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Left-Behind Children and Risk of Unintentional Injury in Rural China-A Cross-Sectional Survey

Ma, S; Jiang, M; Wang, F; Lu, J; Li, L; Hesketh, T; (2019) Left-Behind Children and Risk of Unintentional Injury in Rural China-A Cross-Sectional Survey. International Journal of Environmental Research and Public Health , 16 (3) , Article 403. 10.3390/ijerph16030403. Green open access

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Abstract

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.

Type: Article
Title: Left-Behind Children and Risk of Unintentional Injury in Rural China-A Cross-Sectional Survey
Location: Switzerland
Open access status: An open access version is available from UCL Discovery
DOI: 10.3390/ijerph16030403
Publisher version: http://doi.org/10.3390/ijerph16030403
Language: English
Additional information: Copyright © 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/).
Keywords: China, environment, left-behind children, unintentional injury
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
URI: https://discovery.ucl.ac.uk/id/eprint/10068449
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