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      Influence of school-level factors and anxiety on injury-prone children

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          Abstract

          Objective To understand the characteristics of injuries among rural children, and to determine the relationships between school-level factors with anxiety among injury-prone children, to provide a reference for making effective measures to prevent and control the injuries.

          Methods A cross-sectional survey was conducted in the Qingxin District of Qingyuan City. Six primary schools and middle schools were randomly selected from two towns. A total of 5 250 students in grades 3–9 were investigated. Students filled out the questionnaire themselves. Screen for Child Anxiety Related Emotional Disorders (SCARED) was used to assess anxiety.

          Results Among the 770 rural children who suffered injuries during the past year, the leading cause of injury was falling (44.62%), falling at home (29.61%), getting injuried in low limbs (29.45%), getting injuried by oneself (41.00%) and mainly unintentional injuries (68.66%). About 35.06% of children reported anxiety symptoms. Approximately 14.94% of children were injury-prone type. Significant differences in educational stage, boarding school, fighting involvement, and somatization/panic between injury-prone children were found in control group ( P<0.05). The robust Poisson-GEE model showed that primary school students in high grade and middle grade, fighting with classmates, somatic/panic associated with injury risk ( PR value was 2.11, 1.75, 1.58 and 1.58, respectively).

          Conclusion Injury-prone children in rural are affected by school-level factors as well as anxiety symptoms. In addition to safety education, mental health promotion and prevention of school bullying should be adopted in schools.

          Abstract

          【摘要】 目的 了解农村儿童伤害特征及伤害倾向性儿童的学校和个人焦虑因素, 为制定有效的伤害防控措施提供 依据。 方法 在清远市清新区开展横断面调査, 随机抽取 2 个镇 6 所中小学的三至九年级 5 250 名学生进行自填问卷调 査, 采用儿童焦虑性情绪障碍筛査表等收集信息。 结果 在 1 年内曾发生伤害的 770 名农村儿童中, 伤害的首位原因为跌 倒/坠落 (44.62%), 场所多在家中 (29.61%), 部位常为下肢 (29.45%), 伤害施行者多为自己 (41.00%), 以非故意伤害为主 (68.66%)。35.06% 的伤害儿童有焦虑症状, 14.94% 属于伤害倾向性儿童。不同学段、寄宿情况、是否与同学打架伤害儿童 伤害倾向报告率差异均有统计学意义 ( P值均<0.05), 是否有伤害倾向性儿童躯体•化/惊恐得分差异均有统计学意义 ( P值 均<0.05)。稳健 Poisson-GEE 模型显示, 小学髙年级、小学中年级、与同学打架、躯体•化/惊恐为伤害倾向性的影响因素 ( PR 值分别为 2.11, 1.75, 1.58, 1.58)。 结论 农村伤害倾向性儿童受学校与个人焦虑因素影响, 除加强学生安全教育外, 还要 关注学生心理健康, 健全预防校园欺凌的法律制度。

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          Author and article information

          Journal
          CJSH
          Chinese Journal of School Health
          Chinese Journal of School Health (China )
          1000-9817
          01 April 2020
          01 January 2020
          : 40
          : 4
          : 559-562
          Affiliations
          [1] 1School of Public Health, Guangdong Pharmaceutical University, Guangzhou (510310), China
          Author notes
          *Corresponding author: Zhou Shudong, E-mail: 1030614@ 123456qq.com
          Article
          j.cnki.1000-9817.2019.04.022
          10.16835/j.cnki.1000-9817.2019.04.022
          acbaff79-cfd6-409f-b030-fc64659c4829
          © 2019 Chinese Journal of School Health

          This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

          History
          Categories
          Journal Article

          Ophthalmology & Optometry,Pediatrics,Nutrition & Dietetics,Clinical Psychology & Psychiatry,Public health
          Wounds and injuries,Child,Anxiety,Mental health

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