Study On Unintentional Injury And Its Associated Factors Among Left-behind Children

Objective: Unintentional injuries among children and adolescents are a major public health problem worldwide.Left-behind children(LBC)are a special group and their unintentional injuries have attracted widespread attention.The purpose of this study was to explore the current situation and associated factors of unintentional injury among children and adolescents in China comparing the difference between LBC and Not leftbehind children(NLBC)Methods: This cross-sectional study was conducted in January and February,2019.By stratified sampling method,2,786 students from grade 4 to grade 3 of elementary school in three primary schools and three middle schools in Shenyang were randomly selected as the research objects,and the accidental injury questionnaire,the primary and secondary school students’ cognition of accidental injury,the adolescent mental sub-health questionnaire(MSQA),negative life events,the "My Class" questionnaire and the bullying/victim questionnaire were applied.Multiple logistic regression analysis was used to explore the associated factors of unintentional injury among children and adolescents.Binary logistic regression was performed to explore the differences between LBC and NLBC.Results: The top three unintentional injuries were falling injuries(29.7%),sprains(27.2%)and burn and scalds(20.3%)in our study population.The incidence of unintentional injuries LBC was higher than that of NLBC.Burn and scalds,cutting injury and animal bites LBC were higher than that in NLBC.The results show that junior high school students(odds ratio(OR)=1.296,CI=1.066-1.574)were more likely to report multiple unintentional injuries than primary school students.Girls(OR=1.252,CI=1.042-1.504)had higher odds of reporting multiple unintentional injuries.The odds of multiple injuries in children and adolescents with low levels of unintentional injury perception were higher than those in children and adolescents with high levels of unintentional injury perception(OR=1.321,C=1.013-1.568).Children and adolescents with a high level of psychological subhealth(OR=1.442,CI=1.193-1.744)had higher odds of reporting multiple unintentional injuries.Compared with teenagers who had never experienced negative life events,teenagers who had experienced negative life events many times(OR=2.724,CI=2.121-3.499)were more likely to suffer unintentional injuries many times.Low-level discipline and order(OR=1.277,CI=1.036-1.574)had higher odds of reporting multiple unintentional injuries.In-school adolescents who were bullied were more likely to report being injured multiple times than their counterparts who were not bullied(OR =2.340,CI= 1.925-2.845).Low levels of unintentional injury perception,experienced negative life events and bullying had greater impacts on LBC than on NLBC.Conclusion: The survey found that the incidence of at least one unintentional injury was64.8%.School level,sex,unintentional injury perception,sub-health,negative life events,discipline and order and bullying were associated with incidents of unintentional injury.Compared with NLBC,the incidence of accidental injuries of LBC is higher,and external factors play a greater role in predicting accidental injuries of LBC.We should pay special attention to this group and pay more attention to NLBC.