【目的】 为了解北京市0~6岁流动儿童意外伤害的发生现状,为干预措施提供依据。 【方法】 选择北京市流动人口集中的4个社区,对在社区居住的非京籍0~6岁儿童的家长进行问卷调查;同时对社区居住的京籍0~6岁儿童的家长进行调查,作为对照组进行比较。调查内容包括儿童意外伤害知识态度和行为、儿童意外伤害发生情况等。 【结果】 流动儿童非致死性意外伤害发生率为11.9%,常住儿童为12.9%,两者差异无统计学意义(χ²＝0.119,P＝0.730)。流动儿童交通伤害、锐器伤、烧烫伤、动物咬伤以及意外窒息的发生率高于常住儿童。流动儿童的伤害40.5%发生在家中,26.2%发生在休闲活动场所,33.3%发生在道路或其它公共场所;常住儿童的伤害92.3%都发生在家中。流动儿童发生意外伤害的平均住院天数、平均休息时间、平均医疗费用均多于常住儿童,差异均有统计学意义。 【结论】 北京市流动儿童意外伤害的发生具有特定的流行病学特点,伤害造成的疾病负担高于常住儿童。要开展有针对性的预防措施,减少由意外伤害所导致的社会和经济负担。

【Objective】 To understand the situation of unintentional injuries among migrant children under six years old in Beijing and provide basis for future intervention. 【Methods】 Four migrant communities in Beijing were randomly selected to participate in the study. Questionnaire survey was conducted among parents of migrant children under six years old. Parents of resident children were also interviewed as the control group. The contents of the questionnaire survey included unintentional injuries related knowledge and behavior, occurrence of unintentional injuries in the previous year. 【Results】 The general incidences of unintentional injuries among migrant and resident children were 11.9% and 12.9% respectively. There was no statistically significant difference between the two groups(χ²＝0.119,P=0.730). The incidences of road traffic injuries, sharp instrument injuries, burns and bites were higher among migrant children than resident children. 40.5% of injuries among migrant children happened at home, 26.2% at outside activity spots, 33.3% at road sides or other outside places. 92.3% of injuries among resident children happened at home. The average time of hospital admission, rest time and medical cost due to injuries among migrant children were significant higher than those of the resident children. 【Conclusions】 There are specific epidemiological characters on unintentional injuries among migrant children under six years old in Beijing. The disease burden of unintentional injuries among migrant children is higher than resident children. Intervention methods should be taken to decrease the incidence and burden of unintentional injuries among migrant children.