Baylor College of Medicine, 3925 Fairmont Parkway, Pasadena, TX 77504, USA.
Pediatrics. 2013 Feb;131(2):233-41. doi: 10.1542/peds.2012-0643. Epub 2013 Jan 21.
To assess playground safety and quality in Chicago, Illinois, identify disparities in access, and use the data to inform collaborative improvement.
A cross-sectional survey of public park playgrounds in Chicago, Illinois, was conducted in 2009, 2010, and 2011 by using the National Program for Playground Safety Standardized Survey. All playgrounds were surveyed in 2009 and 2010; those that failed in 2010 were resurveyed in 2011. Playgrounds were assessed in 4 main categories: age-appropriate design, fall surfacing, equipment maintenance, and physical environment. Safety scores were generated from the assessment. Geographic information system mapping provided a visual description of the playground pass/fail rate based on neighborhood, child population, race/ethnicity, and poverty level.
Of the ∼500 playgrounds, 467 were assessed in 2009, and 459 were assessed in 2010. In 2009, half of all playgrounds (55%) and in 2010, nearly two-thirds (61%) earned scores consistent with safe playgrounds (P < .001). Playgrounds scored poorest in fall surfacing and equipment maintenance. Geographic information system mapping showed neighborhoods with a higher percentage of children and impoverished families had fewer playgrounds and more failing playgrounds. In 2011, 154 (85%) of the playgrounds that failed in 2010 were surveyed. The mean playground score among failing playgrounds improved significantly between 2010 (61%) and 2011 (67%, P < .001).
Since the playground improvement initiative began in 2009, considerable progress has been made in the safety scores, although access to high-quality playgrounds varies by neighborhood. Many failing playgrounds can be brought up to standard with improvement in fall surfacing and equipment maintenance.
评估伊利诺伊州芝加哥市的游乐场安全和质量，确定获得游乐场的机会存在差异，并利用这些数据进行合作改进。
2009 年、2010 年和 2011 年，采用国家游乐场地安全标准化调查，对伊利诺伊州芝加哥市的公共公园游乐场进行了横断面调查。2009 年和 2010 年对所有游乐场进行了调查；2010 年失败的游乐场于 2011 年重新调查。游乐场评估了 4 个主要类别：适合年龄的设计、跌落表面、设备维护和物理环境。从评估中生成安全评分。地理信息系统映射根据邻里、儿童人口、种族/民族和贫困水平，提供了基于游乐场及格/不及格率的视觉描述。
在大约 500 个游乐场中，2009 年评估了 467 个，2010 年评估了 459 个。2009 年，一半的游乐场（55%）和 2010 年，近三分之二（61%）获得了安全游乐场的分数（P<0.001）。游乐场在跌落表面和设备维护方面得分最差。地理信息系统映射显示，儿童和贫困家庭比例较高的邻里拥有较少的游乐场和更多不及格的游乐场。2011 年，2010 年不及格的 154 个（85%）游乐场接受了调查。2010 年（61%）和 2011 年（67%，P<0.001）之间，不及格游乐场的平均游乐场评分显著提高。
自 2009 年游乐场改善倡议开始以来，安全评分取得了相当大的进展，尽管获得高质量游乐场的机会因邻里而异。许多不及格的游乐场可以通过改进跌落表面和设备维护来达到标准。
