Forjuoh S N, Guyer B, Ireys H T
Department of Maternal and Child Health, Johns Hopkins School of Hygiene and Public Health, Baltimore, Md, USA.
Am J Public Health. 1996 Jan;86(1):81-3. doi: 10.2105/ajph.86.1.81.
The prevalence, and risk factors for childhood burn-related physical impairments and disabilities in Ghana were determined with data from mothers of burned children. Of 650 identified burns 113 (174%) resulted in physical impairments, 5 (1%) resulted in physical disabilities. After multivariate adjustment, the odds of developing burn-related physical impairments were increased by burns with protracted healing (odds ratio [OR] = 5.80), burns to the head/neck (OR = 344), burns involving skin removal (OR = 3.04), and wound infection (OR = 2.03) and decreased by first aid (OR = 0.51) and maternal education (OR = 0.54). Education on the proper care of burns may prevent burn-related physical impairments. The results also underscore the link between maternal education and child morbidity.
利用烧伤儿童母亲提供的数据,确定了加纳儿童烧伤相关身体损伤和残疾的患病率及危险因素。在650例已确认的烧伤病例中,113例(17.4%)导致身体损伤,5例(1%)导致身体残疾。经过多变量调整后,烧伤后愈合时间延长(比值比[OR]=5.80)、头颈部烧伤(OR=3.44)、涉及皮肤切除的烧伤(OR=3.04)以及伤口感染(OR=2.03)会增加烧伤相关身体损伤的几率,而急救(OR=0.51)和母亲受教育程度(OR=0.54)则会降低这种几率。关于烧伤正确护理的教育可能会预防烧伤相关身体损伤。研究结果还强调了母亲受教育程度与儿童发病率之间的联系。