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 (χ(2) = 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.
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