RESUMO
Objective To describe the current epidemiological characteristics of injuries among primary and middle school students in one rural area of Anhui province and to explore the relationship between the ways of coping and related injuries.Methods Through cluster sampling methods,all students from 3 to 9 grades in 5 primary schools and 3 middle schools in Changfeng county of Anhui province were investigated with questionnaire.All participants completed an anonymous questionnaire concerning their experiences with injuries during the 12 months preceding the survey.The ways of coping to injuries were evaluated by Trait Coping Style Questionnaire.Factors associated with injuries were identified using a negative binomial regression analysis.Results Of 2917 students,the annual event-based rate of injuries was 17.4 per 100 students.Positive coping score had no significant differences between the injury and non-injury groups (33.98 ± 6.38 vs.33.66 ± 6.37) (t=0.979,P=0.328).The score of negative coping style was higher in injury group than in non-injury group (27.65 ± 7.79 vs.26.54 ± 7.62) (t=2.775,P=0.006).Statistically,the annual injury rates were significantly different in three groups on their negative styles of coping (x2=6.131,P=0.013 ).Data from the multivariable negative binomial regression analysis,after adjusted for demographic characteristics,showed no significant difference on the relationship between positive coping style and injury incidence.Those with moderate negative style of coping had lower risks compared to those with highly negative one (IRR＝0.77,95％ CI:0.63-0.94).Conclusion Negative ways of coping was an important risk factor for injuries.Data from our research suggested that psychological preventive measure need to be taken to improve the style of coping.It was also important to promote the related personality development in planning the strategies for future prevention on injuries.
RESUMO
Objective To understand the status and influential factors of those neglect of left-behind children in rural area,and to provide bases for the development of intervention measures.Methods 2917 students were selected as the study subjects from Changfeng county of Anhui province with cluster sampling method and were evaluated by a Parents-Child Conflict Tactics Scales and questionnaire on influential factors.Results 1694 left-behind children,accounted for 58.1％ of the total students,were surveyed in this investigation.The prevalence rates of neglect,among total children,left-behind children,non-left-behind children were 67.4％,70.2％,63.5％,respectively.The prevalence of neglect among left-behind children was higher than that among non-left-behind children (x2=14.322,P＜0.000).There were no significant associations with the neglect rate of left-behind children regarding gender or age differences.Result from multivariate logistic regression analysis indicated that the neglect among the left-behind children were associated with family dysfunction(OR values of moderate and serious family dysfunctions compared to good family function were 1.628 and 2.341,respectively)and the rate of keeping in touch with parents(OR values of sometimes and seldom keeping in touch compared to regular in touch were 1.299 and 1.844,respectively).The starting age of being left-behind(OR values of starting age that being left-behind from 6 to 10 and ≤5 years relative to starting age of left-behind ≥11 years were 0.703 and 0.630,respectively)appeared to be the protection factor to the neglect of those left-behind children.Conclusion Our findings indicated that the status of neglect among the left-behind children was serious.Prevention programs on the issue should target on a number of factors,including the characteristics of the chldren them-selves,as well as on the family of the children.