Howe L D, Huttly S R A, Abramsky T
Department of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK.
Trop Med Int Health. 2006 Oct;11(10):1557-66. doi: 10.1111/j.1365-3156.2006.01708.x.
To assess the occurrence of child injury in four developing country settings and to explore potential risk factors for injury.
Injury occurrence was studied in cohorts of 2000 children of age 6-17 months at enrolment, in each of Ethiopia, Peru, Vietnam and India (Andhra Pradesh). Generalized estimating equation models were used to explore potential risk factors for child injury.
Occurrence of child injury was high in all countries. Caregiver depression emerged as a consistent risk factor for all types of injury measured (burns, serious falls, broken bones and near-fatal injury) across all countries. Other risk factors also showed consistent associations, including long-term child health problems, region of residence and the regular care of the child by a non-household member.
This report provides further evidence of the importance of childhood injury in developing countries and emphasizes the importance of including infants in injury research and prevention strategies. It provides strong evidence of an association between caregiver mental health and child injury risk and contributes to the limited knowledge base on risk factors for child injury in developing countries.
评估四个发展中国家环境中儿童伤害的发生率，并探讨伤害的潜在风险因素。
在埃塞俄比亚、秘鲁、越南和印度（安得拉邦），对每组2000名入组时年龄为6至17个月的儿童的伤害发生情况进行研究。使用广义估计方程模型来探讨儿童伤害的潜在风险因素。
所有国家儿童伤害的发生率都很高。在所有国家，照顾者抑郁是所有测量的伤害类型（烧伤、严重跌倒、骨折和近乎致命的伤害）的一致风险因素。其他风险因素也显示出一致的关联，包括长期儿童健康问题、居住地区以及非家庭成员对儿童的定期照料。
本报告进一步证明了儿童伤害在发展中国家的重要性，并强调了将婴儿纳入伤害研究和预防策略的重要性。它有力地证明了照顾者心理健康与儿童伤害风险之间的关联，并为发展中国家儿童伤害风险因素的有限知识库做出了贡献。
Zotero 插件