上海市闵行区华漕镇托幼机构4~6岁儿童伤害流行病学调查

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目的了解闵行区华漕镇4~6岁托幼机构儿童伤害发生情况,为城乡结合区域学前儿童伤害防治工作提供建议。方法采用分层整群抽样方法,本次共调查幼儿园儿童家长619人。结果华漕镇托幼机构儿童伤害总发生率为18.41%,伤害人次总发生率为29.40%。前3位伤害发生类型主要为跌伤(11.15%)、碰撞伤(8.56%)、刀割伤(2.26%)。96.45%的儿童家长听说过伤害。民办幼儿园儿童家长的伤害防护意愿低于公办幼儿园儿童家长,差异具有统计学意义(P<0.05)。结论建议完善三级幼儿园和看护点伤害报告制度,建立监测网络;学前儿童伤害防制更需要家长和社会的共同参与;民办幼儿园儿童家长对伤害防制知识需求度高,应加强宣传。 Objective To understand the occurrence of child injury among children aged 4 ~ 6 years in Huacao Town, Minhang District, and to provide suggestions for the prevention and treatment of pre-school children’s injury in urban-rural areas. Methods By stratified cluster sampling method, a total of 619 kindergarten children were investigated. Results The total incidence of child injury in child care institutions in Huacao Town was 18.41%, and the total incidence of injuries was 29.40%. The first three types of injury mainly fall injury (11.15%), collision injury (8.56%), knife cutting (2.26%). 96.45% of the children’s parents heard of injuries. The willingness of the parents of children in private kindergartens to protect themselves was lower than that of the parents of children in public kindergartens. The difference was statistically significant (P <0.05). Conclusions It is suggested to improve the reporting system of grade 3 kindergarten and nurse-point injuries and establish a monitoring network. Parents and the community should be involved in the prevention and control of pre-natal children’s injury. Parents of children in kindergarten need to know more about prevention and control of injuries and should be more publicized.
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