TY - JOUR
PY - 2014//
TI - Features and risk factors of nonfatal injury among the rural children: a survey of seven schools in a mountain area in southwest China
JO - PLoS one
A1 - Shi, Xiu-Quan
A1 - Qi, Yong-Hong
A1 - Shi, Dan
A1 - Yan, Cheng
A1 - Shi, Junxin
A1 - Cao, Bo-Ling
A1 - Liu, Dan
A1 - Luo, Li-Rong
A1 - Wang, Hai-Yan
SP - e102099
EP - e102099
VL - 9
IS - 7
N2 - OBJECTIVE: We aimed to investigate the patterns and risk factors of nonfatal injuries among rural mountain-area children in southwest China.
METHODS: A stratified sampling method was used to recruit rural children aged 8 to 17 years (mainly 9-14 years) from 7 schools. Self-reported injuries during the past 12 months and relevant concerns were collected from June to December 2012 by using a structured questionnaire in a class interview.
RESULTS: The mean age of the 2,854 children was 12.2±1.5 years. The probability of annual injury was 16.7% (95% confidence interval [95% CI] 15.3-18.1%), with slightly higher injury risk for boys than girls (17.7% vs. 16.0%; P>0.05). The top 3 causes of injuries were falls (37.3%), animal-related incidents (20.6%), and burns (14.9%). The main injury risk factors included being involved in a violent episode (odds ratio [OR] 1.34, 95% CI 1.08-1.66, P = 0.007), maltreatment by parents or guardians (1.42, 1.17-1.72, P<0.001), and being from a single-child family (1.30, 1.10-1.66, P = 0.039). Older age was a protective factor (0.81, 0.76-0.87, P<0.001).
CONCLUSIONS: The incidence of nonfatal injury among rural children was high, and falls were the leading cause. Younger children and boys from poor-care and poor-living environments were at increased risk of injury, which requires urgent attention. Injury prevention programs targeting these issues are needed in this mountain area and similar rural regions of China.
Language: en
LA - en SN - 1932-6203 UR - http://dx.doi.org/10.1371/journal.pone.0102099 ID - ref1 ER -