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Left-Behind Children and Risk of Unintentional Injury in Rural China—A Cross-Sectional Survey
Unintentional injury is the leading cause of childhood death and disability in many countries worldwide. This study aimed to quantify rates and risk factors for childhood unintentional injury in areas of rural China, where many children are left behind by migrant worker parents. We administered a qu...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388167/ https://www.ncbi.nlm.nih.gov/pubmed/30708979 http://dx.doi.org/10.3390/ijerph16030403 |
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author | Ma, Sha Jiang, Minmin Wang, Feng Lu, Jingjing Li, Lu Hesketh, Therese |
author_facet | Ma, Sha Jiang, Minmin Wang, Feng Lu, Jingjing Li, Lu Hesketh, Therese |
author_sort | Ma, Sha |
collection | PubMed |
description | Unintentional injury is the leading cause of childhood death and disability in many countries worldwide. This study aimed to quantify rates and risk factors for childhood unintentional injury in areas of rural China, where many children are left behind by migrant worker parents. We administered a questionnaire to children aged 9 to 15, in 56 schools in five counties in Zhejiang and Guizhou provinces. Of the 3791 respondents, 44% lived with both parents, 23% with one parent, and 33% with neither. Around half the children (47.9%) had suffered at least one unintentional injury in the past year, with burns (26%), animal bites (20%) and mechanical injury (18%) the most common. Left-behind children had no increased risk of unintentional injury, but children living in poorer Guizhou (p = 0.001), of divorced parents (p = 0.02), and less well-educated mothers (p = 0.02) were associated with higher risk. Virtual absence of personal level risk factors highlights the importance of addressing environmental risk to reduce childhood injury. The findings have informed a community-based intervention to reduce injury risk through raising awareness of environmental hazards, and through removal of specific hazards. Importantly, the Chinese government should ensure that known effective interventions are subject to legislation and enforcement. |
format | Online Article Text |
id | pubmed-6388167 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-63881672019-02-27 Left-Behind Children and Risk of Unintentional Injury in Rural China—A Cross-Sectional Survey Ma, Sha Jiang, Minmin Wang, Feng Lu, Jingjing Li, Lu Hesketh, Therese Int J Environ Res Public Health Article Unintentional injury is the leading cause of childhood death and disability in many countries worldwide. This study aimed to quantify rates and risk factors for childhood unintentional injury in areas of rural China, where many children are left behind by migrant worker parents. We administered a questionnaire to children aged 9 to 15, in 56 schools in five counties in Zhejiang and Guizhou provinces. Of the 3791 respondents, 44% lived with both parents, 23% with one parent, and 33% with neither. Around half the children (47.9%) had suffered at least one unintentional injury in the past year, with burns (26%), animal bites (20%) and mechanical injury (18%) the most common. Left-behind children had no increased risk of unintentional injury, but children living in poorer Guizhou (p = 0.001), of divorced parents (p = 0.02), and less well-educated mothers (p = 0.02) were associated with higher risk. Virtual absence of personal level risk factors highlights the importance of addressing environmental risk to reduce childhood injury. The findings have informed a community-based intervention to reduce injury risk through raising awareness of environmental hazards, and through removal of specific hazards. Importantly, the Chinese government should ensure that known effective interventions are subject to legislation and enforcement. MDPI 2019-01-31 2019-02 /pmc/articles/PMC6388167/ /pubmed/30708979 http://dx.doi.org/10.3390/ijerph16030403 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Ma, Sha Jiang, Minmin Wang, Feng Lu, Jingjing Li, Lu Hesketh, Therese Left-Behind Children and Risk of Unintentional Injury in Rural China—A Cross-Sectional Survey |
title | Left-Behind Children and Risk of Unintentional Injury in Rural China—A Cross-Sectional Survey |
title_full | Left-Behind Children and Risk of Unintentional Injury in Rural China—A Cross-Sectional Survey |
title_fullStr | Left-Behind Children and Risk of Unintentional Injury in Rural China—A Cross-Sectional Survey |
title_full_unstemmed | Left-Behind Children and Risk of Unintentional Injury in Rural China—A Cross-Sectional Survey |
title_short | Left-Behind Children and Risk of Unintentional Injury in Rural China—A Cross-Sectional Survey |
title_sort | left-behind children and risk of unintentional injury in rural china—a cross-sectional survey |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6388167/ https://www.ncbi.nlm.nih.gov/pubmed/30708979 http://dx.doi.org/10.3390/ijerph16030403 |
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