[Injury control from the perspective of contextual pediatrics]

Area of Science:

• Pediatrics
• Public Health
• Injury Prevention

Background:

• Safety is influenced by family habits, cultural norms, and environmental surroundings.
• Contextual pediatrics views the child, family, and community as interconnected.
• Health diagnosis in contextual pediatrics involves sequential observation of problems and assets.

Purpose of the Study:

• To describe the relationship between injury control strategies and contextual pediatrics.
• To identify risk factors for injuries within family, neighborhood, and cultural contexts.

Main Methods:

• A quasi-systematic review of MEDLINE, SciELO, and LILACS databases was conducted.
• Searches included terms like 'contextual', 'community', 'injury', 'accident', and 'violence'.
• A non-systematic review of book chapters and classic articles supplemented the database search.

Main Results:

• Injury prevention requires addressing intrapersonal factors using passive and active strategies.
• Identified risk factors include home overcrowding, poverty, parental illiteracy, material deprivation, traffic issues, and unsafe products.
• Cultural factors contributing to injury risk encompass lack of safety regulations, poor community organization, and inadequate legislation.

Conclusions:

• Pediatricians should foster strong family relationships, interdisciplinary collaboration, and community partnerships.
• Counseling on developmental stage-specific injury risks using explicit materials is crucial.
• Active advocacy for safety promotion beyond clinical settings is an essential role for pediatricians.