Bass J L, Mehta K A, Ostrovsky M
Framingham Union Hospital, Department of Pediatrics, MA 01701.
Public Health Rep. 1991 Jul-Aug;106(4):437-42.
A controlled population-based study of a childhood injury prevention program in four suburban Massachusetts communities was able to demonstrate a 15.3 percent decrease in injury rates for children ages 0-5 years. A substantial improvement was seen in the relative risk for injury in the intervention as compared with control communities. The major intervention was a pediatric counseling program taking place within a context of various community education efforts. Process data on patient satisfaction and physician compliance, and educational and behavioral outcomes from previously reported studies, when combined with injury incidence data in this report, support the hypothesis that physician counseling may be an important factor in the favorable results observed in these suburban communities. These data also suggest that a decrease in injury incidence may be possible when interactive physician counseling takes place within the context of community education programs. A comprehensive strategy that includes technological, legislative, and educational activities is suggested as the optimal approach to childhood injury prevention.
在马萨诸塞州四个郊区社区开展的一项基于人群的儿童伤害预防项目对照研究表明，0至5岁儿童的伤害率下降了15.3%。与对照社区相比，干预社区中伤害的相对风险有了显著改善。主要干预措施是在各种社区教育活动的背景下开展的儿科咨询项目。将患者满意度和医生依从性的过程数据，以及先前报告研究中的教育和行为结果，与本报告中的伤害发生率数据相结合，支持了这样一种假设，即医生咨询可能是这些郊区社区取得良好效果的一个重要因素。这些数据还表明，在社区教育项目的背景下进行互动式医生咨询时，伤害发生率可能会降低。建议采用包括技术、立法和教育活动在内的综合策略作为预防儿童伤害的最佳方法。
