Petridou E, Zervos I, Christopoulos G, Revinthi K, Papoutsakis G, Trichopoulos D
Department of Hygiene and Epidemiology, Athens University Medical School, Greece.
Inj Prev. 1995 Jun;1(2):92-6. doi: 10.1136/ip.1.2.92.
To examine whether biosocial variables and auditory acuity are risk factors for injuries among children.
Children with injuries who presented at the emergency clinics of one of the two university hospitals for children in Athens, Greece between December 1993 and April 1994.
144 children aged 5-14 years, residents of Athens, were brought to the emergency clinics for a moderate to severe injury. For each of these children one hospital control, matched for age and sex, and one classmate control similarly matched were identified. A standard interview form was completed for all 432 children and acouometric and tympanometric examinations were performed in each of them. Analysis was done through conditional logistic regression.
The likelihood of an accident was higher in children of younger fathers (odds ratio (OR) = 0.7, p = 0.04), children of mothers with non-professional jobs (OR = 1.9, p = 0.03) as well as in children of higher birth order (OR = 1.7, p = 0.01), in those with predominantly other than parental daily supervision (OR = 2.6, p = 0.001), and those with a history of previous accident (OR = 1.3, p = 0.002). Somatometric factors, school performance, use of corrective eyeglasses and subnormal auditory acuity were not found to be risk factors, but auditory imbalance and abnormal tympanograms were positively related to the risk of childhood injury (OR = 2.6, p = 0.02; and OR = 2.3, p = 0.08 respectively).
the findings of this study underline the importance of attentive supervision and safety training of children living in modern cities; they also suggest that children with auditory imbalance and history of an accident are at higher injury risk and they should be targeted with specific intervention programs.
研究生物社会变量和听力是否为儿童受伤的风险因素。
1993年12月至1994年4月期间，在希腊雅典两所大学儿童医院之一的急诊诊所就诊的受伤儿童。
选取144名年龄在5至14岁、居住在雅典的儿童，他们因中度至重度受伤被送往急诊诊所。为每名儿童确定一名年龄和性别匹配的医院对照儿童以及一名同样匹配的同班同学对照儿童。为所有432名儿童填写一份标准访谈表格，并对他们进行听力测定和鼓室图检查。通过条件逻辑回归进行分析。
父亲年龄较小的儿童（优势比（OR）=0.7，p = 0.04）、母亲从事非专业工作的儿童（OR = 1.9，p = 0.03）、出生顺序较高的儿童（OR = 1.7，p = 0.01）、主要由父母以外的人日常监管的儿童（OR = 2.6，p = 0.001）以及有既往事故史的儿童（OR = 1.3，p = 0.002）发生事故的可能性更高。未发现身体测量因素、学业成绩、使用矫正眼镜和听力低于正常水平是风险因素，但听力不平衡和鼓室图异常与儿童受伤风险呈正相关（分别为OR = 2.6，p = 0.02；OR = 2.3，p = 0.08）。
本研究结果强调了对现代城市儿童进行细心监管和安全培训的重要性；还表明听力不平衡和有事故史的儿童受伤风险较高，应针对他们开展特定的干预项目。
