云南省某贫困县农村留守儿童意外伤害的影响因素
Influencing Factors of Unintentional Injuries among the Left-behind Children in a Poverty County in Yunnan Province
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摘要: 目的 探讨某县农村留守儿童意外伤害的现状及危险因素,为制定相关干预措施提供依据.方法采用分层整群随机抽样的方法,抽取某县5所中小学共2 909名学生为研究对象,以问卷形式收集留守儿童意外伤害发生的情况,并利用观察法和访谈法辅助问卷调查,分析其危险因素.结果 本次调查留守儿童1 630名,意外伤害发生率为555人(34.0%),高于非留守组的354人(27.7%),差异有统计学意义(P<0.05).留守儿童前5位的伤害类型为跌落伤228人(14.0%),烧烫伤91人(5.6%),锐器伤59人(3.6%),咬伤49人(3.0%),砸伤26人(1.6%).多因素Logistic回归分析表明低年龄、学校开展户外活动及交通拥挤为留守儿童意外伤害发生的危险因素.结论 留守儿童意外伤害已经成为不可忽视的社会问题,应针对意外伤害发生的危险因素开展综合干预.Abstract: Objective To explore risk factors of unintentional injury among left-behind children in a rural poverty county and to provide evidence for injury intervention.Methods 2 909 students, including 1 630left-behind children,were recruited from a poor counties of five schools by Multi-stage stratified cluster random sampling method,and were surveyed applying designed questionnaire,interview method and observation method to collect the data of the injury accidents and related factors in the last one year.Results The incidence of unintentional injury among the left-behind children in rural area was 34.0%,higher than the rate of 27.7% among non-left-behind children and the difference was statistically significant(c2=13.541,P<0.05);in the top five injury type were falling injury(14.0%),burns(5.6%) and sharp instrument injury(3.6%),bite(3.0%),parts(1.6%) among left-behind children.Low age,often miss my mother,fighting in school,outdoor activities,road and traffic state were risk factors for injury of left-behind children.Conclusion The unintentional injury of left-behind children has become a social problem that can not be ignored, and targeted intervention should be carried out.
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Key words:
- Left-behind children /
- Unintentional injury /
- Influencing factors
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