南宁市农村留守儿童意外伤害流行病学调查  

Epidemiological investigation on unintentional injuries of left-behind children in rural area of Nanning

作　　者：蒋武[1] 黄华兴 韦金露[1] 石海丽[1] 朱微微[1] 张荻华[1] 

机构地区：[1]广西南宁市妇幼保健院,530011 [2]广西南宁市兴宁区卫生局

出　　处：《中国妇幼保健》2011年第4期563-565,共3页Maternal and Child Health Care of China

基　　金：广西壮族自治区卫生厅立项课题〔Z2008457〕〔Z2009255〕

摘　　要：目的:了解南宁市农村留守儿童意外伤害发生的流行特征及其影响因素,为制定相关预防和控制策略提供依据。方法:采用整群分层随机抽样方法抽取南宁市4个城区的儿童共2 584例,以问卷形式调查农村留守儿童意外伤害的现况。结果:在本次调查中,农村留守儿童1 096例,留守组意外伤害的发生率为29.7%,高于非留守组,差异有统计学意义(χ2=12.94,P<0.05);留守组男童意外伤害发生率比女童高,差异有统计学意义(χ2=4.623,P<0.05),7～12岁组比2～6岁组高,差异有统计学意义(χ2=5.60,P=0.015);留守儿童组前5位意外伤害依次为:跌倒/坠落(45.6%)、割伤/刺伤(29.6%)、烧烫伤(12.9%)、碰撞/挤压(11.5%)、交通事故(10.4%);留守儿童伤害发生的地点主要在家中(37.5%)、学校(32.4%)、道路上(19.2%),多发季节在夏季(35.6%)及冬季(24.2%);留守儿童发生伤害后有12.3%需住院治疗,约半数儿童需请假休息,治疗费用在2 000元以上占5.0%,以自费居多;留守组再发意外伤害率12.9%,高于非留守组再发意外伤害率8.5%,差异有统计学意义(P<0.05)。结论:南宁市农村留守儿童意外伤害发生率较高,负担较大,应针对原因采取有效措施,减少农村留守儿童意外伤害的发生。Objective：To understand the epidemiological characteristics and effect factors of unintentional injuries of left-behind children in rural area of Nanning,provide a basis for making related preventive and controlling strategies.Methods：Cluster stratified random sampling method was used to select 2 584 children from 4 urban areas of Nanning,and questionnaires were used to survey the status of unintentional injuries of left-behind children.Results：Among 1 096 left-behind children in rural area,the incidence of unintentional injuries was 29.7%,which was significantly higher than that of non-left-behind children group（χ2=12.94,P〈0.05）;in left-behind children group,the incidence of unintentional injuries in boys was significantly higher than that in girls（χ2=4.623,P〈0.05）,the incidence of unintentional injuries in 7～12 years group was significantly higher than that in 2～6 years group（χ2=5.60,P=0.015）;the first five causes of unintentional injuries were fall-related injuries（45.6%）,cutting/piercing（29.6%）,burns and scalding injuries（12.9%）,collision/extrusion（11.5%） and traffic accidents（10.4%）;the main sites of unintentional injuries were at home（37.5%）,school（32.4%） and on the street（19.2%）,unintentional injuries mainly occurred in summer（35.6%） and winter（24.2%）;12.3% of the left-behind children needed hospitalization after unintentional injuries,about half of the children needed rest,the proportion of treatment cost more than 2 000 Yuan was 5%,and most of them paid the fees by themselves;the rate of recurrent injuries was 12.9%in left-behind children,which was significantly higher than that in non-left-behind children（8.5%）（P〈0.05）.Conclusion：The incidence of unintentional injuries is high among left-behind children in rural area of Nanning,the burden is large,effective measures should be taken targeted to the causes in order to reduce the occurrence of unintentional injuries of left-behind children in rural area.

关 键 词：意外伤害 农村 留守儿童 

分 类 号：R181.3[医药卫生—流行病学]