目的了解广东省中小学生伤害的流行特征和疾病负担情况,为伤害的干预提供科学依据。方法用4阶段分层随机整群抽样方法抽取大城市、中小城市、一类农村和二类农村各3个县区进行调查,每个县抽取1所学校,共对6352名学生进行调查,小学一、二年级学生面对面访谈,三～六年级学生在调查员和老师的指导下完成,初、高中生自填。结果中小学生伤害发生率为30.4%,次数发生率为48.0%,每例伤者年均伤害1.58次。伤害的前6位原因是扭伤(23.4%)、割伤(23.2%)、跌倒(21.4%)、碰撞/挤压(11.7%)、热/火烫(5.8%)和交通事故(5.5%)。46.9%的伤害是浅表伤,其他依次为脱位/扭伤(23.0%)、烧烫伤(6.2%)和开放性伤(5.7%);伤害最常发生的地方是家中(37.1%)、学校(29.9%)和路上(20.0%);体育活动时发生伤害的比例最高(占28.3%),其次为娱乐活动(18.8%)和家务(16.6%)。95.8%伤害是轻度伤害,3.9%是中度伤害,0.3%是重度伤害。没有休息的伤者占70.2%,休息1周以下者占24.3%,大于1周者占2.5%。结论广东省中小学生伤害发生率高,疾病负担沉重。 Objective To understand the epidemiological characteristics and disease burden of primary and secondary school students in Guangdong Province and provide a scientific basis for their intervention. Methods A total of 6352 students were surveyed by using 4 stratified stratified random cluster sampling method in 3 cities and counties in big cities, small and medium-sized cities, a type of rural areas and rural areas of the second type. First and second grade students face-to-face interviews, three to six students completed under the guidance of investigators and teachers, junior high school students self-filling. Results The incidence of primary and secondary school injuries was 30.4% and the frequency of occurrence was 48.0%. The average annual injury rate of each injured was 1.58 times. The top 6 causes of injuries were sprains (23.4%), cuts (23.2%), falls (21.4%), collisions / crushes (11.7%), hot / cold burns (5.8%) and traffic accidents (5.5%). 46.9% of the injuries were superficial injuries followed by dislocations / sprains (23.0%), burns (6.2%) and open injuries (5.7%). The most common injuries were at home (37.1%), schools 29.9%) and on the road (20.0%). The highest percentage of sports injuries occurred (28.3%), followed by recreational activities (18.8%) and housework (16.6%). 95.8% damage is mild damage, 3.9% moderate damage, and 0.3% severe damage. 70.2% of those who did not have a rest, 24.3% of those who had a rest for less than one week, and 2.5% more than a week. Conclusion Primary and secondary school students in Guangdong Province have a high incidence of injuries and a heavy burden of disease.