title: [Determinants of bicycle injury among school-aged children in rural China: a qualitative study].
abstract: OBJECTIVE
  To investigate the causes of bicycle injuries among middle school students in rural areas and attitudes of students, their parents and teachers toward bicycle injuries.
  
  
  METHODS
  103 respondents in 14 groups were interviewed using focus group discussion outline. Data were taped and interpreted by two experienced researchers using the QSR NVivo 8.0 software.
  
  
  RESULTS
  Disobeying the traffic rules, riding bicycle carelessly and fast speed when riding bicycle were the first leading causes of bicycle injuries among middle school students. The relative importance of disobeying traffic rules, inattentive riding the bicycles and fast speed were 1.00, 0.80 and 0.78 respectively. Students, their parents and teachers held different attitudes toward the determinants of child bicycle injuries. The three groups considered the most importance objective cause was 'poor road condition (23 person-time)'. Fast riding speed was the most important subjective cause (students and parents were 14 and 8 person-time during the interview) but teachers thought that disobeying traffic rules was the most important one (by 14 person-time).
  
  
  CONCLUSIONS
  Residents in rural China had low awareness of child bicycle injuries. There is a need to improve the awareness of road safety among rural residents. Future intervention strategies should be tailored to address main determinants to reduce the incidence of road traffic injuries among children.
authors.affiliation: Injury Prevention Research Center, Medical College of Shantou University, Shantou 515041, China.
authors.forename: Yan-ru
authors.initials: YR
authors.lastname: Ye
authors.forename: Li-ping
authors.initials: LP
authors.lastname: Li
authors.forename: Yao-gui
authors.initials: YG
authors.lastname: Lu
authors.forename: Ming-zhi
authors.initials: MZ
authors.lastname: Zhang
authors.forename: Yang
authors.initials: Y
authors.lastname: Gao
authors.forename: Griffiths
authors.initials: G
authors.lastname: Sian
mesh_terms: D000063:Accidents, Traffic; D001642:Bicycling; D015984:Causality; D002648:Child; D002681:China / Q000453:epidemiology; D006801:Humans; D036301:Qualitative Research; D012424:Rural Population; D013334:Students; D014947:Wounds and Injuries / Q000453:epidemiology*