatal injuries and related influencing factors among children under 5 years old in China.
Data involving 10 819 children under 5 years old was from the Fourth National Health Service Survey of China. Injury-related indicators include: history of ever having had an injury, its frequency, cause, location and severity of the injury. A two-level Poisson regression was used to examine the significance of related socio-economic variables.
The overall incidence rate of nonfatal injuries among children under 5 years old was 16.0 per 1000 population in the prior 12 months. The first three leading causes of non-fatal injuries were falls, animal bite, fire/burn among children under 1 year old, with the rates as 3.9, 1.8 and 1.8 per 1000 population, respectively. For children aged 1 to 4 years old, the first three leading causes were animal bite, fall, fire/burn with rates as 6.5, 6.0 and 2.9 per 1000 population, respectively. 83.0% and 69.0% of last injuries occurred at home for the above said two age groups. No disability was found among children younger than 1 year old who suffered from a nonfatal injury while for the 1 - 4 age group, the disability accounted for 1.0% of injury-induced outcomes. After adjusting other variables, boys had 1.57 times the risk of injury compared with girls in the 1 - 4 age group (P < 0.05). The differences on the effects regarding ethnicity, per capita household income, and place were insignificant (P > 0.05). None of the socio-economic variables was found that significantly related to the non-fatal injury risk among children under 1 year old (P > 0.05).
The incidence of nonfatal injuries among children under 5 years old was 16.0 per 1000 population in the prior 12 months. The three leading causes of injuries were animal bite, falls, fire/burn respectively. Home was the most common place that non-fatal injuries occurred. Boys had a higher risk of injury compared with girls among children aged 1 to 4 years old and the difference was significant.
确定中国5岁以下儿童非致命伤害的发生率及相关影响因素。
涉及10819名5岁以下儿童的数据来自中国第四次国家卫生服务调查。与伤害相关的指标包括：曾有过伤害的病史、伤害频率、原因、部位及严重程度。采用二级泊松回归分析相关社会经济变量的显著性。
5岁以下儿童在过去12个月中非致命伤害的总体发生率为每千人口16.0例。1岁以下儿童非致命伤害的前三大主要原因是跌倒、动物咬伤、火灾/烧伤，发生率分别为每千人口3.9例、1.8例和1.8例。对于1至4岁儿童，前三大主要原因是动物咬伤、跌倒、火灾/烧伤，发生率分别为每千人口6.5例、6.0例和2.9例。上述两个年龄组中，83.0%和69.0%的最近一次伤害发生在家中。1岁以下遭受非致命伤害的儿童未发现残疾情况，而在1至4岁年龄组中，残疾占伤害所致后果的1.0%。调整其他变量后，1至4岁年龄组中男孩受伤的风险是女孩的1.57倍（P<
0.05）。在种族、家庭人均收入和地区方面的影响差异不显著（P>0.05）。未发现任何社会经济变量与1岁以下儿童的非致命伤害风险显著相关（P>0.05）。
5岁以下儿童在过去12个月中非致命伤害的发生率为每千人口16.0例。伤害的三大主要原因分别是动物咬伤、跌倒、火灾/烧伤。家庭是发生非致命伤害最常见的场所。1至4岁儿童中男孩受伤的风险高于女孩，且差异显著。
