Sellström E, Guldbrandsson K, Bremberg S, Hjern A, Arnoldsson G
Department of Nursing and Health Sciences, MidSweden University, Ostersund, Sweden.
J Epidemiol Community Health. 2003 Sep;57(9):724-9. doi: 10.1136/jech.57.9.724.
To study municipal variations in children's injury risk and to assess the impact of safety promotion measures in general municipal, preschool, school, and leisure activity settings, on injury outcome.
A cohort study based on individual data on children's consumption of hospital care as a result of injury, the age and sex of each child, and socioeconomic data on each child's mother. Municipal characteristics-that is, population density and municipal safety measures-were also used. Connections between individual and community level determinants were analysed with multilevel logistic regression.
Twenty five municipalities in Stockholm County in Sweden were studied.
Children between 1 and 15 years old in 25 municipalities in Stockholm County, identified in the Total Population Register in Sweden. The study base included 1 055 179 person years.
Municipality injury rates varied between 3.84-7.69 per 1000 person years among 1-6 year olds and, between 0.86-6.18 among 7-15 year olds. Implementation of multiple safety measures in a municipality had a significant effect on the risk of injury for preschool children. In municipalities that implemented few safety measures, the risk of injury was 33% higher than in municipalities that implemented many. A similar effect, though insignificant, was observed in the school aged children.
This study shows that how municipalities organise their safety activities affect injury rates. Sweden has a comparatively low injury rate and thus, in a European perspective, there is an obvious potential for municipal safety efforts.
研究城市间儿童受伤风险的差异，并评估在一般城市、学前教育机构、学校和休闲活动场所推行的安全促进措施对受伤结果的影响。
一项队列研究，基于儿童因伤接受医院治疗的个体数据、每个儿童的年龄和性别以及每个儿童母亲的社会经济数据。还使用了城市特征，即人口密度和城市安全措施。通过多水平逻辑回归分析个体和社区层面决定因素之间的联系。
对瑞典斯德哥尔摩县的25个城市进行了研究。
从瑞典总人口登记册中确定的斯德哥尔摩县25个城市中1至15岁的儿童。研究基数包括1055179人年。
1至6岁儿童的城市受伤率在每1000人年3.84 - 7.69之间，7至15岁儿童的受伤率在每1000人年0.86 - 6.18之间。在一个城市实施多项安全措施对学龄前儿童的受伤风险有显著影响。在实施安全措施较少的城市，受伤风险比实施措施较多的城市高33%。在学龄儿童中也观察到了类似的效果，尽管不显著。
本研究表明城市组织安全活动的方式会影响受伤率。瑞典的受伤率相对较低，因此，从欧洲的角度来看，城市安全工作有明显的潜力。
