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目的了解湖南省农村学龄儿童意外伤害发生情况及影响因素,为采取有效的干预措施提供科学依据。方法整群抽取湖南省益阳和怀化的两个乡镇作为研究现场,对现场中6~14岁的学龄儿童开展问卷调查,收集、整理信息后用SPSS13.0进行统计分析。结果①学龄儿童平均年龄为(11.85±2.56)岁,男女性别比为0.77:1,333名儿童中,父母最高职业为农民、工人者占69.3%,父母最高文化程度为初中及以下者占74.2%,家庭经济状况一般及以下者占76.3%,家里有多个兄弟姐妹者占76.3%,父母均外出打工者占55.9%;②近一年内发生过意外伤害的学龄儿童有247人,占74.2%,发生意外伤害次数3次及以上者有153人,占61.9%,最常见的三种意外伤害分别是跌伤(58.3%)、锐器伤(33.0%)和烫烧伤(31.5%),发生意外伤害后,61.4%的学龄儿童没有进行处理或仅自行处理,76.0%的学生并无任何资金花费;③单因素和多因素分析结果表明,父母最高文化程度、家庭经济状况、家里兄弟姐妹数和父母外出务工等4个因素对农村学龄儿童意外伤害发生情况的影响具有统计学意义。结论湖南省农村学龄儿童意外伤害的发生率处于较高水平,应加强农村基础设施建设,提高安全知识水平,建立好的家庭教育和家庭防护,关注留守儿童,以降低学龄儿童意外伤害的发生率。
Objective To understand the incidence and influencing factors of accidental injuries among school-age children in rural areas of Hunan Province, and to provide a scientific basis for effective interventions. Methods Two townships, Yiyang County and Huaihua County, Hunan Province, were selected as the research site. Questionnaires were collected from school-age children aged 6-14 years. The data were collected and sorted out and analyzed by SPSS13.0. Results ① The average age of school-age children was (11.85 ± 2.56) years old, the sex ratio was 0.77. Among the 1,333 children, the highest job-seeking parents were peasants, workers accounted for 69.3%, the parents with the highest level of education were 74.2% Family financial status is 76.3% in general and below. There are many siblings in the family, accounting for 76.3% and 55.9% for both migrant workers. In the past year, 247 school-age children have accidental injuries, accounting for 74.2% 153 accidents occurred, accounting for 61.9%. The three most common injuries were accidental injuries (58.3%), sharp injuries (33.0%) and hot burns (31.5%), respectively. After the injury, 61.4% of the school-age children were not treated or handled only on their own, and 76.0% of the students did not have any financial expenses. (3) The results of univariate and multivariate analysis showed that the parents’ highest education level, family economic status, The impact of four factors such as parents’ migrant workers on the accidental injury of school-age children in rural areas was statistically significant. Conclusions The incidence of accidental injuries among school-age children in rural areas of Hunan Province is at a high level. We should strengthen infrastructure construction in rural areas, improve safety knowledge, establish good family education and family protection, and pay attention to left-behind children to reduce the incidence of accidental injuries among school-age children .