Research On Epidemiological Characteristics And Influencing Factors Of Unintentional Injuries Among Left-behind Children In Poverty Areas In Yunnan

ObjectiveThis paper is to investigate the epidemiologioal characteristics of Unintentional Injuries arnong Left-behind children, analysis of main types and influence factors of Unintentional Injuries, to provide a scientific basis for the prevention of left-behind children in case of injury.ContentsThis study use a method that combination of epidemiological investigation, semi-structured interviews and observation. ①Adopting purposive sampling and stratified cluster random sampling method, the combination of extraction of left-behind children of a poverty-stricken counties in Yunnan province 3 middle school and primary schools,2 to 3-a total of 2924 grade 9 has a student enrollment using questionnaire of accidental injury related to investigation, understand epidemic status of left-behind children accidental injury;②Based on project for good interview-outline, related department personnel, left-behind interview/non left-behind children and their parents, understand local left-behind children accidental injury related policies and work plan and implementation;③To observe The project area schools, school environment, social culture, etc.ResultsPart 1 Left-behind situation:the survey 5 schools of some counties of yunnan province, access to effective questionnaire 2909, left-behind children, a total of 1630 people, accounting for survey 56% of the total. Including left-behind boys for 785 (48.2%), left-behind women for 845 people (51.8%). left behind the men and women sex ratio for:0.93:1.8-10 group 38 (2.3%),10-14 years old group,451 people (27.7%), 14 to 18 years old group,1141 people (70%).The county,261 people (16%). the villages and towns,1369 people (84%).Part 2 The injury Prevalence situation:The survey of 2909 children, accident students have 909 people, accounting for 31.2% of the total survey students. The boy to 468 the number of accidental injuries (51.5%), girls to 441 the number of accidental injuries (48.5%).To have 555 left-behind children accidental injuries (61.1%), non left-behind children there are 354 people (38.9%).the general incidence of injury was 31.2%, the incidence of boys damage (33.1%) than girls injury incidence (29.5%), and have significant difference injury incidence of both men and women (X= 4.278, P=0.039). Left-behind children injury incidence (34%) than the left-behind children (27.7%), including left-behind boy had the highest incidence of 36.1%, remaining 32.2% of the girls. Left-behind has significant difference with the incidence of left-behind children hurt the meaning (X=13.541, P=0.000). Rural children’s accidental injury incidence was 34.7%, higher than the county children’s accidental injury incidence (18.1%), township and county children’s accidental injury incidence difference has significant meaning(X =61.515, P=61.515).Among them, the rural left-behind children accidental injury rates as high as 36%, the second is the villages and towns of left-behind children (32.8%).Part 3 Left-behind children and left-behind children in different gender, grade, whether the only demographic characteristics, such as different guardian type, degree of culture, situation, parents out different types of work, length of time differences between distributions of unintentional injuries occur.Part 4 Injury characteristics:Staying with the left-behind children’s top five damage types of fall injury, burning hot, sharp injury, bite, collision injury. Investigate its main reason for the falling injury is collision fall down, up and down the stairs, climbing trees, took place in the majority with near home, home, school, and the streets.Main reason for the burn is doing the housework and play with fire, is the main place to burn occurred in the home. Left-behind children accidental injuries of time distribution occurring after parent’s outdoor-workers ratio as high as 52.5%, followed by parents before the migrant workers, accounting for 33.3%, other 14.2%. Damage location is mainly the lower extremities, followed by the fingers.The highest percentage of injuries by their own injuries. In the majority with mild-to-moderate damage degree and the injury to the processing of medical units and family members or friends, most of the students better recovery after injury, some students characterized by pain, only a few students with disabilities and restricted movement.Part 5 The influence factors of injuries:according to the results of Multiple factors analysis, Children’s accidental injury" were the main influencing factors of region, grade, age, whether someone around to fight, whether on the road biking, whether with people or retrograde left-behind, etc. Show that the lower grade, the greater the risk that the accident injury; Compared with the younger children, older children are less likely to damage accident; People often fight, often on the road cycling around with people or retrograde will increase the risk of accidental injuries, compared with non left-behind children, left-behind children are more likely to occur accident harm.Staying with the left-behind children has four common factors. And my mother go out to work, parents are migrant workers, the surrounding people often fight, occasionally someone around to fight, the school to carry out outdoor activities, often surf the Internet, parents knife where you get seven factors are the influence factors of left-behind children alone. Prompt, compared with non left-behind children, left-behind children face more damage risk. Left-behind children are more susceptible influence of the safe hidden trouble to around parents go out to work, from society, family and school, etc than the non left-behind.ConclusionsLeft-behind children are relatively high incidence of accident harm, the differences and left-behind children accident distribution, drop and burn is the main damage types. Left-behind children the happening of the accident is. a result of the combined action of various factors. Family, school and family and school peripheral exist many safe hidden trouble, left-behind children cognitive damage degree, damage related risk behaviors and other individual factors, family situation, whether parents go out to work, the parent, or guardian of health status of left-behind children are likely to affect the incidence of left-behind children accidental injury. Left-behind children should be focused on individual factors such as age, gender, risk behavior and damage types, time, space distribution, environmental safety problems such as comprehensive intervention measures. Government and society should enhance the support for the left-behind children, schools should speed up the improvement of management mechanism, the parent or guardian should pay attention to the child’s safety, to eliminate potential safety hazard in the home as much as possible, raise awareness of child injury prevention. Building schools, society and family for the integration of management system, make the left-behind children grow in a society full of love.