目的了解北京市农村地区0~6岁儿童伤害发生的现状和疾病负担,探讨家庭安全隐患对儿童伤害的影响,为实施干预措施提供理论依据。方法采用多级整群抽样方法,对平谷区3个镇53个行政村和25个幼儿园的2 558名0~6岁儿童进行伤害状况调查及家庭安全状况观测。结果平谷区0~6岁儿童非致命性伤害发生率为6.45%,伤害发生的高峰为2岁年龄段,男女性别比为1.50∶1。伤害类型前5位依次为跌伤(38.18%)、动物咬伤(27.88%)、烧烫伤(15.15%)、锐器伤(5.45%)和被下落物击中伤(3.03%)。伤害主要发生在夏、秋季。伤害医疗费用支出平均为708.09元。大多数家庭存在5~14个安全隐患,家庭安全隐患越多,儿童伤害发生率越高。结论北京市农村0~6岁儿童伤害情况较为严重,并给家庭及社会造成严重的经济负担,应该针对儿童伤害的危险因素,制定干预措施,减少儿童伤害的发生。 Objective To understand the current situation and disease burden of children aged 0 ~ 6 years old in rural areas of Beijing, and to explore the impact of family safety hazards on children’s injury and to provide a theoretical basis for the implementation of intervention measures. Methods A multistage cluster sampling method was used to investigate the injury status and family safety status of 2 558 children aged 0-6 in 53 administrative villages and 25 kindergartens in 3 towns in Pinggu District. Results The incidence of non-fatal injuries in children aged 0-6 years in Pinggu District was 6.45%. The peak of injury occurred in 2-year-old children and the sex ratio was 1.50:1. The top five injuries were ascending injury (38.18%), animal bites (27.88%), burns (15.15%), sharp injuries (5.45%) and falling objects (3.03%). Hurt mainly in summer and autumn. Injury medical expenses an average of 708.09 yuan. Most families have 5 to 14 potential safety problems, the more family safety hazards, the higher the incidence of child injury. Conclusions Children in 0-6 years old in rural areas of Beijing are more seriously injured and bring serious financial burden to families and society. Therefore, interventions should be made to reduce the risk of child injury in response to the risk factors of child injury.