264名留守儿童非故意伤害及其伤害认知现状分析

目的 调查大关县留守儿童非故意伤害及认知现状,并探讨伤害认知影响因素,为开展留守儿童非故意伤害干预提供理论依据。方法 多阶段分层随机整群抽取大关县5所小学264名4～6年级在校留守儿童作为调查对象。结果 264名留守儿童中,过去1年内131名发生过非故意伤害,发生非故意伤害252人次,42人具有非故意伤害倾向,主要的非故意伤害类型是跌落伤(20.45%)。不同性别、不同地区留守儿童非故意伤害发生率差异有统计学意义(χ2分别=8.734、12.771,P<0.05)。留守儿童伤害认知得分最高42分,最低2分,148人伤害认知得分及格。二分类Logistic回归结果显示:留守儿童所在地为乡镇(OR=0.467,95%CI:0.227～0.959)、四年级(OR=0.362,95%CI:0.179～0.731)是伤害预防和应急处理知识得分及格的危险因素,而父亲文化程度为初中(OR=2.707,95%CI:1.421～5.160)是知识得分及格的保护因素。结论 大关县留守儿童非故意伤害发生率较高且对非故意伤害知识认知不足,应积极开展有关伤害预防和应急处理知识的干预,加大对经济欠发达地区的投入力度。

Analysis of status quo of unintentional injury and injury cognition of 264 left-behind children

Objective To investigate the unintentional injury and cognitive status of left-behind children in Dun County, and explore the influencing factors of injury cognition, so as to provide the evidence for the targeted development of unintentional injury intervention. Methods A total of 264 children were selected as the survey objects by the multi-stage stratified random cluster sampling method from 4-6 grade of 5 schools and they were investigated. Results Of the 264 left-behind children, 131 cases of unintentional injury happened in the past year, there were 252 person-times, and 42 cases experienced unintentional injury tendency. The main types of unintentional injury were falling injury (20.45%). There were statistically significant differences between/among different genders and regions in the incidence of unintentional injury (P<0.05). The highest scores was 42 points and the minimum was 2 points. Totally 148 persons passed the injury cognition test. The binary classification logistic regression showed that the risk factors were the residence of left-behind children being located in the villages and towns (OR=0.467, 95% CI: 0.227-0.959), and the fourth grade (OR=0.362, 95% CI: 0.179-0.731), and the protective risk was the father's educational level being junior high school (OR=2.707, 95% CI: 1.421-5.160) for the knowledge of injury prevention and emergency management. Conclusion In Dun County, the occurrence rate of unintentional injury of the left-behind children was high, but the cognitive status was poor. Therefore, we should strengthen the targeted preventive interventions of unintentional injury in the economic less-developed areas.