Current status and influencing factors of multiple injuries among children and adolescents in Chongqing,China
Ding Xianbin
Gao Yang
Yang Xianxian
Xu Jie
Wu Caixia
Wu Chang
Li Wanhua
Tian Ke
Abstract：Objective To understand the current status and influencing factors of multiple injuries among children and adoles-cents in Chongqing,China,and to provide recommendations for the prevention and control of multiple injuries in this popu-lation.Methods In 2019,a stratified random cluster sampling method was used to select students from grades 4 to 12 for a questionnaire survey.The questionnaire included demographic characteristics,parents'age,parents'education level,par-ents'health status,parents'relationships,educational methods,and injury-related behaviors.Statistical analysis was con-ducted using SPSS 25.0.In addition,the x2 test was used to compare the incidence of multiple injuries among different pop-ulations,and multifactorial logistic regression analysis was used to identify influencing factors of multiple injury occurrence.Results A total of 14 056 students were surveyed,including 6 954 males(49.47％)and 7 102 females(50.53％).Among them,4 939(35.14％)were from elementary school,4 360(31.02％)from middle school,and 4 757(33.84％)from high school.Among the surveyed children and adolescents,750 had experienced an injury in the past 6 months,with an injury in-cidence rate of 5.34％,and 246 had experienced two or more injuries,resulting in a multiple injury incidence rate of 1.75％.Multifactorial logistic regression analysis indicated that being from an ethnic minority(OR=3.006,95％CI:2.315-3.903),mother's average health status(OR=1.542,95％CI:1.169-2.033)and having chronic diseases(OR=1.951,95％CI:1.240-3.068),swimming in places without safety measures six or more times in the past 12 months(OR=2.657,95％CI:1.537-4.592),engaging in physical fights with others(one time:OR=1.789,95％CI:1.204-2.658;two or more times:OR=1.602,95％CI:1.121-2.290),and having thought about running away from home(OR=1.823,95％CI:1.335-2.487)or attempted to run away from home(OR=3.042,95％CI:1.886-4.906)in the past 12 months are influencing factors of multiple injury occurrence.Conclusion The incidence rate of multiple injuries among chil-dren and adolescents in Chongqing remains low.Maternal health status and unsafe behaviors are influencing factors of multi-ple injury incidence rates.Therefore,interventions should be targeted at these factors.
Keywords：Children and adolescentsMultiple injuriesIncidence rateInjury-related behaviors
Publication Date：2024-08-28
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：8( 1-8 )