Journal of multidisciplinary healthcare · 2026
Acupuncture-Related Needlestick Injuries Among Healthcare Workers in China: A Multicenter Cross-Sectional Study.
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Wang Zhe, Tian Lin, Wang Guiying, Meng Xianqing, Bai Tianyu, Li Zhe, Wang Hailong, Liang Dong, Zhang You, Guo Zining, Wan Xiaoman, Jiang Minjiao, Wu Rong, Dong Zhihao, Song Qingyu, Wang Hongyi, Wang Yuhan, Zheng Hao, Cao Zhenyang, Lin Xing, Yin Yuxuan, Wang Kaili, Sun Lingyu, Zhang Jiamei, Chen Qianxiu, Jiang Guoliang, Yang Xinyue, Tang Yu, Liu Chen, Zheng Yufan, Xu Min, Cui Huafeng, Han Jing
Аннотация
BACKGROUND: Needlestick injuries (NSIs) are a major occupational hazard for healthcare workers, but evidence on acupuncture-related NSIs remains limited.
METHODS: A multicenter cross-sectional survey was conducted among acupuncture physicians, students, and nurses across 10 provinces in China from February to July 2025. Past-year and lifetime NSI prevalence, severe NSI prevalence, and blood-exposure NSI prevalence were estimated. Incidence density was calculated as the number of injuries per 1000 person-years. Multivariable logistic regression was used to identify factors associated with past-year NSI occurrence and non-reporting.
RESULTS: A total of 2147 participants were included. Past-year and lifetime NSI prevalence were 40.71% and 55.43%. Physicians had the highest past-year prevalence (49.22%), followed by students (43.19%) and nurses (17.42%). The overall incidence density was 998.14 per 1000 person-years. Acupuncture needles were the most frequently implicated device (85.38%), and needle removal was the most common injury scenario (71.34%). Only 24.12% of participants always reported NSIs, while 34.96% never reported any NSI. Training was associated with reduced NSI risk and reduced non-reporting behavior. Hepatitis B vaccination coverage remained suboptimal, particularly among students.
CONCLUSION: Acupuncture-related NSIs are frequent and substantially underreported in China. Occupation-specific training, strengthened controls for high-risk workflows, higher vaccination coverage, and improved reporting systems are needed.
METHODS: A multicenter cross-sectional survey was conducted among acupuncture physicians, students, and nurses across 10 provinces in China from February to July 2025. Past-year and lifetime NSI prevalence, severe NSI prevalence, and blood-exposure NSI prevalence were estimated. Incidence density was calculated as the number of injuries per 1000 person-years. Multivariable logistic regression was used to identify factors associated with past-year NSI occurrence and non-reporting.
RESULTS: A total of 2147 participants were included. Past-year and lifetime NSI prevalence were 40.71% and 55.43%. Physicians had the highest past-year prevalence (49.22%), followed by students (43.19%) and nurses (17.42%). The overall incidence density was 998.14 per 1000 person-years. Acupuncture needles were the most frequently implicated device (85.38%), and needle removal was the most common injury scenario (71.34%). Only 24.12% of participants always reported NSIs, while 34.96% never reported any NSI. Training was associated with reduced NSI risk and reduced non-reporting behavior. Hepatitis B vaccination coverage remained suboptimal, particularly among students.
CONCLUSION: Acupuncture-related NSIs are frequent and substantially underreported in China. Occupation-specific training, strengthened controls for high-risk workflows, higher vaccination coverage, and improved reporting systems are needed.