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目的了解湖北省儿童伤害发生的流行病学特征和相关危险因素,为制定儿童伤害干预措施提供科学依据。方法多阶段分层整群抽取湖北省10个市、县的0～14岁儿童家长进行回顾性问卷调查。结果共调查儿童10 688名,城市5 894名,农村4 794名。儿童非致死性伤害发生率为19.0%,发生率男性高于女性(OR=1.28),农村高于城市(OR=2.58)。6～11岁组的伤害率最高(23.7%),0～2岁组的伤害率最低(5.5%)。前3位伤害类型依次为跌倒/坠落(45.2%)、烧烫伤(9.5%)和动物伤(9.5%)。79.6%为轻度损伤,40.1%的伤害发生在家里/宿舍。男性、家庭人口数多、居室热水等摆放不合理、母亲无工作的儿童更易发生伤害。结论湖北省0～14岁儿童伤害情况较为严重,儿童自身的因素和家庭环境的因素对儿童伤害的影响不容忽视。
Objective To understand the epidemiological characteristics and related risk factors of childhood injury in Hubei Province, and to provide a scientific basis for formulating child injury intervention measures. Methods A multi-stage stratified cluster analysis was used to select the parents of children aged 0-14 in 10 cities and counties in Hubei Province for retrospective questionnaire. Results A total of 10 688 children, 5 894 cities and 4 794 rural residents were surveyed. The incidence of non-fatal injury in children was 19.0%, the incidence of male was higher than that of female (OR = 1.28), rural was higher than that of urban (OR = 2.58). The injury rate was the highest in the 6 to 11 age group (23.7%), and the lowest in the 0 to 2 age group (5.5%). The first three injuries were fall / fall (45.2%), burns (9.5%) and animal injuries (9.5%). 79.6% were mild injuries and 40.1% injuries occurred at home / dormitory. Men, families with large population, hot water in houses and other places are unreasonable, and mothers are more vulnerable to work-free children. Conclusion The 0-14 year old children in Hubei Province are more seriously injured. The impact of children ’s own factors and family environment factors on children’ s injuries can not be ignored.