| Objective: To investigate the incidence and epidemiological characteristics of injuries among school-aged children in rural area and analyze individual,family,social life and surrounding environment among school-aged children injury happened.Explore the relationship between the basic situation and recurrent injuries,so that to provide scientific evidence to prevent and control the injuries among school-aged children in rural.Methods: A total of 2196 students as subjects were recruited from 3 primary schools and3 middle schools in rural Jianshi of Enshi by the method of stratified and cluster sampling.The individual,family,social life,surrounding environment and the injury situation were investigated by using ‘school-aged children's injury questionnaire'in the cross-section study.Ways of one to one injury pair and one to four recurrent injuries pair were used in case-control study.The students were asked to fill the questionnaires by themselves in field investigation.Data was established by Epidata 3.1 and analyzed by using descriptive analysis,?~2 test,Logistic regression analysis with SPSS17.0 statistics software.Results:1?Incidence of injuries:The rural Jianshi school-aged children's incidence rate of injury was 16.12%,and the event-based rate of injury was 17.08%.18 children had recurrent injuries which accounting for 5.08% of the total injuries.The incidence rate of left-behind children was higher than that of un-left-behind children,(20.11% vs 12.40%,?~2(28)24.119,P<0.001).The incidence rate of recurrent injuries of left-behind children was higher than that of un-left-behind children,(1.23% vs 0.44%,?~2(28)4.186,P=0.041).2?The distribution of injury:Most rural Jianshi school-aged children's injuries happened in summer(30.67%)and autumn(27.20%).The main location of injury occurrence was home(39.47%).The most frequent injures were falls(44.00%),and the most serious injured area was lower extremities(38.67%).33.33% of the injuries occurred in leisure activities.About 45.33% of injured school-aged children went to clinic for treatment after the injury occurred,and 65.07% of the injured school-aged children were cured.3?The influence factors of injury:The conditional Logistic regression showed that the protective factors were un-left-behind children(OR=0.467,95%CI: 0.248~0.987),themain caregiver sometimes telling safety knowledge(OR=0.187,95%CI: 0.061~0.571)and the main caregiver always telling safety knowledge(OR=0.216,95%CI: 0.073~0.637).The risk factors were general physical condition(OR=1.801,95%CI: 1.187~2.733),history of injury(OR=3.161,95%CI: 1.611~6.203),non-only-child(OR=2.071,95%CI: 1.413~3.037),taking care of younger children(OR=2.195,95%CI: 1.290~3.735)and liking sports and play(OR=1.758,95%CI: 1.104~2.799).4?The influence factors of recurrent injuries: The conditional Logistic regression showed that the protective factor was the house or school being not close to the road(OR=0.223,95%CI: 0.050~0.997).The risk factors were history of injury(OR=20.698,95%CI: 2.939~145.773),the main caregiver always playing cards(OR=30.205,95%CI:1.842~495.435)and child involved in fights(OR=67.211,95%CI: 1.877~2406.439).Conclusions: The injuries of school-aged children in rural were common,and the happening of the injuries caused by multiple factors together.The occurrence of injuries was related to individual and family and the occurrence of recurrent injuries was related to individual,family and school.Government,school and family should unite and take appropriate intervention measures aimed at the influence factors of injury and recurrent injury to reduce the injuries of school-aged children in rural. |
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