Kotch J B, Dufort V M, Stewart P, Fieberg J, McMurray M, O'Brien S, Ngui E M, Brennan M
Department of Maternal and Child Health, University of North Carolina at Chapel Hill, 27599-7400, USA.
Inj Prev. 1997 Dec;3(4):267-71. doi: 10.1136/ip.3.4.267.
As the number of children receiving care in out-of-home settings increases in the United States, the risk of injury in such settings has become the subject of intense research.
This study examined the relative safety of out-of-home care compared with care in a child's own home.
This community based prospective cohort study of 656 families in three adjacent counties in the Piedmont region of North Carolina characterizes the patterns and rates of injuries among children less than 5 years of age in three child care settings, home care (HC), center based care (CBC), and other out-of-home care (OOHC). Information about minor and severe injuries was obtained from parents using monthly telephone interviews over a one year period. Statistical modeling designed to handle unbalanced data with correlated observations was used as the primary tool for analysis.
Rate of minor injuries was highest in CBC, followed by HC, and then OOHC. However, these differences for OOHC may have been due to reporting biases and errors in rate estimates. There were no significant differences in severe injury rates among the three settings.
The risk of serious injury among children under 5 in CBC is not different from that of children in HC or OOHC despite the fact that the risk of minor injury is higher.
在美国，随着在家庭外环境接受照料的儿童数量增加，此类环境中的受伤风险已成为深入研究的课题。
本研究考察了家庭外照料与儿童在自己家中接受照料相比的相对安全性。
这项基于社区的前瞻性队列研究涉及北卡罗来纳州皮埃蒙特地区三个相邻县的656个家庭，描述了5岁以下儿童在三种儿童照料环境（家庭照料（HC）、中心照料（CBC）和其他家庭外照料（OOHC））中的受伤模式和发生率。通过在一年时间内每月进行电话访谈，从家长那里获取有关轻伤和重伤的信息。旨在处理具有相关观测值的不平衡数据的统计建模被用作主要分析工具。
轻伤发生率在CBC中最高，其次是HC，然后是OOHC。然而，OOHC的这些差异可能是由于报告偏差和发生率估计中的误差。三种环境中的重伤发生率没有显著差异。
尽管CBC中5岁以下儿童的轻伤风险较高，但其重伤风险与HC或OOHC中的儿童没有差异。
