Pless I Barry, Hagel Brent, Patel Hema, Leduc Denis, Magdalinos Helen
Dept. of Pediatrics and Epidemiology and Biostatistics, Faculty of Medicine, McGill University, Montreal, QC.
Can J Public Health. 2007 Jul-Aug;98(4):271-5. doi: 10.1007/BF03405401.
The Product Safety Programme (PSP) of Health Canada is responsible for preventing product-related injuries. If PSP decides a product is dangerous, it can publicize its dangers, prohibit, or control its distribution; but for child products, the preferred option is to publicize its concerns. In the past, this included sending posters to paediatricians' offices and, more recently, placing alerts on the PSP website. This study examines the effectiveness of this process.
15 Montreal paediatricians participated in a modified crossover randomized trial. During a randomly chosen intervention week, two product-related notices were posted in the paediatricians' waiting area. In the following or preceding week, these notices did not appear. Parents were interviewed by telephone to determine if they saw the posters and acted on the information received.
We interviewed 808 parents (86%) of the 940 who agreed to participate. Of these, only 16% of the intervention and less than 1% of the control group reported seeing the posters. There were no differences in reported changes in behaviours related to the notices. These findings are unchanged after taking account of socio-economic status. No parents cited the posters, websites, or paediatricians as their main source of information about dangerous products.
Product safety notices, whether sent to paediatricians' practices or posted on a website, cannot be relied upon to reach parents of preschool age children. Other approaches require consideration, such as increasing the power of PSP to regulate product safety.
加拿大卫生部的产品安全计划（PSP）负责预防与产品相关的伤害。如果PSP认定某产品存在危险，它可以公布其危险信息、禁止或控制其分销；但对于儿童产品，首选方案是公布其相关问题。过去，这包括向儿科医生办公室发送海报，最近则是在PSP网站上发布警报。本研究考察了这一过程的有效性。
15名蒙特利尔的儿科医生参与了一项改良的交叉随机试验。在随机选择的干预周内，在儿科医生的候诊区张贴两份与产品相关的通知。在接下来或之前的一周，这些通知不出现。通过电话采访家长，以确定他们是否看到了海报并根据收到的信息采取了行动。
我们采访了940名同意参与的家长中的808名（86%）。其中，干预组中只有16%的家长以及对照组中不到1%的家长报告看到了海报。在报告的与通知相关的行为变化方面没有差异。在考虑社会经济地位后，这些结果没有变化。没有家长将海报、网站或儿科医生列为他们获取危险产品信息的主要来源。
无论是发送到儿科医生诊所还是张贴在网站上的产品安全通知，都不能指望能传达给学龄前儿童的家长。需要考虑其他方法，比如增强PSP监管产品安全的权力。
