OBJECTIVETo study the incidence of injuries in middle school students of Hunan province and to explore its influencing factors.

METHODSBoth stratified and cluster sampling were used to obtain the samples in Hunan province, and students from 96 classes in 16 middle schools together with their parents were selected to participate in this investigation. Recognized criteria for injuries, self-rating depression scale, self-rating anxiety scale, interpersonal sensitivity of symptom checklist, family assessment device, parenting locus of the control scale, and self-developed questionnaire were used together to collect data. Chi-square test and logistic regression were employed for data analysis.

RESULTSThe overall incidence rate of injuries among middle school students in Hunan province was 48.74% with 95% CI as (47.43%, 50.05%). Data from the comparisons of injury incidences between males and females, single child and non-single child in the family or among different regions and grades, showed significant differences (P < 0.05). However, no statistical difference was found between students from key or ordinary middle schools (P > 0.05). The results of logistic regression showed that region, grade, gender, having single child or not in the family, tired of staying at school, depression, anxiety, and with peers who often hunt the recreational places were the influencing factors to injury with ORs seen as 1.13, 0.94, 0.72, 0.84, 1.14, 1.47, 1.16, and 2.20, respectively. In addition, compared to the students whose fathers were being unemployed or retirees had a lower chance to experience an injuries, OR = 0.53.

CONCLUSIONThe overall prevalence of injuries among middle school students in Hunan province was 48.74%. The influencing factors for injuries in middle school students would include: region of resicence, grade, gender, being single child or not, tired of staying at school, under depression, anxiety, with peers who often hunt the recreational places, and father' s job situation.