美国的伤害预防 孕产妇,婴儿和幼儿家庭访问计划
Wendy Shields1, Evelyn Shiang2, Elise Omaki2
1Center for Injury Research and Policy, Johns Hopkins University Bloomberg School of Public Health, Baltimore, Maryland, USA wshield1@jhu.edu.
概括
在美国,联邦政府资助的家庭访问计划通常包括关于儿童安全和福祉的内容. 然而,加强伤害预防策略和评估对于对幼儿产生更大的影响至关重要.
科学领域:
- 儿童伤害预防儿童伤害预防
- 公共卫生干预措施 公共卫生干预
- 童年早期的发展发展.
背景情况:
- 基于家庭的干预措施有效地减少了幼儿 (0-4岁) 的伤害.
- 了解如何将这些干预措施纳入美国联邦资助的家庭访问计划是必要的.
研究的目的:
- 评估美国联邦政府资助的家庭访问计划中的伤害预防内容的程度和性质.
- 确定当前在处理无意伤害,家长健康以及虐待/忽视儿童方面的做法.
主要方法:
- 在2023年,对21个美国母婴和幼儿家庭访问 (MIECHV) 计划模型中的关键信息提供者进行了调查.
- 该调查收集了与非故意伤害,父母健康/福祉以及0-4岁儿童的虐待/忽视相关的内容数据.
主要成果:
- 所有21个被调查的模型都包含了一些关于无意伤害,父母健康和儿童虐待/被忽视的内容.
- 模型涵盖了更多的儿童虐待/忽视主题,而不是无意伤害或父母健康主题.
- 标准化的课程和推是常见的,但只有不到25%提供了安全设备;不到一半的结果被评估,没有人评估了成本效益.
结论:
- 家庭访问计划显示,有可能减少高风险儿童的伤害.
- 需要进一步开发和评估伤害预防内容,以最大限度地提高美国计划的有效性.
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