Nilsen Per, Bourne Michael, Coggan Carolyn
Department of Health and Society, Division of Social Medicine and Public Health Science, Linköping University, SE-58183 Linköping, Sweden.
Int J Inj Contr Saf Promot. 2007 Mar;14(1):35-43. doi: 10.1080/17457300600864447.
Injury surveillance is widely recognized as a critical prerequisite for effective injury prevention, yet few studies have investigated its use by community-based injury prevention programmes. This study examined the extent to which local injury data were collected, documented, analysed, linked to injury prevention action and used for evaluation among WHO Safe Communities in Scandinavia (25 programmes) and the Canadian Safe Community Foundation (SCF) network (16 programmes). For each programme, a key informant with relevant local knowledge was selected to respond to an emailed questionnaire. The study demonstrates that community-based injury prevention programmes experience difficulties accessing and effectively utilizing local injury surveillance data. The findings suggest that the responding SCF programmes approach injury prevention more scientifically than the Scandinavian WHO-designated Safe Community programmes, by making greater use of injury surveillance for assessment, integration into prevention strategies and measures, and evaluation. Despite study limitations, such as the low response rate among Canadian programmes and a large number of non-responses to two questions, the results highlight the importance of, and need for, greater use of local injury surveillance.
伤害监测被广泛认为是有效预防伤害的关键前提条件,但很少有研究调查基于社区的伤害预防项目对其的使用情况。本研究考察了在斯堪的纳维亚地区的世界卫生组织安全社区(25个项目)和加拿大安全社区基金会(SCF)网络(16个项目)中,当地伤害数据在收集、记录、分析、与伤害预防行动相联系以及用于评估等方面的程度。对于每个项目,选择一名具有相关当地知识的关键信息提供者来回复一份电子邮件问卷。该研究表明,基于社区的伤害预防项目在获取和有效利用当地伤害监测数据方面存在困难。研究结果表明,做出回应的SCF项目在预防伤害方面比世界卫生组织指定的斯堪的纳维亚安全社区项目更具科学性,因为它们更多地利用伤害监测进行评估、纳入预防策略和措施以及进行评价。尽管存在研究局限性,如加拿大项目的低回复率以及对两个问题的大量未回复情况,但结果凸显了更多利用当地伤害监测的重要性和必要性。