The Current Status And Influential Factors Of Unintentional Injuries Of Left-behind Preschool Children In City Of Jilin Province

Objective1.Understand the current situation of unintentional injuries among left-behind preschool children in city of Jilin province,and to explore the characteristics of unintentional injuries in left-behind preschool children in city.2.Study the effects of general demographic data of children and primary caregivers and children's behavior problems on unintentional injuries among left-behind preschool children in city of Jilin province.3.Explore the main influencing factors of unintentional injuries among preschool left behind children in city of Jilin province,and to provide reference for the prevention and control strategies.Methods Using two stage sampling method,according to the economic level,the 9 cities of Jilin province will be divided into economically developed areas,less developed areas and underdeveloped areas.Firstly,select three cities which are Changchun City,Siping City and Baishan City from three areas with different economic level as the first unit;secondly,select two kindergartens from three city respectively as the second unit;every children's Principal Guardian is the object of investigation.The questionnaire included general demographic data questionnaire,child unintentional injuries questionnaire and Conners Children Behavior Questionnaire(parent).Epidata3.1 was used to record the data,and the data were analyzed by SPSS21.0statistical software.Descriptive statistics,Chi square test,Spearman correlation analysis and Logistic regression analysis were used in data analysis.Results1.The left behind rate of preschool children in Jilin province was 22.56%.2.The incidence rate of left-behind preschool children in city of Jilin province was 34.2%;the main types of injuries are bruised or injured(70.3%),followed by fall injury(14.3%)and cutting injury(4.4%);accident occurred most often at home(62.6%);the major injured parts was limbs,lower limb(42.9%)and upper limbs(38.5%);left-behind children parents care injury KAP on poor performance,the risk factors of injury in the home too many.3.Single factor analysis showed that the preschool left-behind children in city compared with non left-behind children in city of Jilin province.There was significant difference in age,grade,family address,guardianship type,parents' culture,parents' occupation,guardian's occupation,family income(P<0.05).4.The detection rate of behavior problems in preschool left behind children in city of Jilin province was 20.3%.boys' behavior problems score was(0.34 ± 0.36),learning problem score was(0.45±0.43),psychosomatic disorder score was(0.22± 0.34),impulsivity and hyperactivity score was(0.27 ± 0.42),anxiety score was(0.33 ± 0.36),hyperactivity index score was(0.39 ± 0.37);girls' conduct problems(0.32±0.34),learning problem score was(0.36±0.42),psychosomatic disorder score was(0.23±0.37),impulsivity and hyperactivity score was(0.29±0.46),anxiety score was(0.32±0.39)and hyperactivity index score was(0.36±0.37),boys and girls were higher than the norm of psychosomatic disorders.5.The results of correlation analysis showed that there was a positive correlation between the incidence of unintentional injuries and the behavior problems of preschool left behind children in city of Jilin province(P<0.05).6.Logistic regression analysis showed that age,grade,family address,guardianship type,education level of mother,conduct problems into the regression equation,which were the main factors of accident occurred on the preschool left behind children in city of Jilin province,the six factors can explain 73.9% of the variation(R2=0.739).More older,the grade more higher,the rate of accidents more lower;compared with living in Changchun city and Siping City children,children living in Baishan City the incidence of injuries was higher;single parent custody types of children had the higher incidence of accidental injury than inter generational care and other people care type of children;the higher the education level of mother,The higher rate of children accidental injury;in addition,conduct problems more,the higher incidence of children accidental injury.Conclusion1.The left behind rate of preschool children in city of Jilin province was high.2.The rate of unintentional injuries incidence among preschool left behind children in city of Jilin province was high.in the general information age,grade,family address,guardianship type,parents' education and occupation,guardian's occupation,family income were the influence factors of the preschool left behind children in city of Jilin province.3.There was a positive correlation between the behavioral problems and unintentional injuries incidence of preschool left behind children in city of Jilin province.4.Age,grade,home address,guardianship type,mother's culture,behavior problems are the main influencing factors of the preschool left behind children in city of Jilin province.