目的 了解阿坝州托幼机构儿童意外伤害现状及影响因素。方法 采用分层随机整群抽样法,2015年4-6月对阿坝州8个县城镇和农村托幼机构4 368名儿童意外伤害的发生情况进行调查。结果 阿坝州托幼机构儿童意外伤害总检出率为15.04％。各伤害类型在不同民族之间总体分布差异有统计学意义(P=0.035)。单因素分析显示城乡、不同地区、民族、性别、母亲文化程度、主要抚养人、家庭月收入和家长意外伤害知识得分不同,儿童意外伤害发生率差异有统计学意义(P<0.05)。多因素Logistic回归分析显示不同地区、母亲文化程度、家庭收入是意外伤害发生影响因素。母亲文化程度较高和家庭经济收入高的儿童意外伤害发生率较低。结论 阿坝州托幼机构儿童的意外伤害情况均较为严重。儿童意外伤害的发生与儿童母亲文化程度、家庭经济水平等多因素相关。

Objective To investigate the current status and influencing factors of unintentional injuries in the nurseries and kindergartens of Aba Prefecture. Method Random cluster stratification sampling method was used to study the status of unintentional injuries among 4 368 preschool children in 8 areas of Aba Prefecture from April to June in 2015.Results The overall prevalence rate of unintentional injure was 15.04％.The composition of children′s unintentional injuries type was different among different nations(P=0.035).Single factor analysis showed that factors including urban and rural, areas, nations, sex, maternal education level, family income level, main foster ages and parents′ knowledge level on unintentional injuries affected the incidence of unintentional injuries rate in children(P＜0.05).Logistic regression analysis showed that different areas, mothers education level and family income level were factors influencing the occurrence of unintentional injuries.The prevalence of unintentional injuries in children with higher maternal educational level and family economic level were lower.Conclusions The unintentional injuries are relatively serious in Aba Prefecture.The prevalence rate of unintentional injuries is related to maternal education and family economic level.