Objective To investigate the incidence and explore the risk factors of fall injuries in school-aged children in Zunyi,and to provide a scientific evidence for the prevention and controlling of children's injuries. Methods Using a stratified sampling method,a total of 2 854 rural children (1 437 boys and 1 417 girls) were recruited.Fall injury-related items were collected using a structured questionnaire in a class interview. Results The fall incidence was 6.2% (n=178) with a proportion 37.3% of overall injuries.Moreover,there was a significant difference between different age.The main locations of falls were at homes (37.1%) and schools (29.2%); the top cause of fall injuries was entertainment (41.6%);And the first injury part of body was limbs (72.4%).The cognition rate about falls prevention was 79.0%. Conclusions The incidence of fall injuries of school-aged children in rural Zunyi accounts for the highest proportion of overall injuries,moreover,it relates to lack of injury-prevention knowledge.The results suggest that efforts should be taken to create a safe environment to prevent children from fall injuries in the whole society.