儿童机会指数与儿童严重溺水之间的联系
Mary E Mottla1, Lois K Lee1, Michael C Monuteaux1
1Division of Emergency Medicine, Boston Children's Hospital, Boston, MA.
The Journal of pediatrics
|May 30, 2025
概括
机会较低的社区的儿童面临严重溺水后果的更高风险. 这些地区的有针对性的预防策略对于减少溺水严重程度和提高儿童安全至关重要.
科学领域:
- 公共卫生 公共卫生
- 儿科医学 儿科医学
- 健康的社会经济决定因素
背景情况:
- 严重的溺水是一个重要的儿科健康问题.
- 社会经济因素可能会影响溺水的结果.
- 儿童机会指数 (COI) 衡量社区的社会经济优势.
研究的目的:
- 调查社会经济优势 (儿童机会指数) 与儿童严重溺水结果之间的联系.
- 根据社区机会水平,识别溺水严重程度的差异.
主要方法:
- 使用儿科健康信息系统数据 (2016-2021) 进行横截面研究.
- 包括0-18岁的儿童无意溺水.
- 严重的溺水是由复合结果定义的,包括呼吸支,ICU入院,心脏骤停,神经结果和/或死亡.
- 多变量后勤回归分析了COI和严重溺水之间的关系,并调整了共变量.
主要成果:
- 在4247名溺水儿童中,63%为1至4岁,58%为男性.
- 与COI非常高组相比,COI非常低,低和中等社区的儿童严重溺水的几率明显更高.
- 在来自较低COI社区的儿童中,观察到神经系统不良结果的几率增加.
结论:
- 社区中较低的社会经济机会与儿童严重溺水事件后的较差结果有关.
- 预防溺水的努力应优先考虑,并为社会经济机会较低的社区量身定制,以减轻严重的后果.
相关概念视频
Relative Risk
366
Relative risk (RR) is a statistical measure commonly used in epidemiology to compare the likelihood of a particular event occurring between two groups. This metric is important for evaluating the relationship between exposure to a specific risk factor and the probability of a particular outcome. It plays a crucial role in medical research, public health studies, and risk assessment. Relative risk quantifies how much more (or less) likely an event is to occur in an exposed group compared to an...
366
Environmental Influences on Intelligence
439
Despite the strong genetic influence on traits like intelligence, environmental factors significantly shape outcomes. For example, while over 90% of height variation is due to genetic differences, environmental factors such as nutrition also have a notable impact. Similarly, for intelligence, changes in a child's surroundings can significantly alter their IQ. Research shows that enriched environments boost children's academic success and help them develop key cognitive skills. Children...
439
Hazard Ratio
263
The hazard ratio (HR) is a widely used measure in clinical trials to compare the risk of events, such as death or disease recurrence, between two groups over time. It reflects the ratio of hazard rates—the instantaneous risk of the event occurring—between a treatment group and a control group. This measure provides valuable insights into the relative effectiveness of a treatment by assessing how the risk of an event differs between the two groups.
For example, in a clinical trial...
For example, in a clinical trial...
263
z Scores and Area Under the Curve
11.4K
z scores are the standardized values obtained after converting a normal distribution into a standard normal distribution. A z score is measured in units of the standard deviation. The z score tells you how many standard deviations the value x is above (to the right of) or below (to the left of) the mean, μ. Values of x that are larger than the mean have positive z scores, and values of x that are smaller than the mean have negative z scores. If x equals the mean, then x has a z score of...
11.4K
Buoyancy and Stability for Submerged and Floating Bodies
2.1K
In fluid mechanics, buoyancy and stability are key concepts for understanding the behavior of submerged and floating bodies. When a stationary body is fully or partially submerged in a fluid, the fluid exerts a force on the body known as the buoyant force. This force acts vertically upward through a point called the center of buoyancy, which is the center of the displaced fluid volume. According to Archimedes' principle, the magnitude of the buoyant force is equal to the weight of the fluid...
2.1K
Quality of Water
200
In concrete preparation, the quality of water is paramount as it affects the strength and durability of the concrete. Potable water is usually preferred; however, it must not have excessive sodium or potassium to prevent compromising the concrete's integrity. Water quality is typically evaluated based on impurities such as dissolved solids, chlorides, and sulfates, and its pH value is ideally between 6 and 8. Even slightly acidic natural water may be acceptable unless it contains harmful...
200


