长沙市城区0~6岁儿童伤害发生现状及影响因素分析

Incidence of Injuries and its Influencing Factors among Children Aged 0-6 Years in Urban Area of Changsha City

目的了解长沙市城区0~6岁儿童伤害发生的影响因素及监管人对儿童伤害预防知识的知晓情况。方法采用分层随机整群抽样法,抽取长沙市城区6所街道社区服务中心和5所幼儿园1903名0~6岁儿童,采用问卷调查儿童1年内伤害发生和监管人接触伤害预防知识的情况。结果最近1年内0~6岁儿童伤害发生率为15.50%,61.6%的监管人接触过伤害预防知识。儿童年龄(OR=3.806,P<0.001)、横冲直撞行为(OR=1.339,P=0.010)、家庭常住人口数(OR=0.721,P=0.016)、家长密切监管可以防止儿童受伤的认知(OR=0.691,P=0.019)是长沙市城区0~6岁儿童伤害发生的主要影响因素。结论长沙市城区0~6岁儿童伤害发生率较高,需加强对儿童监管人的健康教育从而降低儿童伤害发生率。

Objective To describe influencing factors associated with injuries among children aged 0-6 years and to examine caregivers’level of knowledge about pediatric injuries in urban area of Changsha.Methods A total of 6 community health centers and 5 kindergartens were selected randomly in urban area of Changsha and 1903 children aged 0-6years were selected as respondents.A questionnaire was used to investigate injuries among these children during the past one year and caregivers’level of knowledge about pediatric injuries.Results The overall incidence of injuries among children aged 0-6 years was 15.50%,and 61.6%caregivers were aware of knowledge of pediatric injury prevention.The major influencing factors for injuries in children were age(OR=3.806,P<0.001),aggressive behavior(OR=1.339,P=0.010),number of people living together in home(OR=0.721,P=0.016)and caregivers’cognition of supervision(OR=0.691,P=0.019).Conclusion Incidence of injuries among children aged 0-6 years in urban area of Changsha was high,there is a need for educational programs for caregivers regarding prevention of injuries inchildren.