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目的了解广州市3~6岁儿童伤害发生现状以及相关的影响因素,为广州市儿童伤害的干预策略和措施的制定提供依据。方法采用多阶段随机整群抽样方法,从广州市12个区中抽取9 600户,对被抽中家庭中全部的3~6岁儿童进行伤害及其相关影响因素进行调查。结果 9 600户中共有739名3~6岁儿童,伤害发生率为5.55%。男童、女童的伤害发生率无明显差异,伤害的主要发生地点为家中。伤害主要原因构成为跌落/坠落46.34%、非机动车车祸12.20%、机动车车祸7.32%。主要影响因素为儿童年龄,5岁年龄段的儿童伤害发生风险最高。自费医药支出占家庭收入比例、父亲是否有慢性病、父亲现在吸烟史、父亲现在饮酒情况等也是危险因素。结论针对以上危险因素,采取相应措施,有助于减少儿童伤害的发生。
Objective To understand the status quo and related factors of injury among children aged 3 ~ 6 in Guangzhou, and to provide basis for the intervention strategies and measures of child injury in Guangzhou. Methods A multistage randomized cluster sampling method was used to extract 9 600 households from 12 districts in Guangzhou. The injury and related factors of all 3 ~ 6 years old children in the affected families were investigated. Results A total of 739 children from 3 to 6 years old were enrolled in 9 600 households with a rate of 5.55%. There was no significant difference in the incidence of injuries among boys and girls, with the injury occurring at home. The main causes of injuries were fall / fall 46.34%, non-motor vehicle accident 12.20% and motor vehicle accident 7.32%. The main influencing factor is the age of children, with the highest risk of injury at 5 years of age. At-home medical expenses as a percentage of household income, whether or not a father has a chronic disease, his father’s current smoking history, and his father’s current drinking status are also risk factors. Conclusion Taking the above risk factors and taking appropriate measures will help to reduce the occurrence of child injury.