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<p>Recognizing the significant impact of childhood injuries, along with the increasing enrollment of younger children in childcare centers and longer hours spent there, this study investigated the patterns and factors associated with unintentional injuries, particularly severe cases occurring in these settings. This study used national-level data from South Korea, comprising 14,859 injury cases reported in 2022 by childcare centers across the country to the Childcare Center Safety and Insurance Association for insurance claims. Descriptive analyses revealed that boys experienced more injuries than girls and preschool-aged children had higher injury rates than infants and toddlers. Most injuries occurred during free play in classrooms, with falls being the leading cause and often resulting in lacerations, contusions, and abrasions. Contact with structural elements, such as pillars and doors, also contributed significantly to injury occurrence. The head and face were the most frequently injured body parts. Decision tree analysis identified two primary contexts for severe injuries: lacerations or fractures to the head and face due to falling or bumping into objects, and injuries to other body parts (e.g., arms, torso, and legs) occurring during free-choice play in playgrounds or out-of-center activities such as field trips and outdoor walks. This study provides valuable insights for developing targeted preventive policies and practical interventions related to unintentional injuries in childcare centers.</p>

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Understanding Unintentional Injuries Among Children in South Korean Childcare Centers

  • 期刊论文

  • 发表日期：

    2025年10月28日

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  • Hyoun K. Kim,
  • Nary Shin,
  • Kumseon Lee,
  • Jiwon Lee,
  • Hyun Kyung Woo,
  • Sohee Park,
  • Seungwon Rhee,
  • Seoyoung Shin

摘要

Recognizing the significant impact of childhood injuries, along with the increasing enrollment of younger children in childcare centers and longer hours spent there, this study investigated the patterns and factors associated with unintentional injuries, particularly severe cases occurring in these settings. This study used national-level data from South Korea, comprising 14,859 injury cases reported in 2022 by childcare centers across the country to the Childcare Center Safety and Insurance Association for insurance claims. Descriptive analyses revealed that boys experienced more injuries than girls and preschool-aged children had higher injury rates than infants and toddlers. Most injuries occurred during free play in classrooms, with falls being the leading cause and often resulting in lacerations, contusions, and abrasions. Contact with structural elements, such as pillars and doors, also contributed significantly to injury occurrence. The head and face were the most frequently injured body parts. Decision tree analysis identified two primary contexts for severe injuries: lacerations or fractures to the head and face due to falling or bumping into objects, and injuries to other body parts (e.g., arms, torso, and legs) occurring during free-choice play in playgrounds or out-of-center activities such as field trips and outdoor walks. This study provides valuable insights for developing targeted preventive policies and practical interventions related to unintentional injuries in childcare centers.