Ribeiro Márcia Gabriela Costa, Paula Aline Beatriz Rocha, Bezerra Maria Augusta Rocha, Rocha Silvana Santiago da, Avelino Fernanda Valéria Silvia Dantas, Gouveia Márcia Teles de Oliveira
Universidade Federal do Piauí. Teresina, Piauí, Brazil.
Rev Bras Enferm. 2019 Jan-Feb;72(1):265-276. doi: 10.1590/0034-7167-2017-0641.
to analyze the factors associated with childhood accidents at home according to the levels of the social determinants of health.
integrative review of the literature, with research in databases CINAHL, LILACS and PubMed, with the following main descriptors: child; social determinants of health; accidentes, home. We included 31 studies that related the social determinants of health and childhood accidents, in English, Portuguese and Spanish.
the proximal determinants identified were: age and sex of children, and ethnicity. Among the intermediate determinants of health, parental behavior, related to the supervision of an adult, prevailed. Parental employment and socioeconomic status were identified as distal determinants.
the age and sex of the child, besides direct supervision, were the determinants most associated with accidents. The distal determinants should be better studied because their relation with the occurrence of domestic accidents has not been sufficiently clarified.
根据健康的社会决定因素水平分析与儿童在家中发生意外事故相关的因素。
对文献进行综合综述，在CINAHL、LILACS和PubMed数据库中进行检索，主要描述词如下：儿童；健康的社会决定因素；事故，家庭。我们纳入了31项用英文、葡萄牙文和西班牙文撰写的将健康的社会决定因素与儿童意外事故相关联的研究。
确定的近端决定因素为：儿童的年龄、性别和种族。在健康的中间决定因素中，与成人监管相关的父母行为占主导地位。父母的就业情况和社会经济地位被确定为远端决定因素。
除直接监管外，儿童的年龄和性别是与事故关联最密切的决定因素。远端决定因素应得到更好的研究，因为它们与家庭事故发生之间的关系尚未得到充分阐明。
