中国深圳 6-18 岁儿童意外伤害与监护人文化程度的关系。
Association between the guardians' educational levels and unintentional injuries in children aged 6-18 in Shenzhen, China.
机构信息
Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, Hunan, China.
Department of Stomatology and Prevention, Longhua District Chronic Disease Control Center, Longhua District, Shenzhen, Guangdong, China.
出版信息
BMC Public Health. 2024 Aug 29;24(1):2344. doi: 10.1186/s12889-024-19748-4.
BACKGROUND
Unintentional injuries is the leading cause of death in children aged 6-18 in China. Previous studies on the association between the guardians' educational levels and unintentional injuries in children have been inconclusive, and it remains unclear among the Chinese population. Therefore, this study aimed to identify the association between guardians' educational levels and unintentional injuries in children aged 6-18 in Shenzhen, China.
METHODS
This cross-sectional study enrolled 9,903 children aged 6-18 in Shenzhen in 2020 using a multistage cluster sampling method. Information on the children and guardians were collected, and unintentional injuries in the past year was examined by using two nested questions. Logistic regression analyses were used to test the association between the guardians' educational levels and unintentional injuries in children aged 6-18, and the crude odds ratios (ORs) and adjusted ORs with 95% confidence intervals (95% CI) were calculated.
RESULTS
275 of the 9,903 children reported experiencing at least one unintentional injuries in the past year, and the weighted incidence of unintentional injuries was 6.3% (95% CI: 5.8-6.8%) in children aged 6-18 in Shenzhen, China. The incidence of unintentional injuries differed significantly in the guardians' education levels (P < 0.05). After adjustment for the children's variables, multiple binary logistic regression analysis showed that compared to children whose guardians' educational levels were low, children whose guardians' educational levels were high (adjusted OR = 0.57, 95% CI: 0.37-0.87) and medium (adjusted OR = 0.56, 95% CI: 0.39-0.81) had a lower odds of unintentional injuries. Similar results were also observed when further adjustment for both the children's and guardians' variables.
CONCLUSION
The overall incidence of unintentional injuries in children aged 6-18 in Shenzhen was low, and it was associated with the guardians' educational levels. Children whose guardians' educational levels were low should be given special concern to prevent unintentional injuries, and it is suggested to reduce the incidence of unintentional injuries in children by improving the guardians' educational levels.
背景
在中国，6-18 岁儿童意外伤害是导致死亡的首要原因。先前关于监护人受教育程度与儿童意外伤害之间关联的研究结果并不一致，在中国人群中尚不清楚。因此，本研究旨在探讨深圳市 6-18 岁儿童意外伤害与监护人受教育程度之间的关系。
方法
本横断面研究采用多阶段整群抽样方法，于 2020 年在深圳市招募了 9903 名 6-18 岁儿童。通过嵌套的两个问题收集儿童及其监护人的信息，并调查儿童在过去一年中是否发生意外伤害。采用 logistic 回归分析检验监护人受教育程度与 6-18 岁儿童意外伤害之间的关系，计算未经调整的比值比（OR）和 95%置信区间（95%CI）的调整 OR。
结果
9903 名儿童中，有 275 名儿童报告在过去一年中至少发生了 1 次意外伤害，深圳市 6-18 岁儿童意外伤害的加权发生率为 6.3%（95%CI：5.8-6.8%）。不同监护人受教育程度的儿童意外伤害发生率差异有统计学意义（P<0.05）。在调整儿童变量后，多因素二元 logistic 回归分析显示，与监护人受教育程度低的儿童相比，监护人受教育程度高（调整 OR=0.57，95%CI：0.37-0.87）和中等（调整 OR=0.56，95%CI：0.39-0.81）的儿童发生意外伤害的可能性较低。进一步同时调整儿童和监护人变量后，也得到了类似的结果。
结论
深圳市 6-18 岁儿童意外伤害的总体发生率较低，与监护人受教育程度有关。应特别关注监护人受教育程度低的儿童，以预防意外伤害，并建议通过提高监护人受教育程度来降低儿童意外伤害的发生率。
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