The Characteristics Of Injury Proneness And Its Influencing Factors Among Children In One Rural Area Of Anhui Province

Objective In order to provide the basis for implementing the preventive intervention,this study describe the epidemiological characteristics of injury and injury pronenessamong children and explore the relationship between the characteristics of psychologybehavior and injury proneness in one rural area of Anhui Province.Methods The study carried out by cross-section and case-control methods.1. thecross-section study: Through cluster random sampling methods, all students from3to9grades in3middle schools and5primary schools in Changfeng County of AnhuiProvince were investigated with questionnaire.2. The case-control study: on thecross-section study basis, we chose all injury proneness children (cases group) andthen selected once-injury children (controls-1) and non-injury children (control-2)respectively by frequently-matching to carry out case-control researches. Therelationships between cognitive functions and coping style of children and pronenessinjury were identified using multivariate binary logistic regression analysis.Results Of2917students, the annual event-based rate of injuries was17.4per100students (95%CI15.9-19.0). The event-based school injury rate per100students peryear was higher among boys (20.1;95%CI17.9-22.5) than girls (14.4;95%CI12.5-16.5). The event-based school injury rates were19.4%(95%CI17.4-21.6%) and14.6%(95%CI12.5-16.9%) among left-behind and non-left-behind children. The mostfrequent injures were falls (24.5%), and the most commonly injured sites were the homes (42.0%) and the most treatments of injury were to go back home after be treatedin hospital clinic/emergency. The reported rate of recurrent injuries was2.13%in ruralchildren. With the grade increasing, the rate of recurrent injuries was declined(tendency test χ2=16.621, P=0.000). The average frequency of injury was2.31/personamong the injury proneness children. Through once-injury children as controls, datafrom the multivariate binary logistic regression analysis, after adjusted fordemographic characteristics, showed those with Q2grade of the average reaction timehad lower injury proneness risks compared to those with Q4grade (OR=0.338,95%CI=0.120-0.951). And through non-injury children as controls, data from themultivariate binary logistic regression analysis, after adjusted for demographiccharacteristics, showed those with Q3grade of positive coping style had higher injuryproneness risks compared to those with Q4grade (OR=2.755,95%CI=1.046-7.255)and those with Q2grade of negative coping style had lower injury proneness riskscompared to those with Q4grade (OR=0.390,95%CI=0.156-0.974).Conclusion The annual event-based rate of injuries is high and there is thephenomenon of injury proneness children in rural area. The average reaction time,positive coping style, negative coping style were important influential factors. Topromote the children’ healthy development, kinds of preventive measures should betaken to reduce the incidence of injury of children.