National Center for Women and Children's Health, Chinese Center for Disease Control and Prevention, Room 3004, No. 400 Xiaonanzhuang, Wanquanhe Road, Haidian District, Beijing, 100089, China,
Matern Child Health J. 2014 May;18(4):911-9. doi: 10.1007/s10995-013-1318-6.
To explore and compare the epidemiological characteristics of non-fatal unintentional injury among children in floating and residential population. Using a structured survey, quantitative data were collected on a total of 352 floating and 201 residential families. Some potential influencing factors were questioned, such as socio-demographic characteristics, injury-related family environment, knowledge, attitude and behavior, and child's character. The self-reported incidence of non-fatal unintentional injuries was 11.9 % in the floating group and 12.9 % in the residential group. Unintentional injuries were more serious and caused more disease burden in floating children than residential children, with the average medical cost being over ten times in the floating group than in the residential group. Results of multiple regression analysis showed that children living in floating families have more risk of unintentional injuries than those children in residential families. Older children and children with extroverted character were more vulnerable to unintentional injuries. Risky family environment was also an important risk factor of unintentional injuries. Better household economic status and having more siblings appeared to reduce the probability of unintentional injuries among children. Floating children are more vulnerable to unintentional injuries comparing with residential children. These findings can be used as preliminary data supporting intervention strategies and activities to promote safe living environment and decrease injury incidence among floating children.
探讨比较流动儿童与本地常住儿童非故意伤害的流行病学特征。方法:采用问卷调查方法,对 352 名流动儿童和 201 名本地常住儿童家庭进行调查,了解其人口学特征、家庭环境、儿童伤害相关知识态度行为、儿童个性等情况,分析儿童非故意伤害的影响因素。结果:流动儿童和本地常住儿童非故意伤害发生率分别为 11.9%和 12.9%。流动儿童伤害严重程度和疾病负担均高于本地常住儿童,其医疗费用是本地常住儿童的 10.24 倍。多因素分析显示,流动儿童发生非故意伤害的危险性高于本地常住儿童,大年龄组、外向型儿童更容易发生非故意伤害,危险家庭环境是儿童发生非故意伤害的重要危险因素,家庭经济状况较好、兄弟姐妹较多者发生非故意伤害的危险性较低。结论:流动儿童较本地常住儿童更易发生非故意伤害,应采取针对性的干预措施,改善流动儿童家庭环境,减少儿童伤害的发生。