Abstract
BackgroundInjuries pose a considerable threat to the health of children and adolescents, and childhood injuries cause substantial economic loss for families and society. Many injuries are preventable. To provide a theoretical basis and empirical support for injury prevention interventions, we studied the epidemiological characteristics, risk factors, and burden of injuries among elementary and secondary school students in Xiamen, China.MethodsParticipants were enrolled through multi-stage stratified cluster random sampling of elementary and secondary students in Xiamen in 2010. Questionnaires were completed by students’ parents or guardians to assay students’ basic information, family background, occurrence of injuries in the past year, and burden of injuries. Chi-square tests and logistic regression were performed to identify the key factors of injuries.ResultsA total of 2,816 usable questionnaires reported 365 injury incidents in 303 students over 1 year. The incidence of injuries was 10.8%. Students who were male, extroverted, suburban, had sibling(s), studied in grades 4–9, or whose parents were divorced or separated were more likely to suffer from injuries. Most injuries occurred during the summer months (from June to August), and in the afternoon. The main affected body parts were limbs, fingers or toes. Unintentional falls, collisions/strikes, sprains, and cuts/sharp instrument injuries were the predominant causes of injury. The overall economic burden of the 365 injury incidents was 1,014,649.1 RMB (148,666.5 USD) total, 3,348.7 RMB (490.65 USD) per capita, and 2,779.9 RMB (407.31 USD) per incident.ConclusionThe injury incidence among elementary and secondary students in Xiamen, China is lower than Guangdong and Zhejiang but higher than Beijing and Shanghai. Injuries caused substantial economic and family burdens and threatened students’ health and life. Childhood and adolescent injuries have become a serious public health problem that requires the urgent attention of the government, society, schools, and families. Injury control and prevention among elementary and secondary school students is essential and will help in multiple ways to reduce the burden on the family to build a harmonious family and society.
Highlights
Injuries pose a considerable threat to the health of children and adolescents, and childhood injuries cause substantial economic loss for families and society
According to data published by the World Health Organization (WHO) Global Burden of Disease, millions of children are affected by unintentional injuries annually and more than 2,000 children died from injuries daily in 2004 [2]
To provide a theoretical basis and empirical support for interventions, we aimed to (1) establish the prevalence and the major causes of injuries among elementary and secondary students in Xiamen, China; (2) identify the key indicators related to disparities in childhood and adolescent injuries; and (3) measure the economic and family burden of childhood and adolescent injuries
Summary
Injuries pose a considerable threat to the health of children and adolescents, and childhood injuries cause substantial economic loss for families and society. To provide a theoretical basis and empirical support for injury prevention interventions, we studied the epidemiological characteristics, risk factors, and burden of injuries among elementary and secondary school students in Xiamen, China. Some injuries require urgent attention and are the leading cause of death for children and adolescents throughout the world [1,2,3,4,5]. According to data published by the World Health Organization (WHO) Global Burden of Disease, millions of children are affected by unintentional injuries annually and more than 2,000 children died from injuries daily in 2004 [2]. In China, a developing country, injury has replaced diseases as the leading cause of death among elementary and secondary school students since the 1990s [6,7]. As road transport infrastructure developed, the incidence of road traffic injuries grew unexpectedly rapidly [8]
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