Blank Danilo
Departamento de Pediatria e Puericultura, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS.
J Pediatr (Rio J). 2005 Nov;81(5 Suppl):S123-36. doi: 10.2223/JPED.1400.
To describe the relationship between injury control and contextual pediatrics.
Quasi-systematic review of MEDLINE, SciELO and LILACS databases, using combinations of the words contextual, community, injury, accident and violence; and non-systematic review of book chapters and classic articles.
Safety depends on the interaction of family habits, cultural patterns and surroundings. Contextual pediatrics sees the child, the family, and the community as a continuum; health diagnosis (sequential observation of problems and assets) is one of its cornerstones. Changing intrapersonal factors for injuries requires the use of both passive and active strategies. Family and cultural risk factors for injury: home overcrowding, moving, poverty, and young, illiterate and unemployed parents. The main neighborhood factors: material deprivation and traffic. Cultural factors: illiteracy, unsafe products, lack of mass transportation, handguns, workplaces without safety rules, faulty community organization, lack of communication between social sectors, inadequate legislation, low priority for safety among government actions, lack of economic resources, and low academic commitment with the field of safety.
The pediatrician's roles include strengthening of the longitudinal relationship with families, integrated interdisciplinary work, constructive intervention, partnership with community, counseling on injury risks pertaining to each developmental stage, by using lists with explicit processes and contents, and by handing out written materials. Active advocacy for safety promotion in different environments, besides the clinical setting.
描述伤害防控与情境儿科学之间的关系。
对MEDLINE、SciELO和LILACS数据库进行半系统综述，使用情境、社区、伤害、事故和暴力等词汇组合；对书籍章节和经典文章进行非系统综述。
安全取决于家庭习惯、文化模式和环境的相互作用。情境儿科学将儿童、家庭和社区视为一个连续统一体；健康诊断（对问题和资产的连续观察）是其基石之一。改变伤害的个人内在因素需要使用被动和主动策略。伤害的家庭和文化风险因素：家庭过度拥挤、搬家、贫困以及父母年轻、文盲和失业。主要的邻里因素：物质匮乏和交通。文化因素：文盲、不安全产品、缺乏公共交通、手枪、没有安全规则的工作场所、社区组织不完善、社会部门之间缺乏沟通、立法不足、政府行动中安全的优先级低、缺乏经济资源以及对安全领域的学术投入低。
儿科医生的角色包括加强与家庭的长期关系、综合跨学科工作、建设性干预、与社区建立伙伴关系、通过使用具有明确流程和内容的清单并分发书面材料，就每个发育阶段的伤害风险提供咨询。除临床环境外，在不同环境中积极倡导促进安全。
