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日本儿童社会经济因素与意外伤害风险的关联:一项横断面研究。

Association of socioeconomic factors and the risk for unintentional injuries among children in Japan: a cross-sectional study.

作者信息

Sato Nobuhiro, Hagiwara Yusuke, Ishikawa Junta, Akazawa Kohei

机构信息

Department of Medical Informatics and Statistics, Niigata University Graduate School of Medicine, Niigata, Japan.

Department of Pediatric Emergency and Critical Care Medicine, Tokyo Metropolitan Children's Medical Center, Tokyo, Japan.

出版信息

BMJ Open. 2018 Aug 13;8(8):e021621. doi: 10.1136/bmjopen-2018-021621.

Abstract

OBJECTIVES

While Japan has socioeconomic issues, such as income inequality, little is known about the association between socioeconomic factors and the risk of unintentional childhood injuries. The purpose of the study was to evaluate the influence of socioeconomic factors on the risk for unintentional injuries among preschool children in Japan.

DESIGN

Cross-sectional study using data from a web-based questionnaire survey.

SETTING

Japan (January 2015).

PARTICIPANTS

1000 households with preschool children under 6 years of age.

OUTCOME MEASURES

Multivariate logistic regression was performed to analyse the influence of socioeconomic factors on the incidence of unintentional injuries.

RESULTS

Overall, 976 households were eligible for the analysis, with 201 households reporting unintentional injuries. The incidence rates for unintentional injury were estimated to be constant across all strata constructed using combinations of socioeconomic factors. The multivariate logistic regression analysis showed no significant differences in socioeconomic factors between households that reported unintentional injuries and those that did not.

CONCLUSION

The findings of our study demonstrated that unintentional injuries among preschool children occurred at approximately fixed rates, independent of socioeconomic factors. Accordingly, prevention strategies for unintentional injuries that concern socioeconomic disadvantages should be avoided in Japan.

摘要

目的

尽管日本存在诸如收入不平等之类的社会经济问题,但对于社会经济因素与儿童意外伤害风险之间的关联却知之甚少。本研究的目的是评估社会经济因素对日本学龄前儿童意外伤害风险的影响。

设计

采用基于网络问卷调查数据的横断面研究。

地点

日本(2015年1月)。

参与者

1000户有6岁以下学龄前儿童的家庭。

观察指标

进行多因素logistic回归分析社会经济因素对意外伤害发生率的影响。

结果

总体而言,976户家庭符合分析条件,其中201户报告有意外伤害。使用社会经济因素组合构建的所有阶层中,意外伤害的发生率估计是恒定的。多因素logistic回归分析显示,报告有意外伤害的家庭与未报告的家庭在社会经济因素方面无显著差异。

结论

我们的研究结果表明,学龄前儿童意外伤害发生率大致固定,与社会经济因素无关。因此,在日本应避免针对社会经济劣势群体制定意外伤害预防策略。

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