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P.A.R.T.Y.(预防青少年酒精及风险相关创伤)项目在预防创伤性损伤方面的有效性:一项为期10年的分析。

Effectiveness of the P.A.R.T.Y. (Prevent Alcohol and Risk-related Trauma in Youth) program in preventing traumatic injuries: a 10-year analysis.

作者信息

Banfield Joanne M, Gomez Manuel, Kiss Alex, Redelmeier Donald A, Brenneman Frederick

机构信息

RBC First Office for Injury Prevention, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

出版信息

J Trauma. 2011 Mar;70(3):732-5. doi: 10.1097/TA.0b013e31820783a3.

Abstract

BACKGROUND

The P.A.R.T.Y. (Prevent Alcohol and Risk-Related Trauma in Youth) program is a 1-day injury awareness and prevention program for youth aged 15 years and older. The goal is to teach adolescents to recognize their injury risks and make informed decisions to reduce them. This study assessed the effectiveness of the P.A.R.T.Y. Program in preventing traumatic injuries during a period of 10 years (1992-2004).

METHODS

P.A.R.T.Y. participants (STUDY) were matched with subjects having the same age, gender, residential area, and initial year in database, who did not attend the P.A.R.T.Y. Program (CONTROL). Data from hospital discharge database, and provincial health claims, were searched to determine the incidence of traumatic injuries in both groups. Statistical comparisons were made for the two groups, gender, calendar year, and before and after the graduating driver licensing system was implemented, using the χ and conditional logistic regression analysis with a p<0.05 considered significant.

RESULTS

Of 3,905 P.A.R.T.Y. participants, 1,281 were successfully randomly matched on the above 4 variables with 1,281 controls. The most frequent injury was injury by other or homicide 373 of 2,562 (14.8%). There were fewer traumatic injuries in the STUDY group than in the CONTROL group (43.3% vs. 47.4%; p=0.02; OR, 1.22; 95% CI, 1.03-1.45). This difference was stronger in females (44.4% vs. 49.0%; p=0.04) and before the graduating driver licensing system implementation (60.1% vs. 67.2%; p=0.04).

CONCLUSIONS

The P.A.R.T.Y. Program effectively reduced the incidence of traumatic injuries among its participants. This effectiveness was stronger among females and before the driver licensing system was implemented.

摘要

背景

“P.A.R.T.Y.(预防青少年酒精及风险相关创伤)”项目是一项针对15岁及以上青少年的为期一天的伤害意识与预防项目。其目标是教导青少年识别自身的伤害风险,并做出明智决策以降低这些风险。本研究评估了“P.A.R.T.Y.项目”在10年期间(1992 - 2004年)预防创伤性损伤的效果。

方法

将“P.A.R.T.Y.项目”参与者(研究组)与数据库中年龄、性别、居住地区及初始年份相同但未参加“P.A.R.T.Y.项目”的受试者(对照组)进行匹配。检索医院出院数据库和省级健康索赔数据,以确定两组创伤性损伤的发生率。使用χ²检验和条件逻辑回归分析对两组、性别、历年以及毕业驾驶执照系统实施前后进行统计比较,p<0.05被认为具有统计学意义。

结果

在3905名“P.A.R.T.Y.项目”参与者中,1281名在上述4个变量上成功与1281名对照组进行了随机匹配。最常见的损伤是他人伤害或凶杀,2562例中有373例(14.8%)。研究组的创伤性损伤少于对照组(43.3%对47.4%;p = 0.02;OR为1.22;95%CI为1.03 - 1.45)。这种差异在女性中更明显(44.4%对49.0%;p = 0.04),且在毕业驾驶执照系统实施之前(60.1%对67.2%;p = 0.04)。

结论

“P.A.R.T.Y.项目”有效降低了参与者中创伤性损伤的发生率。这种效果在女性中以及在驾驶执照系统实施之前更强。

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