Deng Fang-Ming, Gong Xue-Min, Cui Hong-Yan, Yang Yu-Jia, Hu Ping-Cheng
Department of Epidemiology & Biostatistics, School of Public Health, Central South University, Changsha 410078, China.
Zhongguo Dang Dai Er Ke Za Zhi. 2014 May;16(5):524-8.
To evaluate the risk factors for unintentional injury among children in the rural areas of Liling, Hunan Province, China, as a basis for developing prevention and intervention measures for unintentional injury in rural children.
A total of 3 257 students, aged between 5 and 16 years from 4 middle schools and 2 primary schools in eastern and western rural areas of Liling were recruited in October 2013 by stratified sampling and cluster sampling. The general personal information and data on family backgrounds, living environment, and incidence of unintentional injury were collected from all subjects through a self-designed questionnaire. The risk factors for childhood unintentional injury were assessed by an unconditional multiple logistic regression analysis.
Out of the 3 257 subjects, 356 (10.93%) were injured during the 12-month period prior to the study. The univariate analysis showed that unintentional injury in these subjects was related to sex, left-behind status, times of internet surfing in internet bars per week, parent companion or not, age of guardian, degree of harmony of parents' marital relationship, employment status of one or both parents as a migrant worker, storage of fireworks and firecrackers at home or not, violence in residential areas, and participation or not in violence in residential areas. The unconditional multiple logistic regression analysis showed that the major risk factors for unintentional injury in these subjects were male gender (OR=0.751, P=0.013), left-behind status (OR=1.779, P<0.001), storage of fireworks and firecrackers at home (OR=1.337, P=0.028) and violence around residential areas (OR=1.517, P<0.001).
Risk for unintentional injury is multifactorial among children in the rural areas of Liling, Hunan. To reduce the incidence of unintentional injury in children in Liling, particular attention should be paid to boys, left-behind children, children who have home storage of fireworks and firecrackers and children who are living in areas with frequent violence.
评估中国湖南省醴陵市农村地区儿童意外伤害的危险因素，为制定农村儿童意外伤害的预防和干预措施提供依据。
2013年10月，采用分层抽样和整群抽样方法，从醴陵市东部和西部农村地区的4所中学和2所小学招募了3257名年龄在5至16岁之间的学生。通过自行设计的问卷收集所有受试者的一般个人信息、家庭背景、生活环境和意外伤害发生率数据。采用非条件多因素logistic回归分析评估儿童意外伤害的危险因素。
在3257名受试者中，356名（10.93%）在研究前12个月内受伤。单因素分析显示，这些受试者的意外伤害与性别、留守儿童状况、每周去网吧上网次数、父母是否陪伴、监护人年龄、父母婚姻关系和谐程度、父母一方或双方是否为外出务工人员、家中是否存放烟花爆竹、居住地区是否存在暴力以及是否参与居住地区暴力有关。非条件多因素logistic回归分析显示，这些受试者意外伤害的主要危险因素为男性（OR=0.751，P=0.013）、留守儿童状况（OR=1.779，P<0.001）、家中存放烟花爆竹（OR=1.337，P=0.028）和居住地区周围存在暴力（OR=1.517，P<0.001）。
湖南醴陵农村地区儿童意外伤害风险是多因素的。为降低醴陵儿童意外伤害发生率，应特别关注男孩、留守儿童、家中存放烟花爆竹的儿童以及居住在暴力频发地区的儿童。
