Takuro Ishikawa, Eugenia Oudie, Kate Turcotte, and Ian Pike are with, and Ediriweera Desapriya was with the BC Injury Research and Prevention Unit; the University of British Columbia; and the Child and Family Research Institute, Vancouver, British Columbia, Canada.
Am J Public Health. 2014 Jun;104 Suppl 3(Suppl 3):e1-8. doi: 10.2105/AJPH.2013.301683. Epub 2014 Apr 22.
We evaluated evidence of community interventions to improve Aboriginal child passenger safety (CPS) in terms of its scientific merit and cultural relevance. We included studies if they reported interventions to improve CPS in Aboriginal communities, compared at least pre- and postintervention conditions, and evaluated rates and severity of child passenger injuries, child restraint use, or knowledge of CPS. We also appraised quality and cultural relevance of studies. Study quality was associated with community participation and cultural relevance. Strong evidence showed that multicomponent interventions tailored to each community improves CPS. Interventions in Aboriginal communities should incorporate Aboriginal views of health, involve the community, and be multicomponent and tailored to the community's circumstances and culture.
我们评估了改善原住民儿童乘客安全(CPS)的社区干预措施的证据,从其科学价值和文化相关性方面进行了评估。如果研究报告了在原住民社区中改善 CPS 的干预措施,并且至少比较了干预前后的情况,并评估了儿童乘客受伤、儿童约束装置使用或 CPS 知识的发生率和严重程度,我们将纳入研究。我们还评估了研究的质量和文化相关性。研究质量与社区参与和文化相关性有关。有强有力的证据表明,针对每个社区量身定制的多组分干预措施可以改善 CPS。在原住民社区中开展的干预措施应纳入原住民对健康的看法,让社区参与其中,并且应该是多组分的,根据社区的情况和文化进行调整。