| 陆治名,邓晓,汪媛,耳玉亮,叶鹏鹏,金叶,纪翠蓉,段蕾蕾.中国6个省份28个县（区）儿童动物伤害流行特征及影响因素分析[J].中华流行病学杂志,2021,42(8):1401-1406 |
| 中国6个省份28个县（区）儿童动物伤害流行特征及影响因素分析 |
| The epidemiological characteristics and influencing factors of animal injuries among children from 28 counties in 6 provinces, China |
| 收稿日期:2020-11-03 出版日期:2021-08-19 |
| DOI：10.3760/cma.j.cn112338-20201103-01299 |
| 中文关键词: 动物伤害 儿童 影响因素 |
| 英文关键词: Animal injury Child Influencing factor |
| 基金项目:科技部科技基础资源调查专项（2017FY101205） |
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| 中文摘要: |
| 目的 了解中国6个省份28个县（区）儿童动物伤害流行特征及发生频次影响因素，为制定儿童动物伤害防控策略和措施提供数据支持。方法 选取2016-2020年儿童伤害预防项目中0~17岁儿童伤害数据，描述儿童动物伤害发生基本特征，采用负二项回归模型分析动物伤害发生频次影响因素。结果 中国6个省份28个县（区）204 628名0~17岁儿童，男童107 029名，女童97 599名，男女性别比为1.10。动物伤害人数发生率为0.70%，人次发生率为0.72%，男童高于女童。动物伤害发生地点主要以家中（73.20%）、公路/街道/道路（7.51%）和小区/村里空地（6.77%）为主。发生时活动主要为玩耍/娱乐（63.15%）。发生时段主要为12：01-18：00（45.03%）。损伤部位以上肢（47.89%）、下肢（35.31%）和头部（8.44%）最常见。主要处理方式为门诊或急诊治疗（85.19%）。负二项回归结果显示，性别、年级、监护人文化程度、城乡、监护人每天与儿童沟通时间是儿童动物伤害发生频次的影响因素。结论 儿童动物伤害防控工作应将男童作为重点人群，家庭作为主要场所。动物伤害发生频次影响因素较多，应积极向儿童及监护人普及动物伤害预防知识，综合学校、家庭、社会等多方力量开展针对性的综合干预。 |
| 英文摘要: |
| Objective To understand the epidemiological characteristic and influencing factors of animal injuries among children from 28 counties/districts in 6 provinces of China to provide evidence for formulating related prevention measures and strategies. Methods Data was obtained from ‘Children injury prevention project, 2016-2020’. Variables on the characteristics, including incidence, locations, related activities, time, and outcomes among children, were described. The negative binomial regression model analyzed animal injury frequency influencing factors. Results There were 107 029 boys and 97 599 girls, with a gender ratio of 1.10, among the 204 628 children aged 0-17 in 28 counties/districts in 6 provinces of China. Per-person and per-time incidence rates of animal injuries were 0.70% and 0.72%, both higher in boys than in girls. Animal injuries among children mainly occurred in home (73.20%), road/street (7.51%), and open space of community/village (6.77%), during playing (63.15%), with the peak time between 12:01-18:00 (45.03%). Upper limbs (47.89%), lower limbs (35.31%), and head (8.44%) were the most injured body parts. Outpatient or emergency treatment (85.19%) had been carried out. The negative binomial regression showed that sex, grade, guardian educational level, urban or rural, and daily communication between guardians and children as influencing factors in the frequency of animal injuries among children. Conclusions Special attention should be given to boys, at home, in projects on animal injury prevention and control. There were many influencing factors of animal injury frequency. Knowledge of injury prevention should be popularized to children and guardians. Related comprehensive intervention should be developed in families, schools, and social settings. |
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