Ellsässer G, Berfenstam R
Brandenburg Regional Public Health Office, Wünsdorf, Germany.
Inj Prev. 2000 Mar;6(1):41-5. doi: 10.1136/ip.6.1.41.
To compare child injury mortality in Germany with that of four neighboring countries, and to examine injury prevention models in these countries with a view to improving prevention programs in Germany.
Based on official cause of death certificates, child injury mortality rates in Germany are compared with those of Austria, The Netherlands, Sweden, and Switzerland. The main structures and funding of injury prevention programs in these countries are described.
In all five countries, mortality is highest among children aged 1-4 years for home and leisure accidents and drownings. Transport accidents are the main cause of death in the 5-14 age group. Mortality in both age groups has fallen significantly since 1980, most markedly in Sweden and The Netherlands.
Drawing on the injury mortality data and experience of the comparison countries, the following recommendations are proposed to further reduce home and leisure injuries among children in Germany: (1) establish a soundly funded, central institution responsible for child injury surveillance, research, and the coordination of injury prevention activities, (2) improve product control legislation, and (3) disseminate specific safety information to target groups and the general public.
将德国儿童伤害死亡率与四个邻国进行比较，并研究这些国家的伤害预防模式，以期改进德国的预防项目。
基于官方死亡原因证明，将德国儿童伤害死亡率与奥地利、荷兰、瑞典和瑞士进行比较。描述了这些国家伤害预防项目的主要结构和资金情况。
在所有五个国家中，1至4岁儿童因家庭和休闲事故及溺水导致的死亡率最高。交通事故是5至14岁年龄组的主要死亡原因。自1980年以来，这两个年龄组的死亡率均显著下降，瑞典和荷兰下降最为明显。
借鉴比较国家的伤害死亡率数据和经验，提出以下建议以进一步降低德国儿童家庭和休闲伤害：（1）建立一个资金充足的中央机构，负责儿童伤害监测、研究以及伤害预防活动的协调；（2）完善产品控制立法；（3）向目标群体和公众传播具体的安全信息。
