Towner E M, Jarvis S N, Walsh S S, Aynsley-Green A
Department of Child Health, University of Newcastle Medical School, Newcastle Upon Tyne.
BMJ. 1994 Feb 12;308(6926):449-52. doi: 10.1136/bmj.308.6926.449.
To apply a measure of exposure to injury risk for schoolchildren aged 11-14 across a population and to examine how risk factors vary with sex, age, and affluence.
Self completion questionnaire survey administered in schools in May 1990.
24 schools in Newcastle upon Tyne.
5334 pupils aged 11-14, of whom 4637 (87%) completed the questionnaire.
Boys were exposed to greater risk than girls in journeys to places to play outdoors; they took longer trips and were more likely to ride bicycles (relative risk 5.30 (95% confidence interval 4.23 to 6.64)) and less likely to travel by public transport or car. Younger pupils (aged 11-12) were less exposed to traffic during journeys to and from school: their journeys were shorter, they were less likely to walk (trip to school, relative risk 0.88 (0.83 to 0.94)), and they were more likely to travel by car (trip to school, relative risk 1.33 (1.13 to 1.56)) or school bus (1.33 (1.10 to 1.62)). Poorer children were exposed to greater risk than affluent children (from families that owned a car and a telephone): they were less likely to travel to school by car (relative risk 0.26 (0.20 to 0.33)) or to be accompanied by an adult (0.39 (0.32 to 0.48)).
Injury risk data can provide useful information on child injury prevention and can be used to identify priorities and target resources for injury prevention on a citywide scale or for an individual school.
在整个人口中应用一种衡量11至14岁学童受伤风险暴露程度的方法,并研究风险因素如何随性别、年龄和富裕程度而变化。
1990年5月在学校进行的自填问卷调查。
泰恩河畔纽卡斯尔的24所学校。
5334名11至14岁的学生,其中4637名(87%)完成了问卷。
在前往户外玩耍场所的行程中,男孩比女孩面临更大风险;他们出行时间更长,更有可能骑自行车(相对风险5.30(95%置信区间4.23至6.64)),而乘坐公共交通工具或汽车出行的可能性较小。年龄较小的学生(11至12岁)在上下学途中接触交通的机会较少:他们的行程较短,步行的可能性较小(上学行程,相对风险0.88(0.83至0.94)),乘坐汽车(上学行程,相对风险1.33(1.13至1.56))或校车(1.33(1.10至1.62))的可能性较大。贫困儿童比富裕儿童(来自拥有汽车和电话的家庭)面临更大风险:他们乘坐汽车上学的可能性较小(相对风险0.26(0.20至0.33)),或由成年人陪同的可能性较小(0.39(0.32至0.48))。
受伤风险数据可为儿童伤害预防提供有用信息,并可用于确定全市范围内或个别学校伤害预防的优先事项和目标资源。