目的 了解拉萨市城关区学龄前儿童意外伤害的现况及其影响因素,为开展意外伤害的安全教育提供依据。 方法 采用自编的一般资料、儿童意外伤害问卷对随机整群抽取的拉萨市城关区1所公立、2所私立幼儿园611名学龄前儿童家长进行问卷调查。 结果 拉萨市城关区学龄前儿童意外伤害发生率为36.33%;意外伤害发生类型前三位:摔伤、扭伤、脱臼等(45.97%),动物咬伤(18.55%),烧烫伤(10.89%);意外伤害发生地点前三位为:家(58.37%),校外活动场所(19.59%),公路(10.61%)。χ²检验表明,不同民族、性别、父亲、母亲文化程度、居住楼层学龄前儿童意外伤害发生率差异有统计学意义(P<0.05)。多元Logistic回归分析显示,儿童民族、性别及居住楼层为儿童意外伤害的影响因素。 结论 拉萨市城关区学龄前儿童意外伤害发生率较高,尤其以汉族、男童、居住3层以上儿童意外伤害发生率较高。因此,相关部门应给予关注并积极采取措施以预防儿童意外伤害的发生。

Objective To find out the status and influencing factors of unintentional injury in preschool children of Chengguan district in Lhasa city, and to provide basis for health education of childern′s unintentional injury.Methods A total of 611 preschool children from one public and two private kindergartens in Chengguan district of Lhasa were investigated with a self-designed questionnaire on children′s unintentional injury. Results The unintentional injury rate of preschool children was 36.33%. The top three types of unintentional injury were falls, sprains, and dislocations(45.97%), animal bites(18.55%) and burns(10.89%). The top three of occurrence places were home(36.70%), activity sites outside schools(19.59%) and road(14.10%). The Chi-square test showed that the prevalence of unintentional injury among preschoolers of different nationality, genders, mothers′ literacy level and living floors were statistically significant(P<0.05). Multivariate non-conditional Logistic regression analysis showed that children′s nationality, gender and residential floor were the factors affecting children′s unintentional injuries. Conclusions The prevalence rate of unintentional injury in preschool children of Chengguan district in Lhasa City is high. The unintentional injury of Han nationality is higher than that of other Tibetan ethnic groups. Also, the intentional injury in children who are boys, and dwelled in the place higher than the third floor is more prevalent. Therefore, relevant departments should pay attention to the intentional injury status of preschool children in Lhasa, and actively take preventive measures.