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评估一项伤害预防措施对不同社会人口学因素的影响。

Evaluating the impact of an injury prevention measure regarding different sociodemographic factors.

作者信息

Brockamp Thomas, Koenen Paola, Mutschler Manuel, Köhler Michael, Bouillon Bertil, Schmucker Uli, Caspers Michael, Injury Prevention Of The German Trauma Society Working Group

机构信息

Department of Traumatology and Orthopedic Surgery, Cologne-Merheim Medical Center (CMMC), University of Witten/ Herdecke, Ostmerheimer Str. 200, 51109 Cologne, Germany. Email:

出版信息

J Inj Violence Res. 2018 Jan;10(1):25-33. doi: 10.5249/jivr.v10i1.952. Epub 2017 Dec 4.

DOI:10.5249/jivr.v10i1.952
PMID:29376513
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5801610/
Abstract

BACKGROUND

Road traffic collisions (RTC) remain a major problem especially among young road users. Injury prevention measures and licensing systems have increasingly been developed to counteract some of the negative effects of RTCs in youth. The Prevent Alcohol and Risk Related Trauma in Youth (P.A.R.T.Y.) program is an injury prevention program that promotes prevention through reality education. In this study, the impact of the program on different sociodemographic subgroups of school students was analyzed. The aim was to find out which subgroups were influenced the most and how improvements to the program can be made.

METHODS

Evaluation was performed in a pre-post-intervention setting by means of a standardized questionnaire. The questionnaire contained three different sections with a total of 22 questions to identify students' responses regarding risk-behavior and risk-assessment. Evaluation was done at two different points on the same day (pre-and post-intervention). Data were analyzed with a focus on gender, age, residential area and level of education. Cronbach's alpha was used to check all questions for reliability. Data were analyzed using the t-test and the Wilcoxon signed-rank test with significance defined as p less than 0.05.

RESULTS

The study sample contains 193 students (range 14-17 years of age, 44% male). Female students show better results regarding risk-behavior and risk-awareness. The same applies to students of a higher educational level. And students ≥ 16 years showed significantly better results in all three sections compared to younger students.

CONCLUSIONS

Morbidity and mortality due to RTCs is a major problem in the group of young road users. Especially male road users between 14 and 17 years of age with a low educational level are at high risk to sustain road traffic injuries. Our results show that the P.A.R.T.Y. program has a stronger effect on young female students. Additionally, a significant effect was measured on students ≥ 16 years of age and on students with a higher educational level. Prevention measures need to be evaluated and further improved particularly in order to address the high-risk group of young, male road users with a lower educational status.

摘要

背景

道路交通事故(RTC)仍然是一个主要问题,尤其是在年轻道路使用者中。预防伤害措施和许可制度越来越多地被制定出来,以抵消道路交通事故对年轻人的一些负面影响。青少年预防酒精和风险相关创伤(P.A.R.T.Y.)项目是一项通过现实教育促进预防的伤害预防项目。在本研究中,分析了该项目对不同社会人口统计学亚组的在校学生的影响。目的是找出受影响最大的亚组以及如何改进该项目。

方法

在干预前后的环境中通过标准化问卷进行评估。问卷包含三个不同部分,共22个问题,以确定学生对风险行为和风险评估的反应。在同一天的两个不同时间点(干预前和干预后)进行评估。数据分析重点关注性别、年龄、居住地区和教育水平。使用克朗巴哈系数(Cronbach's alpha)检查所有问题的可靠性。使用t检验和威尔科克森符号秩检验分析数据,显著性定义为p小于0.05。

结果

研究样本包括193名学生(年龄范围14 - 17岁,44%为男性)。女学生在风险行为和风险意识方面表现出更好的结果。教育水平较高的学生也是如此。与较年轻的学生相比,16岁及以上的学生在所有三个部分都表现出明显更好的结果。

结论

道路交通事故导致的发病率和死亡率是年轻道路使用者群体中的一个主要问题。特别是14至17岁、教育水平较低的男性道路使用者遭受道路交通伤害的风险很高。我们的结果表明,P.A.R.T.Y.项目对年轻女学生有更强的影响。此外,对16岁及以上的学生和教育水平较高的学生也有显著影响。需要对预防措施进行评估并进一步改进,特别是为了针对教育程度较低的年轻男性道路使用者这一高危群体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fea2/5801610/0747d2185824/jivr-10-25-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fea2/5801610/0747d2185824/jivr-10-25-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fea2/5801610/0747d2185824/jivr-10-25-g001.jpg

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