Unintentional injuries at school in China--patterns and risk factors |
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Authors: | Sun Ye-Huan Yu Ignatius Tak-Sun Wong Tze-Wai Zhang Yan Fan Ya-Ping Guo Shu-Qin |
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Affiliation: | Department of Community and Family Medicine, The Chinese University of Hong Kong, 4th Floor, School of Public Health, Prince of Wales Hospital, N.T., Hong Kong SAR, PR China. |
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Abstract: | OBJECTIVE: To describe the rate and pattern of unintentional school injuries among primary and middle school students and to explore the major risk factors involved. STUDY DESIGN: A cross-sectional survey of more than 10,000 students attending 6 primary and 4 middle schools selected randomly from all schools in Maanshan City of Anhui Province in eastern China was conducted to collect information on school injuries occurring in the 12-month period before the survey. Rate ratios for risk factors were estimated using the negative binomial regression analysis. RESULTS: The annual person-based school injury rate was 5.22 (95% CI: 3.90-6.53) percent. The annual event-based injury rate was 5.40 (95% CI: 4.04-6.76) per 100 students. Most injuries in school were relatively mild and only 1.53% (9/590) of the episodes resulted in hospitalization. The most frequent injures were falls (73%), and the most commonly injured sites were the upper limbs (46%). Male sex, primary school grades, poor health status, poor ability to concentrate, bad risk-taking behavior and high study-related stress were important risk factors. CONCLUSION: This study provided useful baseline information on school injuries in China and identified important risk factors that would be important in planning prevention strategies. |
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Keywords: | School injury Epidemiology Risk factors Students Behavior |
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