Jordan E A, Duggan A K, Hardy J B
Department of Epidemiology, Johns Hopkins University School of Hygiene and Public Health, Baltimore, MD.
Pediatrics. 1993 Feb;91(2):481-7.
The purpose of this study was to describe the epidemiology of injuries in children of adolescent mothers (< 18 years old at delivery), in Baltimore, MD, and to explore the relationship between maternal receipt of home safety information and child injury. A random sample of 363 adolescent mothers and their children were followed longitudinally by home interview at 3 and 15 months postpartum. Receipt of home safety information and information source were assessed at the 3-month interview. Injuries requiring medical attention were assessed at the 15-month interview. Sixty-eight children sustained injuries during follow-up and 14% required hospitalization. Falls and burns predominated as the cause of injury, with burns much more common in girls. The children of mothers who received home safety information from family and community-based sources by 3 months postpartum had significantly lower risk of injury during follow-up than children of mothers who had not received home safety information. As the number of information sources increased, the injury rate decreased. Further work is needed to examine the most appropriate timing, repetition, format, and content of injury prevention education.
本研究的目的是描述马里兰州巴尔的摩市青少年母亲（分娩时年龄小于18岁）所生儿童的伤害流行病学情况，并探讨母亲接受家庭安全信息与儿童伤害之间的关系。对363名青少年母亲及其子女进行随机抽样，在产后3个月和15个月通过家庭访谈进行纵向跟踪。在3个月访谈时评估家庭安全信息的接收情况和信息来源。在15个月访谈时评估需要医疗护理的伤害情况。68名儿童在随访期间受伤，14% 需要住院治疗。跌倒和烧伤是主要的伤害原因，烧伤在女孩中更为常见。产后3个月从家庭和社区来源获得家庭安全信息的母亲所生子女在随访期间受伤的风险明显低于未获得家庭安全信息的母亲所生子女。随着信息来源数量的增加，伤害率下降。需要进一步开展工作，以研究伤害预防教育的最合适时机、重复频率、形式和内容。
