摘要
目的了解湖南省某贫困县农村留守学龄前儿童意外伤害发生的流行特征并探讨相关原因,以期为贫困县儿童意外伤害预防控制策略的制定提供参考和借鉴。方法采用整群分层随机抽样方法抽取湖南省某贫困县4个村的学龄前儿童共510例,以问卷形式调查意外伤害发生的相关情况。结果学龄前农村留守儿童292例,占调查人数的57.25%。留守儿童中,以隔代监护和单亲监护为主,其监护人受教育程度低于非留守儿童监护人(P<0.05)。留守儿童意外伤害的发生率为31.51%,高于非留守儿童,差异有统计学意义(P<0.05);留守儿童男童意外伤害发生率比女童高,差异有统计学意义(P<0.05);留守儿童再发意外伤害率为6.51%,高于非留守儿童2.29%,差异有统计学意义(P<0.05)。留守儿童意外伤害前四位依次为跌伤(40.22%)、锐器伤(20.65%)、咬伤(13.04%)和烧烫伤(11.96%)。留守儿童发生伤害后有82.61%的儿童能够痊愈,9.78%的儿童损伤处影响美观,7.61%的儿童损伤部位感觉不适或肢体活动受限,未发现致残的病例。结论该县农村学龄前留守儿童人口多,意外伤害发生率较高,应针对其流行特征采取有效措施,减少和预防农村留守学龄前儿童意外伤害的发生。
【Objective】To understand the epidemiological features and related reasons of unintentional injuries of left-behind rural preschoolers in Hunan Province, so as to provide references for making control and preventive strategies for children’s unintentional injuries in poverty-stricken counties. 【Methods】Cluster stratified random sampling method was used to select 510 preschoolers from 4 rural areas in a poverty-stricken county of Hunan Province, and questionnaires were made to survey the status of unintentional injuries. 【Results】There were 292left-behind children in rural areas, accounting for 57.25% of those surveyed. In left-behind children, the main mode of monitoring was single-parent or grandparent guardianship. Their guardians’ degree of education was lower than that of the non-left-behind children’s guardians（P 〈 0.05）. The incidence of unintentional injuries in the left-behind children was 31.51%, higher than that in the non-left-behind children, and the difference was statistically significant（P 〈 0.05）. In the left-behind children, the incidence of unintentional injuries in boys was significantly higher than that in girls（P 〈 0.05）. The incidence of recurrent injuries was 6.51% in the left-behind children, higher than2.29% in the non-left-behind children, and the difference was statistically significant（P 〈 0.05）. The leading four causes of unintentional injuries in the left-behind children were fall- related injuries（40.22%）, sharp instrument injuries（20.65%）, bites（13.04%）, burns and scalding injuries（11.96%）. After the injuries, 82.61% of the injured leftbehind children were recovered, 9.78% were disfigured, 7.61% felt uncomfortable at the injure sites or had limited activities in the limbs. Cases of disability were not found.【Conclusions】There are a lot of left-behind preschoolers in this county, the incidence of unintentional injuries is high. Effective measures should be taken according to its epidemiological features to reduce and prevent the occurrence of unintentional injuries of rural left-behind preschoolers.
出处
《中国现代医学杂志》
CAS
北大核心
2015年第9期77-80,共4页
China Journal of Modern Medicine
基金
湖南省科技厅科技计划资助(No:2011SK3247)
关键词
意外伤害
留守儿童
学龄前儿童
农村
unintentional injury
left-behind children
preschooler
countryside
作者简介
[通信作者]何薇，E-mail：maoping627@126．com
