| Objectives: To investigate the knowledge, behavior on injury and epidemiologicalcharacteristics of injury among school-aged children in rural area, and explore theinfluencing factors of injury among school-aged and left-behind children in rural. Toevaluate the effect of educational intervention about injury on school-aged andleft-behind children in rural, and to provide a scientific basis for effective preventionmeasures.Methods: A total of1828students as subjects were recruited from2primary schoolsand2middle schools in Rural Hanchuan by the method of stratified and cluster sampling.The status of school-aged children’s knowledge, behavior and occurrence of injury andrelated influencing factors were investigated with the school-aged children’s injuryquestionnaire’ and ‘multiple injury survey’. School-aged children from the same townwere selected as the intervention group, and the others from another town were taken asthe control group. The intervention group was supplied with education interventionabout injury for1year, while the control group was not given any intervention.Knowledge, behavior and occurrence of injury from the baseline and performancesurvey were compared and analyzed by using the parallel control and per-post controlmethods. Descriptive analysis, t-test, χ2test, unconditional Logistic regression analysiswere applied to analyze data with SPSS17.0statistics software.Results:1、The status and influencing factors of knowledge, behavior on injury: The score ofknowledge on injury among school-aged children in rural was（79.3015.060）, and it’spassing rate was90.97%. The average score of behavior was（71.62±17.082）, and it’spassing rate was74.07%. The protective factors of the unqualified-score of knowledgewere middle school of learning stages and healthy physical condition, while it’s riskfactor was main caregiver not care about children. The protective factors of theunqualified-score of behavior were girls, healthy physical condition, expanded family, the main caregiver often telling children some safety knowledge and teacher tellingchildren some safety knowledge, while it’s risk factors were High age group, maincaregiver not care about children, the verbal abuse of the main caregiver’s educationalmethod and the unqualified-score of knowledge on injury.2、Incidence rate and characteristics of injury: The rural school-aged children’sincidence rate of injury was21.72%. The incidence rate of left-behind children washigher than that of un-left-behind children,(27.19%vs18.53%, p<0.05). Most ruralschool-aged children’s injuries happened in spring (32.27%) and summer (32.27%). Themain location of injury occurrence was home (31.81%). The three leading types ofinjuries were fall (46.91%), mechanical injury (17.85%) and traffic accident (13.73%).45.54%of the injuries occurred in leisure activities. The most serious body part of ruralschool-aged children’s injury was mainly lower limbs.62.70%of the injuries weretreated by clinic.13.96%of the injuries caused that school-aged children’s body parts ofinjury are often discomfort and5.96%of injuries led their study and daily life are limited.Average injury resulted in5.43days of absence from school,8.36days of activityrestricted, and774.92Yuan for cost of treatment.3、 The influence factors of injury: The multiple factors unconditional Logisticregression about the rural school-aged children’s injury showed that the protectivefactors were girls、healthy physical condition, un-left-behind children, no animals aroundhome, and the risk factors were taking care of younger children, often involved in fights,the verbal abuse、 physical punishment or indulgence of the main caregiver’s maineducational method. The protective factors of the left-behind children’ injury were girls,home or school not near river and lake, and the risk factors were high school and aboveof the main caregiver’s educational level, rarely contact with parents, often involved infights, the indulgence of the main caregiver’s main educational method, committingsome serious mistakes in the period of parents leaving home.4、Evaluation of the effect of educational intervention about injury: Whether theschool-aged children or the left-behind children in rural, after intervention, the score of knowledge on injury of the intervention group was higher than that of the control group,also higher than that before the intervention, and the differences were all statisticallysignificance (P0.05for all). The differences of the score of behavior between theintervention group and the control group showed no statistically significance. Theincidence rate of injury of the intervention group was lower than that of the controlgroup, also lower than that before the intervention, and the differences were allstatistically significance (P0.05for all).Conclusions: Rural school-aged children’ levels of knowledge and behavior on injuryare both general. The awareness rates of some points of knowledge are low, and theincidence rates of some risk behaviors of injury are high, so they should be furtherimproved according to their characteristics influencing factors. Rural school-agedchildren have high incidence rate of injury, especially among left-behind children. Theincidence of injury is the result of the interaction of multiple factors, and different typesof children have different influence factors of injury, so targeted intervention measuresshould be taken in different groups at the time of the intervention. Educationalintervention about injury can enhance the rural school-aged children’ and left-behindchildren’s level of knowledge on injury, and improve their status of behavior on injury,and reduce the incidence rate of injury, so it should be continue to vigorously carry outin the future. |
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