镇江市1～14岁儿童伤害特征及其危险因素分析

Characters and Risk Factors of Injury Among Children Aged 1-14 in Zhenjiang City

目的了解镇江市1～14岁儿童伤害现状,为儿童伤害的预防控制提供科学依据。方法采用分层随机整群抽样法,于镇江市抽取1～14岁儿童5477名为研究对象,通过统一调查表进行伤害问卷调查。结果镇江市1～14岁儿童的伤害发生率为9.6%,男童伤害发生率显著高于女童。1～4岁儿童伤害发生率在各年龄组中最高。伤害发生率居前5位的依次是跌倒/坠落、交通事故、碰撞/挤压伤、扭伤、昆虫/动物咬伤。最常见的伤害部位为手指/脚趾(26.6%)和下肢(17.6%)。41.1%的伤害发生在家里/宿舍,46.4%在娱乐活动时发生伤害。单亲家庭、男童、儿童自己骑自行车上学是伤害发生的危险因素。结论镇江市1～14岁儿童伤害现状不容乐观,应开展有针对性的伤害防控工作。

Objective To learn injury status of children aged 1 -14 in Zhenjiang, and to provide scientific evidence .for child injury intervention and control. Methods By using stratified cluster random sampling method selected children aged 1 - 14 in Zhenjiang as object, and took questionnaire survey on injury among them. Results The injury incidence was 9.6% in total with boys higher than girls. The highest injury incidence was in the age group of 1 -4. The leading injury incidence were falls, traffic accidents, crush injury, wrench and animal bites. Fingers/toes （26.6% ） and legs（17.6% ） were the most common injury part. The injuries happened mainly at home/dorm（41.1% ） and when having recreation activities （ 46.4% ）. Single-parent family, boy and children going to school by bicycle were the risk factors to the child injury. Conclusion Injury of 1 - 14 aged children in Zheniiang was not optimistic, targeted prevention and control should be carryed out.