评估社区资源对儿童创伤复发症的影响
Alison Lehane1, Elizabeth Wood1, Sarah Pranikoff1
1Department of Surgery, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, NC, USA.
The American surgeon
|July 8, 2025
概括
社区资源集中在儿童创伤率高的地区,但在减少伤害方面表现出有限的有效性. 改善这些资源的获取和意识对于有针对性的创伤预防计划至关重要.
科学领域:
- 儿科创伤研究儿童创伤研究
- 公共卫生 公共卫生
- 伤害预防 预防伤害
背景情况:
- 创伤伤害是儿童死亡的主要原因.
- 了解影响儿科创伤和复发的因素对于预防至关重要.
- 社区资源与儿科创伤结果之间的关联需要进一步调查.
研究的目的:
- 评估社区资源与儿科创伤之间的关联.
- 检查社区资源与透性伤害和创伤复发之间的关系.
- 确定改善创伤预防策略的潜在领域.
主要方法:
- 从2008年1月到2023年4月在一级儿科创伤中心对儿科创伤患者 (0-28岁) 的回顾性评估.
- 重复犯罪者 (多次创伤访问) 与非重复犯罪者的比较.
- 使用社区资源和资产福赛斯县地图分析高创伤邮政编码的社区资源.
- 计算双向皮尔森相关系数以确定变量之间的关系.
主要成果:
- 在社区资源和重犯之间发现了中等强的正相关性 (r=0.5668).
- 在社区资源和透性创伤 (r=0.9118) 和儿童虐待伤害 (r=0.9448) 之间观察到非常强的正相关性.
- 在16岁以下的儿童中,资源和透性创伤之间存在着强烈的相关性 (r=0.7466).
结论:
- 社区资源在地理上集中在患儿创伤率高的地区.
- 现有的社区资源在减少儿科伤害方面的有效性似乎有限,可能是由于访问或意识问题.
- 需要有针对性的举措,以提高社区资源的可访问性和利用率,以有效预防创伤.
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