Pearn J
J Epidemiol Community Health (1978). 1978 Sep;32(3):190-3. doi: 10.1136/jech.32.3.190.
In many Western countries, trauma is the chief cause of death in children aged one to 14 years. A large number of these deaths are the result of motor vehicle accidents or drowning. It is postulated that the causes of such trauma can be classified into (a) non-specific, predetermining social factors; (b) specific social factors; and (c) acute triggers. Prevention strategies vary considerably for these three groups. Prevention is most cost-effective when directed against specific social factors. In this paper, data for childhood motor vehicle and drowning fatalities in Australia have been analysed and scored for non-specific social influences on childhood accidents such as overcrowding or poverty. This approach allows the ranking of different communities by risk. Motor vehicle accident ratios have been calculated, and these are sufficiently specific, by age and sex, to enable comparisons to be made in future with other communities.
在许多西方国家,创伤是1至14岁儿童死亡的主要原因。其中大量死亡是机动车事故或溺水造成的。据推测,此类创伤的原因可分为:(a)非特定的、预先决定的社会因素;(b)特定的社会因素;以及(c)急性触发因素。针对这三类因素的预防策略差异很大。针对特定社会因素进行预防时,成本效益最高。本文分析了澳大利亚儿童机动车事故和溺水死亡的数据,并对诸如过度拥挤或贫困等对儿童事故有非特定社会影响的因素进行了评分。这种方法可以按风险对不同社区进行排名。已经计算了机动车事故发生率,这些发生率按年龄和性别划分足够具体,以便未来能够与其他社区进行比较。