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沙特阿拉伯利雅得一家三级护理医院儿科诊所儿童意外伤害及其相关因素的评估。

Assessment of unintentional childhood injuries and associated factors in the pediatric clinics of a tertiary care hospital in Riyadh, Saudi Arabia.

作者信息

Alkhamis Kawther N, Abdulkader Rizwan S

机构信息

Department of Family Medicine, King Saud Medical City, Ministry of Health, Riyadh, Saudi Arabia.

Department of Public Health, Ministry of Health, Riyadh, Saudi Arabia.

出版信息

J Family Community Med. 2020 Sep-Dec;27(3):168-177. doi: 10.4103/jfcm.JFCM_75_20. Epub 2020 Sep 25.

Abstract

BACKGROUND

Although unintentional childhood injuries are a major cause of morbidity, there is a dearth of literature on the issue in Saudi Arabia. The aim of this study was to assess the prevalence of unintentional childhood injuries in Saudi children, safety of their home environment, and the parents' attitude toward home safety measures.

MATERIALS AND METHODS

A cross-sectional survey was conducted in a consecutive sample of parents accompanying children aged ≤12 years to the pediatric outpatient clinics of a tertiary care hospital in Riyadh, Saudi Arabia. A validated self-administered questionnaire was used for data collection. Data was analysed using SPSS; Chi-square test and -test were used to identify variables associated with injury in the preceding 12 months. Logistic regression analysis performed to identify the significant variables associated with injury after contolling for other variables.

RESULTS

A total of 283 participants were enrolled. The prevalence of unintentional childhood injuries was 24.7% in the past 12 months. The majority of these injuries occurred at home (74.3%). Accidental falls were the most reported (62.9%) cause of injury followed by burns (22.9%). Being a male child, attending a nursery or kindergarten, and having parents who kept hazardous objects within the reach of children were found to be significantly associated with higher odds of injury.

CONCLUSION

The prevalence of unintentional childhood injuries was high in the study population. Significant gaps were found between parents' reported knowledge and practice. Focused educational programs to improve home safety will be valuable in reducing this burden.

摘要

背景

尽管儿童意外伤害是发病的主要原因,但沙特阿拉伯关于该问题的文献却很匮乏。本研究的目的是评估沙特儿童意外伤害的患病率、家庭环境安全性以及家长对家庭安全措施的态度。

材料与方法

在沙特阿拉伯利雅得一家三级护理医院的儿科门诊,对陪同12岁及以下儿童前来就诊的家长进行连续抽样横断面调查。采用经过验证的自填式问卷收集数据。使用SPSS进行数据分析;采用卡方检验和t检验来确定与过去12个月内受伤相关的变量。进行逻辑回归分析以确定在控制其他变量后与受伤相关的显著变量。

结果

共纳入283名参与者。过去12个月内儿童意外伤害的患病率为24.7%。这些伤害大多数发生在家中(74.3%)。报告最多的受伤原因是意外跌倒(62.9%),其次是烧伤(22.9%)。研究发现,男孩、上托儿所或幼儿园以及父母将危险物品放在儿童可触及范围内与受伤几率较高显著相关。

结论

研究人群中儿童意外伤害的患病率较高。家长报告的知识与实践之间存在显著差距。开展有针对性的教育项目以改善家庭安全对于减轻这一负担将很有价值。

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