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目的了解恩施农村学龄儿童的伤害发生情况和危险因素。方法分层整群抽取恩施农村地区6所中小学3~5年级和7~8年级共2 218名儿童为调查对象,自行设计伤害调查表收集1年内伤害发生的资料,并对资料进行描述性分析以及多因素Logistic回归分析。结果恩施农村学龄儿童伤害发生率为17.49%,男生20.66%高于女生14.14%,留守儿童21.81%高于非留守儿童13.46%。经多因素Logistic回归分析筛选出危险因素为有伤害史、留守儿童、责骂体罚的教育方式、道路情况差。结论恩施农村学龄儿童伤害发生现象较为普遍,且伤害的发生受多因素共同作用。应加强对高危人群的监护,普及安全知识教育,改善家长的教育方式,以减少农村学龄儿童伤害的发生。
Objective To understand the incidence and risk factors of school-age children in Enshi rural areas. Methods A cluster of 2 218 children from 3 grades to 5 grades and 7 grades to 8 grades from 6 primary and secondary schools in rural areas of Enshi was selected as the research object. The injury questionnaire was designed to collect the data of injuries within one year and the data were descriptive Analysis and multivariate logistic regression analysis. Results The incidence rate of school-age children in Enshi was 17.49%, 20.66% for boys and 14.14% for girls, 21.81% for left-behind children and 13.46% for non-left-behind children. The multivariate Logistic regression analysis screened the risk factors for the history of injury, left behind children, abuse of corporal punishment education, poor road conditions. Conclusion The incidence of injuries among school-age children in Enshi rural areas is relatively common, and the occurrence of injuries is affected by many factors. We should strengthen the guardianship of high-risk groups, popularize safety knowledge education and improve parents’ education so as to reduce the incidence of harm to school-age children in rural areas.