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This Article Full Text Full Text (PDF) All Versions of this Article: AJPH.2004.044768v1 95/11/1989    most recent Submit a response Purchase Article View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via ISI Web of Science (1) Citing Articles via Google Scholar Google Scholar Articles by Chen, G. Articles by Xiang, H. Search for Related Content PubMed PubMed Citation Articles by Chen, G. Articles by Xiang, H. Related Collections School Health Exercise/Physical Activity Injury/Emergency Care/Violence

Guanmin Chen, MD, PhD, Gary A. Smith, MD, DrPH, Shusong Deng, MD, Sarah Grim Hostetler, BA and Huiyun Xiang, MD, PhD, MPH

Guanmin Chen, Gary A. Smith, Sarah Grim Hostetler, and Huiyun Xiang are with the Center for Injury Research and Policy, Columbus Children’s Hospital and Children’s Research Institute, College of Medicine and Public Health, The Ohio State University, Columbus. Guanmin Chen is also with the Department of Health Statistics, School of Public Health, Wuhan University, Wuhan, China. Shusong Deng is with the Department of Preventive Medicine, Youjiang Medical College for Nationalities, Gangxi, China.

Correspondence: Requests for reprints should be sent to Huiyun Xiang, MD, PhD, Center for Injury Research and Policy, Columbus Children’s Hospital, 700 Children’s Dr, Columbus, OH 43205 (e-mail: xiangh{at}pediatrics.ohio-state.edu).

Objectives. We described nonfatal injuries and calculated injury rates among middle-school and high-school students in Guangxi, China.

Methods. Students were selected using multistage randomizing techniques, and nonfatal injuries in 1840 students from February 2002 to January 2003 were monitored with standardized injury forms. Risk factors for injury were identified in multivariate analyses.

Results. The annual overall injury rate was 32.3 per 100 students. Boys had a significantly higher injury rate than the girls (34.8 vs 30.3 per 100 students), and a significantly higher proportion of injuries in boys was caused by other students (28.1% vs 19.4%). A higher proportion of injuries in girls (40.7%) occurred at home. For both boys and girls, sports were the most common activities associated with injury. Injuries from falls were the leading cause of injury, and extremities were most frequently injured. Gender, age, ethnicity, and family income levels were identified as significant risk factors for injury in multivariate analyses.

Conclusions. Nonfatal injuries in middle-school and high-school students should be recognized as a significant public health concern in China.