From the Trauma Services (A.N.B., J.B., K.A.L.), Dell Children's Medical Center of Central Texas; and School of Social Work (P.Y.-G., K.V.S., M.M.V.), University of Texas at Austin, Austin, Texas; and Trauma Services (T.M.), Arkansas Children's Hospital, Little Rock, Arkansas.
J Trauma Acute Care Surg. 2013 Oct;75(4):676-81. doi: 10.1097/TA.0b013e3182a53adf.
Unintentional injury is the leading cause of death for children in the United States. An association between parental alcohol use and the frequency and severity of childhood injuries has been found; however, research is limited. The purpose of this study was to (1) describe demographics, child safety behaviors, and parental risky behaviors for a pediatric trauma patient population and (2) assess the relationship between positive screen results for risky drinking in parents and demographic and child safety behaviors.
Data were collected from a sample of parents of a child younger than 15 years who was admitted to an urban children's hospital for treatment for an unintentional injury. Data were analyzed using descriptive statistics, bivariate analyses, and logistic regression.
A total of 926 parents of 693 patients were included in this study. Of the families who completed the survey, 37.1% (n = 257) had at least one parent screening positive for risky alcohol use. When looking at patients who ride bicycles, a little more than half (55.1%) were reported as consistently using a helmet. Results showed that inconsistent helmet use was associated with a higher likelihood of at least one parent screening positive for risky drinking (odds ratio, 1.58; 95% confidence interval, 1.06-2.36; p ≤ 0.05).
Helmet use is a known prevention method of head injuries resulting from bicycle crashes. However, improvements need to be made on how to disseminate this information to parents and how to locate and intervene with the parents who have children that are at an increased risk of injury and injury recidivism. Using screening and brief intervention programs may assist in locating and reducing the potential of recurring visits by at-risk patients such as those in this sample who had at least one parent screening positive for risky drinking.
Prognostic study, level III.
在美国，意外伤害是导致儿童死亡的主要原因。已经发现父母饮酒与儿童受伤的频率和严重程度之间存在关联；但是，相关研究有限。本研究的目的是：(1)描述儿科创伤患者人群的人口统计学、儿童安全行为和父母危险行为；(2)评估父母危险饮酒筛查阳性与人口统计学和儿童安全行为之间的关系。
从一家城市儿童医院收治的因意外伤害接受治疗的 15 岁以下儿童的父母中收集数据。使用描述性统计、双变量分析和逻辑回归分析数据。
本研究共纳入 693 名患儿的 926 名父母。完成调查的家庭中，有 37.1%（n=257）的父母至少有一人筛查出危险饮酒。在查看骑自行车的患者时，超过一半（55.1%）的患者报告说始终戴头盔。结果表明，头盔使用不一致与父母至少有一人筛查出危险饮酒的可能性更高相关（比值比，1.58；95%置信区间，1.06-2.36；p≤0.05）。
头盔使用是预防自行车事故导致头部受伤的已知方法。但是，需要改进如何向父母传播此信息，以及如何找到并干预那些子女受伤和再次受伤风险增加的父母。使用筛查和简短干预计划可能有助于找到并减少该样本中至少有一名父母筛查出危险饮酒的高危患者再次就诊的可能性。
预后研究，III 级。
