Recreation & Tourism Studies Program, University of North Dakota, Grand Forks, ND 58202-7116, USA.
Br J Sports Med. 2010 Jan;44(1):50-5. doi: 10.1136/bjsm.2009.068049. Epub 2009 Nov 27.
Participation in backcountry wilderness recreation has increased in recent years with children and adolescents making up an increasing number of participants visiting wilderness destinations. Engaging in wilderness activity involves the risk of injury, illness and even death. Unfortunately, there is very little research investigating the health challenges facing children and adolescents in the wilderness. With the intent of increasing awareness among the sports medicine community, this review examines reported paediatric and adolescent wilderness injuries reported in the state of Washington and in US National Parks, injuries reported during outdoor wilderness programmes and global youth expeditions, and health challenges in wilderness settings where the threat of acute mountain sickness is elevated. Future studies addressing the challenges of establishing numerator data linked to suitable denominator data and monitoring injured and non-injured children and adolescents in the wilderness are recommended.
近年来，参与偏远荒野娱乐的人数有所增加，越来越多的儿童和青少年成为参与荒野目的地的游客。参与荒野活动涉及受伤、患病甚至死亡的风险。不幸的是，几乎没有研究调查儿童和青少年在荒野中面临的健康挑战。本综述旨在提高运动医学界的认识，审查了华盛顿州和美国国家公园报告的儿科和青少年荒野伤害、户外荒野项目和全球青年探险报告的伤害，以及急性高原病风险升高的荒野环境中的健康挑战。建议未来的研究解决与合适的分母数据相关联的分子数据建立的挑战，并监测荒野中受伤和未受伤的儿童和青少年。
