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发展中国家的伤害史:黎巴嫩伤害文献的范围综述

History of injury in a developing country: a scoping review of injury literature in Lebanon.

作者信息

Al-Hajj Samar, Pawliuk Colleen, Smith Jennifer, Zheng Alex, Pike Ian

机构信息

Health Management and Policy Department, American University of Beirut, Beirut 1107 2020, Lebanon.

BC Children's Hospital Research Institute, Vancouver, BC V6H3V4, Canada.

出版信息

J Public Health (Oxf). 2021 Apr 12;43(1):e24-e44. doi: 10.1093/pubmed/fdaa043.

Abstract

BACKGROUND

Lebanon, an Eastern Mediterranean country, suffers a large burden of injury as a consequence of conflict and war, political instability, and the lack of policies and safety regulations. This article aims to systematically map and comprehensively describe the injury research literature in Lebanon and, to identify gaps for future research.

METHODS

MEDLINE, Embase, Eric and SafetyLit, and the grey literature, including conference proceedings, theses and dissertations, government and media reports, were searched without any date or language limits. Data were extracted from 467 documents using REDCap.

RESULTS

War-related injuries were the most prevalent type of injury in Lebanon, followed by homicide and other forms of violence. While existing literature targeted vulnerable and at-risk populations, the vast majority focused solely on reporting the prevalence of injuries and associated risk factors. There are considerable gaps in the literature dealing with the integration of preventive programs and interventions across all populations.

CONCLUSIONS

Lebanon, historically and currently, experiences a high number of injuries from many different external causes. To date, efforts have focused on reporting the prevalence of injuries and making recommendations, rather than implementing and evaluating interventions and programs to inform policies. Future injury related work should prioritize interventions and prevention programs.

摘要

背景

黎巴嫩是一个东地中海国家,由于冲突与战争、政治不稳定以及缺乏政策和安全法规,承受着巨大的伤害负担。本文旨在系统梳理并全面描述黎巴嫩的伤害研究文献,并找出未来研究的空白之处。

方法

检索了MEDLINE、Embase、Eric和SafetyLit以及灰色文献,包括会议论文集、学位论文和政府及媒体报道,检索无日期和语言限制。使用REDCap从467份文献中提取数据。

结果

与战争相关的伤害是黎巴嫩最普遍的伤害类型,其次是凶杀和其他形式的暴力。虽然现有文献针对弱势群体和高危人群,但绝大多数文献仅专注于报告伤害的发生率及相关风险因素。在涉及针对所有人群整合预防项目和干预措施的文献方面存在相当大的空白。

结论

从历史上看以及目前,黎巴嫩因许多不同的外部原因而遭受大量伤害。迄今为止,工作重点一直是报告伤害发生率并提出建议,而不是实施和评估干预措施及项目以指导政策制定。未来与伤害相关的工作应优先考虑干预措施和预防项目。

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