Barcelos Raquel Siqueira, Santos Iná S, Matijasevich Alicia, Barros Aluísio J D, Barros Fernando C, França Giovanny Vinicius Araújo, Silva Vera Lúcia Schmidt da
Programa de Pós-graduação em Epidemiologia, Universidade Federal de Pelotas, Pelotas, Brasil.
Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brasil.
Cad Saude Publica. 2017 Mar 9;33(2):e00139115. doi: 10.1590/0102-311X00139115.
Knowledge on the incidence of childhood accidents according to the child's stage of development is important for designing preventive programs targeting each age bracket. The aim of this study was to describe the incidence of falls, cuts, and burns in children up to four years of age according to family economic status and maternal age and schooling, in children from the 2004 Pelotas (Brazil) birth cohort. We calculated the incidence rates and incidence rates ratios for the 0-12, 12-24, and 24-48- months of age. Falls were the most frequently reported accidents in all the age brackets, followed by cuts and burns. Boys suffered more falls and cuts than girls in the first two years of life. In the second year of life, the incidence of falls and burns practically tripled, while cuts nearly doubled when compared to the first year, in both sexes. Burns were equally frequent in girls and boys in all three age brackets. The incidence of falls and cuts was higher in boys. In both sexes, having an adolescent mother was associated with falls and cuts in all three age brackets; low maternal schooling was associated with burns and cuts at 48 months; and low family socioeconomic status was associated with falls and cuts at 48 months.
了解儿童意外事故发生率与儿童发育阶段的关系,对于设计针对各年龄段的预防方案至关重要。本研究旨在根据家庭经济状况、母亲年龄和受教育程度,描述2004年巴西佩洛塔斯出生队列中4岁以下儿童跌倒、割伤和烧伤的发生率。我们计算了0至12个月、12至24个月和24至48个月年龄段的发病率和发病率比。跌倒是所有年龄段报告最多的意外事故,其次是割伤和烧伤。在生命的前两年,男孩比女孩遭受更多的跌倒和割伤。在生命的第二年,与第一年相比,跌倒和烧伤的发生率几乎增加了两倍,割伤的发生率几乎增加了一倍,男女皆是如此。在所有三个年龄段,男孩和女孩的烧伤发生率相同。男孩跌倒和割伤的发生率更高。在男女两性中,母亲为青少年与所有三个年龄段的跌倒和割伤有关;母亲受教育程度低与48个月时的烧伤和割伤有关;家庭社会经济地位低与48个月时的跌倒和割伤有关。