International Injury Research Unit, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, 615 North Wolfe Street, Baltimore, MD 21205, USA.
J Epidemiol Community Health. 2010 Jul;64(7):645-7. doi: 10.1136/jech.2008.080903.
Injuries are an increasing child health concern and have become a leading cause of child mortality in the 1-4 years age group in many developing countries, including Bangladesh.
Household observations during 9 months of a community-based pilot of two supervision tools-a door barrier and a playpen-designed to assess their community acceptability in rural Bangladesh are reported in this article.
Statistical analysis of 2694 observations revealed that children were directly supervised or protected by a preventive tool in 96% of visits. Households with a supervision tool had a significantly lower proportion of observations with the child unsupervised and unprotected than households without a tool. Families that received a playpen had 6.89 times the odds of using it at the time of the visit than families that received a door barrier.
Interventions such as the playpen, when introduced to households through community-based programs, are accepted by parents. Field trials are urgently needed to establish the effectiveness of barrier-based interventions at reducing under-five drowning mortality rates in low-income countries like Bangladesh.
在许多发展中国家，包括孟加拉国，伤害是儿童健康日益关注的问题，已成为 1-4 岁儿童死亡的主要原因。
本文报告了在孟加拉国农村地区进行的两项监督工具（门栏和游戏围栏）社区试点 9 个月期间的家庭观察结果，旨在评估其社区可接受性。
对 2694 次观察的统计分析显示，在 96%的访问中，儿童直接受到预防工具的监督或保护。有监督工具的家庭中，儿童无人监督和无人保护的观察比例明显低于没有工具的家庭。在接受游戏围栏的家庭中，与接受门栏的家庭相比，在访问时使用游戏围栏的可能性高 6.89 倍。
通过社区为基础的项目向家庭引入类似游戏围栏的干预措施，受到了父母的欢迎。迫切需要进行现场试验，以确定基于障碍的干预措施在降低孟加拉国等低收入国家五岁以下儿童溺水死亡率方面的有效性。
