Multilevel model study on status and influencing factors of accident injury among rural school-age children in Hunan Province

Objective To investigate the status and influencing factors of accident injury among rural school-age children in Hunan Province. Methods Stratified cluster sampling was used to investigate 1083 children aged 6-14 from the developed, more developed, underdeveloped areas of 12 villages in Hunan during April to August in 2013, SPSS 17.0 and MLwiN 2.0 software were used for statistical analysis. Results 61.0% children had accident injuries in the past year, 71.6% accident happened at home or school, 56.7% were treated by children themselves or untreated, 63.3% of them spent no money after the injury. 21.0% affected the appearance, long-term limited and disability;Multilevel model analysis showed that age, sex, race, body mass index, personality, whether the parents go out to work were the influencing factors of children accidental injury. Conclusion We must focus on children aged above 8 years-old, boys, with outgoing personality or abnormal body mass index, especilly the “left-behind children” as the monitoring objects, enhance the security awareness and hedge skills of them, and increase the investment from government of Hunan Province especilly in minority areas.