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[母亲的工作与儿童意外伤害的严重程度]

[Mother's work and severity of accidental injuries in children].

作者信息

Híjar-Medina M C, Tapia-Yañes R, López-López M V, Lozano-Ascencio R

机构信息

Escuela de Salud Pública de México, Instituto Nacional de Salud Pública, Cuernavaca, México.

出版信息

Salud Publica Mex. 1995 May-Jun;37(3):197-204.

PMID:7676345
Abstract

A study was conducted in children under five years old, in order to establish the association between the mother's work and the severity of unintentional injuries. The study was carried out at the emergency room of six pediatric hospitals in Mexico City. Cases were children with major injuries that required hospitalization, intensive care, surgery, or who died as a result of the injury. Controls were children of similar age, with minor injuries resolved at the emergency room. Sample size was 350 cases and 350 controls. Variables were grouped according to: mother's occupation; characteristics of the child, socioeconomic status, child care, and those related with home risk factors. Results showed a protective effect on severity of injuries when the mother worked outside home in comparison to mothers who do not work, (or 0.79, 95%CI 0.57-1.07). No differences were found with respect to sex and age of children. Mother age under 24 years old and low schooling (< 3 years of elementary school) were statistically significant with a risk of major injuries (or 2.30, 95%CI 1.5-3.4). Delay of demand of medical care after 60 minutes of injury occurrence is related with a risk of major injury (or 1.68, 95% CI 1.2-2.3). No differences related with household risk factors were found. Results provide valuable information about risk factors related with injury severity and the association with mother's work.

摘要

一项针对五岁以下儿童开展的研究,旨在确定母亲的工作与意外伤害严重程度之间的关联。该研究在墨西哥城六家儿科医院的急诊室进行。病例为受重伤需要住院、重症监护、手术或因伤死亡的儿童。对照为年龄相仿、在急诊室伤势较轻的儿童。样本量为350例病例和350例对照。变量按以下因素分组:母亲职业;孩子的特征、社会经济地位、儿童保育以及与家庭风险因素相关的因素。结果显示,与不工作的母亲相比,母亲外出工作对伤害严重程度有保护作用(比值比为0.79,95%置信区间为0.57 - 1.07)。在孩子的性别和年龄方面未发现差异。母亲年龄在24岁以下且受教育程度低(小学<3年)与重伤风险在统计学上具有显著相关性(比值比为2.30,95%置信区间为1.5 - 3.4)。受伤发生60分钟后延迟寻求医疗护理与重伤风险相关(比值比为1.68,95%置信区间为1.2 - 2.3)。未发现与家庭风险因素相关的差异。研究结果提供了与伤害严重程度相关的风险因素以及与母亲工作之间关联的有价值信息。

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