儿童自行车头盔宣传活动与头部受伤情况。贫困因素有影响吗？
Bicycle helmet campaigns and head injuries among children. Does poverty matter?
作者信息
Farley C, Laflamme L, Vaez M
机构信息
Institut national de santé publique du Québec, Canada.
出版信息
J Epidemiol Community Health. 2003 Sep;57(9):668-72. doi: 10.1136/jech.57.9.668.
OBJECTIVES
To assess the impact of a community based bicycle helmet programme aimed at children aged 5-12 years (about 140,000) from poor and well off municipalities.
METHODS
A quasi-experimental design, including a control group, was used. Changes in the risk of bicycle related head injuries leading to hospitalisation were measured, using rates ratios.
RESULTS
Reductions in bicycle related head injuries were registered in both categories of municipalities. Compared with the pre-programme period, the protective effect of the programme during the post-programme period was as significant among children from poor municipalities (RR= 0.45 95%CI 0.26 to 0.78) as among those from richer municipalities (RR=0.55 95%CI 0.41 to 0.75).
CONCLUSION
Population based educational programmes may have a favourable impact on injury risks in poor areas despite lower adoption of protective behaviours.
目的
评估一项针对贫困和富裕城市中5至12岁儿童（约140,000名）的社区自行车头盔项目的影响。
方法
采用包括对照组的准实验设计。使用率比来衡量导致住院的与自行车相关的头部受伤风险的变化。
结果
两类城市中与自行车相关的头部受伤均有所减少。与项目实施前相比，该项目在项目实施后对贫困城市儿童的保护作用（RR = 0.45，95%CI 0.26至0.78）与富裕城市儿童（RR = 0.55，95%CI 0.41至0.75）一样显著。
结论
基于人群的教育项目可能对贫困地区的受伤风险产生有利影响，尽管保护行为的采用率较低。
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