Chaveepojnkamjorn Wisit, Pichainarong Natchaporn, Pooltawee Siriwan
Department of Epidemiology, Faculty of Public Health, Mahidol University, Bangkok, Thailand.
Southeast Asian J Trop Med Public Health. 2002 Sep;33(3):642-6.
A hospital based case-control study was performed to determine causes of unintentional injuries among children aged 1-4 years at home. Data were obtained by interviewing parents and guardians of 242 children at Lerdsin Hospital in Bangkok, from August to October 1999. The results showed that falls were the most common type of injuries (54.6%). The age of 2 years comprised the major group (28.9%). The study subjects were injured within the home (60.7%). Sunday and Saturday were the most frequent days of injuries (18.2% and 16.5% respectively). The proportion of cases involving playing with others was 71.1%. Most of the injuries occurred in the period 16.00-19.00 hours (32.2%). Head and neck were the main injured area (45.5%). The multivariate model showed that children who had previous injuries were 19.22 times more likely to be injured again than those who had not previously been injured. Children with vigorous physical activities also had a higher risk (OR = 19.73, 95% CI 6.11-63.74). Outdoor working mothers were at higher risk than houseworking mothers (OR = 4.14, 95% CI 1.57-10.93) of having children affects. Children who spent most of the daytime at their relatives' houses had a higher risk than those who stayed at their home (OR = 3.48, 95% CI 1.02-11.81), while, 37.9% of children injured at their relatives' houses and 50.8% of all injured children were without supervision.
一项基于医院的病例对照研究旨在确定1至4岁儿童在家中意外伤害的原因。1999年8月至10月期间，通过对曼谷勒德辛医院242名儿童的家长和监护人进行访谈获取数据。结果显示，跌倒为最常见的伤害类型（54.6%）。2岁儿童为主要群体（28.9%）。研究对象在家中受伤（60.7%）。周日和周六为受伤最频繁的日子（分别为18.2%和16.5%）。涉及与他人玩耍的病例比例为71.1%。大多数伤害发生在16:00至19:00时段（32.2%）。头部和颈部为主要受伤部位（45.5%）。多变量模型显示，既往有过受伤经历的儿童再次受伤的可能性是未曾受伤儿童的19.22倍。进行剧烈体育活动的儿童风险也更高（比值比=19.73，95%置信区间6.11 - 63.74）。从事户外工作的母亲其孩子受影响的风险高于家庭主妇（比值比=4.14，95%置信区间1.57 - 10.93）。白天大部分时间待在亲戚家的儿童比待在家中的儿童风险更高（比值比=3.48，95%置信区间1.02 - 11.81），而在亲戚家受伤的儿童中有37.9%以及所有受伤儿童中有50.8%在受伤时无人监管。
