Harada Maria de Jesus C S, Pedroso Glaura César, Ventura Renato Nabas
Universidade Federal de São Paulo (UNIFESP), São Paulo, SP.
J Pediatr (Rio J). 2005 Nov;81(5 Suppl):S137-45. doi: 10.2223/JPED.1401.
To analyze the effectiveness of prevention programs for intentional and unintentional injuries, based on safe community principles, in children and adolescents.
An electronic search was performed in the MEDLINE and LILACS database, corresponding to the period from 2000 to 2005. For prevention of unintentional injuries, we used the following keywords: injury and prevention and community or population and intervention. For prevention of intentional injuries, we used the following keywords: violence and prevention and community or population and intervention; the age range from zero to 18 years was used as a threshold. The inclusion criteria were: original articles which evaluated the effectiveness of interventions using more than one strategy, involving a whole community or group, published in Portuguese, English or Spanish.
152 studies were obtained as a result. Considering the inclusion criteria, five articles were found on unintentional injury prevention, one about intentional injury prevention and one paper addressing these two issues. All studies analyzed demonstrate benefits to children and adolescents, but in different proportions.
A restricted number of programs using the safe community concept were found. The investigations analyzed in this study presented positive results. Increased efforts to further develop this evidence are still needed, respecting local characteristics, and developing evaluation indicators that allow for a better comparison between different studies.
基于安全社区原则，分析针对儿童和青少年有意及无意伤害的预防项目的有效性。
在MEDLINE和LILACS数据库中进行了电子检索，检索时间跨度为2000年至2005年。对于无意伤害的预防，我们使用了以下关键词：伤害与预防、社区或人群、干预。对于有意伤害的预防，我们使用了以下关键词：暴力与预防、社区或人群、干预；年龄范围以零至18岁为界。纳入标准为：以葡萄牙语、英语或西班牙语发表的，评估使用多种策略的干预措施有效性的原创文章，涉及整个社区或群体。
共获得152项研究。根据纳入标准，发现了5篇关于无意伤害预防的文章，1篇关于有意伤害预防的文章，以及1篇涉及这两个问题的论文。所有分析的研究均表明对儿童和青少年有益，但比例不同。
发现使用安全社区概念的项目数量有限。本研究分析的调查呈现出积极结果。仍需加大力度进一步发展这方面的证据，同时尊重当地特点，并制定评估指标，以便更好地比较不同研究。
