Abstract: Objective To study the status and analyse the influencing factors of fall injuries among school-aged children in rural area of Jianshi,and to provide a scientific basis for prevention and control of fall injuries. Methods The questionnaire survey was conducted among children in 3 primary and 3 secondary country schools of Jianshi by stratified cluster sampling.Retrospective data about fall injuries occurred last year were collected. Results The incidence rate and the person-time incidence rate of fall injuries among school-aged children were 7.1% and 7.4% respectively.The top three places where fall injuries happened were homes(35.6%),schools(30.7%),roads(19.0%).The three leading sites of injuries were upper limbs(37.4%),lower extremities(33.1%),heads(25.2%) and the fall injuries mostly occurred in casual play(49.7%)and physical activity (17.8%).The unconditional Logistic regression showed that the risk factor was scold punishment way of education and the protective factors were girls,non-left-behind children and higher ages. Conclusions The falling injury rate of school-aged children in rural area of Jianshi was relatively high,which is the result of various factors.We should strengthen the protection of high-risk groups and change the education way in order to reduce the occurrence of fall injuries among school-aged children in rural area.

Key words: rural area, school-aged children, fall injuries, influencing factors

摘要： 目的 了解建始县农村学龄儿童跌落伤现况和影响因素,为跌落伤的防治提供科学依据。方法 分层整群抽取建始县某乡镇6所中小学校的3~5年级和7~8年级的在校学生进行问卷调查,收集过去一年跌落伤发生的回顾性资料。结果 农村学龄儿童跌落伤发生率为7.1%,跌落伤人次发生率为7.4%。跌落伤发生地点前三顺位为家中(35.6%)、学校(30.7%)、道路(19.0%);跌落伤多发生于上肢(37.4%)、下肢(33.1%)、头面部(25.2%);跌落伤多在休闲玩耍(49.7%)和体育活动(17.8%)时发生。跌落伤发生的危险因素为责骂体罚的教育方式;保护因素为女生、非留守儿童、较大年龄段。结论 农村学龄儿童跌落伤发生率较高,且是多因素共同作用的结果。提示要加强对危险群体的保护,改变教育方式,以减少跌落伤的发生。

关键词: 农村, 学龄儿童, 跌落伤, 影响因素