| ObjectiveTo understand the situation of injuries among urban primary and junior high school students and to explore its influencing factors, then theoretical evidence for injuries prevention and control in urban areas could be provided.MethodsRandomized cluster sampling was applied to obtain the samples in Jinan City, and guardians of primary and junior high school students were selected as subjects in the investigation. The prevelance of injury was calculated, and the awareness and behaviors of the guardians towards injury were analyzed to explore its influencing factors among primary and junior high school students.Results1. General characteristicsA total number of 3714 guardians of students from two junior high schools and three primary schools were chosen as investigation subjects.2. Epidemiological characteristics of injury2.1 Incidence and distribution of injuryThe prevelance of injury among primary school students was 22.89%, while that among junior high school students was 17.49%. Injuries mostly occurred in February, March and April.2.2 Prevelance and distributions of different types of injuriesAmong primary school students, falls ranked first in a variety of injuries, with an incidence rate of 26.93%; the main body parts of injuries were fingers, lower limbs and face (67.58%); schools, home or dormitories, and streets were the most common places for injury occurrences, with a proportion of 86.04%. While among junior high school students, the leading causes of injuries were wricks, collisions and falls, of which wricks accounted for 23.97% and ranked first; 72.94% of injuries occurred in the limbs or fingers; similarly to primary school students, schools, home or dormitories, and streets were the main place for injury occurrences (80.64%). 3. The knowledge, attitude, practices (KAP) of the guardiansThe selected guardians had low awareness, which was only 55.63%, of the definition of injury. However, the awareness rate of the preventability of injuries was 90.25% and that of safety knowledge was more than 86.27%.98.36% of the guardians regarded safety education as a part of education for all-round development.82.61% of the guardians reported a discussion with students respecting injury cases. Only 24.77% of them had ever participated in the trainings of safety knowledge and skills. The main way of obtaining such knowledge and skills was the TV media (90.63%). 85.78% had enjoined the students to be safety-conscious.4. The influencing factors of injury.4.1 The result of univariate Logistic regression analysisUnivariate logistic regression analysis showed that a less vivacious character of primary school students and no pressure from the guardians on the junior high school students were preventive factors reducing the occurrence of injuries. While the guardians' unawareness of the preventability of injuries and their ignorance of the definition of injury were risk factors for injuries.4.2 The result of multivariate Logistic regression analysisMultivariate logistic regression analysis indicated that a stable occupation of the guardian and a less vivacious character were preventive factors reducing the occurrence of injuries among primary school students, In contrast, among junior high school students, no pressure from the guardians was a preventive factor, while the guardians' unawareness of the preventability of injury was a risk factor for injuries.Conclusions1. Three dimension distributions of injuries among urban primary and junior high school students had some regularities. The leading causes of injuries were falls, collisions and wricks. Theses injuries mostly occurred in February, March and April, with schools as the most common scene. Students with committing corporal punishment, or putting pressure on the students were more vulnerable to injuries.2. The study found that the main influencing factors for injuries in primary schools would involve the students'characters and the guardians'awareness of the preventability of injuries, and those in junior high schools were pressure from the guardians and their ignorance of the definition of injury.3. The study suggested health education and safety skills training be fortified in students, their guardians, as well as the faculty staff, with young guardians being especially emphasized. The study also appealed that the WHO International Safe Schools Program be actively promoted in urban primary and junior high schools. |
