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Risk Factor of Paediatric Community-Acquired Pneumonia in Wajo Regency, Indonesia 印度尼西亚瓦约地区儿童社区获得性肺炎的风险因素
Pub Date : 2024-02-01 DOI: 10.55489/njcm.150220243601
Khaidir Fadli Umar, Nur Nasry Noor, Ida Leida Maria, M Nadjib Bustan, M Tahir Abdullah, Ridwan M Thaha
Background: Pneumonia is the second highest cause of under-five mortality in Indonesia. This study aimed to analyse the risk factors for pneumonia among under-fives in Wajo Regency.Methodology: This type of research was a quantitative study using a case-control study design. The population was all children in the working areas of Salewangeng Health Centre, Penrang Health Centre, and Belawa Health Centre. The sample size was 224 children consisting of 112 cases and 112 controls. The odds ratio test and logistic regression were used to evaluate the data.Results: Risk factors associated with pneumonia were under-five nutritional status (OR=3.563; 95%CI=1.57-8.65; p=0.0008), indoor smoke exposure (OR=5.852; 95%CI=2.88-12.36; p=0.000), maternal age (OR=2.575; 95%CI=1.45-4.58; p=0.0005), and number of children in the family (OR=3.133; 95%CI=1.65-6.05; p=0.0002).Conclusions: The most influential risk factor for under-five pneumonia was indoor smoke exposure. The probability of pneumonia among under-fives who were exposed to indoor smoke, had a maternal age 30 years, and had poor nutritional status was 89.8%. It is recommended for the community to reduce smoking activities in the house and reduce the use of mosquito coils to prevent smoke exposure to children at home.
背景介绍肺炎是印度尼西亚五岁以下儿童死亡的第二大原因。本研究旨在分析瓦约地区五岁以下儿童患肺炎的风险因素:本研究为定量研究,采用病例对照研究设计。研究对象为 Salewangeng 健康中心、Penrang 健康中心和 Belawa 健康中心工作区的所有儿童。样本量为 224 名儿童,包括 112 个病例和 112 个对照。结果显示,与肺炎相关的风险因素低于1%:与肺炎相关的风险因素包括五岁以下儿童的营养状况(OR=3.563;95%CI=1.57-8.65;P=0.0008)、室内烟雾暴露(OR=5.852;95%CI=2.88-12.36;P=0.000)、母亲年龄(OR=2.575;95%CI=1.45-4.58;P=0.0005)和家庭中儿童的数量(OR=3.133;95%CI=1.65-6.05;P=0.0002):五岁以下儿童肺炎的最大风险因素是室内烟雾暴露。五岁以下儿童患肺炎的概率为 89.8%,这些儿童均暴露于室内烟雾中,母亲年龄为 30 岁,且营养状况较差。建议社区减少室内吸烟活动,减少使用蚊香,以防止儿童在家中接触烟雾。
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引用次数: 0
Comparison of Effects of Interactive Health Education and Self-Reading Learning on Blood Pressure Control in Hypertensive Patients: A Non-Randomised Controlled Trial 互动式健康教育与自读学习对高血压患者血压控制效果的比较:非随机对照试验
Pub Date : 2024-02-01 DOI: 10.55489/njcm.150220243452
Rangla James, Shantibala Konjengbam, Soubam Christina
Context/Background: Hypertension is a major contributor to cardiovascular mortality and morbidity worldwide and in India. Educational interventions can create opportunities for patients to better understand their conditions and the role of therapies, as well as heighten awareness about disease progression and complications. This study was conducted to evaluate the effectiveness of an interactive health education program in comparison with self-reading learning on blood pressure control.Methodology: This study was a non-randomised controlled trial, involving 66 hypertensive patients from the eight villages in Kamjong district, Manipur. Participants were allocated to one of the two groups; intervention group (interactive health education) and control group (self-reading learning). Changes in blood pressure, Hypertension-related knowledge, attitude, lifestyle, adherence to medications and anthropometric parameters at three months post intervention from baseline were measured. Data was analysed using SPSS for Windows (Version 26.0).Results: Three months post intervention, intervention group had more knowledge and adherence and better attitude as compared to the control. There was no significant change in the proportion of participants with controlled blood pressure in both the groups. Changes in lifestyle and anthropometric parameters were not significant.Conclusions: Interactive health education is effective in terms of improvement in knowledge about hypertension, adherence to medication and attitude towards hypertension. A longer follow up might be needed to see changes in blood pressure control.
背景:高血压是导致全球和印度心血管疾病死亡和发病的主要因素。教育干预措施可以为患者创造机会,使他们更好地了解自己的病情和疗法的作用,并提高对疾病进展和并发症的认识。本研究旨在评估互动式健康教育计划与自读学习在血压控制方面的效果对比:本研究是一项非随机对照试验,涉及曼尼普尔邦 Kamjong 地区 8 个村庄的 66 名高血压患者。参与者被分配到两组中的一组:干预组(互动式健康教育)和对照组(自学)。测量干预后三个月与基线相比血压、高血压相关知识、态度、生活方式、服药依从性和人体测量参数的变化。数据使用 SPSS for Windows(26.0 版)进行分析:干预三个月后,与对照组相比,干预组的知识水平和依从性更高,态度更好。两组参与者中血压得到控制的比例均无明显变化。生活方式和人体测量参数的变化不明显:结论:互动式健康教育在提高高血压知识、坚持服药和对高血压的态度方面是有效的。要了解血压控制方面的变化,可能需要更长时间的随访。
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引用次数: 0
Sedentary Habits and Their Detrimental Impact on Global Health: A Viewpoint 久坐习惯及其对全球健康的有害影响:观点
Pub Date : 2024-02-01 DOI: 10.55489/njcm.150220243590
Charu Singh, Gulshan R Bandre, Ujwal L. Gajbe, Saurabh Shrivastava, Yugeshwari Tiwade, N. Bankar, Khwaja Moizuddin
With limited areas where people can work out, an increase in sedentary work with the growing popularity of desk jobs and television and video devices, inactive lifestyles are becoming more and more common around the world. The objective of the current review is to explore the role of sedentary habits in the causation of different diseases and their impact on global health standards. Consequently, the associated health problems are becoming more serious. Inactivity has a significant influence on the human body in numerous ways. It disrupts lipolysis, transporter proteins, muscle glucose, the metabolic process, and lipoprotein lipase functionality. Prolonged sedentary behavior directly impacts the gravity, body weight balance, and can lead to fluid retention, obesity, and an increase in oxidative stress. An inactive lifestyle has a range of adverse impacts on our bodies, including a surge in all-cause mortality, coronary heart disease mortality, and the probability of contracting diseases like diabetes mellitus, hypertension, and dyslipidemia, in addition to physical ailments like arthralgia and osteoporosis, mental health issues like depression, and mental retardation. Consequently, to advance public health, we need to reduce sedentary practices and increase physical activity.
由于人们可以锻炼身体的地方有限,随着文职工作、电视和视频设备的日益普及,久坐不动的工作也越来越多,因此,不运动的生活方式在世界各地变得越来越普遍。本综述旨在探讨久坐习惯在不同疾病的致病因素中的作用及其对全球健康标准的影响。因此,相关的健康问题正变得越来越严重。久坐不动对人体有多方面的重大影响。它会破坏脂肪分解、转运蛋白、肌肉葡萄糖、新陈代谢过程和脂蛋白脂肪酶的功能。长期久坐会直接影响重力、体重平衡,并可能导致体液潴留、肥胖和氧化应激增加。不活跃的生活方式会对我们的身体产生一系列不利影响,包括全因死亡率、冠心病死亡率以及患糖尿病、高血压和血脂异常等疾病的概率激增,此外还有关节痛、骨质疏松症等身体疾病,抑郁症和智力迟钝等心理健康问题。因此,为了促进公众健康,我们需要减少久坐不动的习惯,增加体育锻炼。
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引用次数: 0
A Survey On Physical Activity Monitoring (PAM) Among Malaysian Young Adults 马来西亚青少年体育活动监测(PAM)调查
Pub Date : 2024-02-01 DOI: 10.55489/njcm.150220243512
Rajkumar Krishnan Vasanthi, Kishanthini Murugayah, Praveen Jayaprabha Surendran, A. Nadzalan, V. Purushothaman, Yughdtheswari Muniandy, Sivabavani Sadasivam
Background: Physical Activity Monitoring (PAM) is used effectively to encourage and promote an increased level of Physical Activity (PA) in young adults. The aim of this study was to determine the status of PAM and to identify the type of monitoring method being used among young adults in Malaysia is avoid health risks.Methods: In this cross-sectional study, the data collection was based on a validated customized questionnaire carried out by sending it online via email, WhatsApp, and Facebook with an explanation of the research background, including the link of the survey questionnaires to the respondents.Results: A total of 400 participants completed this survey and most participants were in the age range between 25-29 and 50.7% were males. Nearly half of the participants (61.0%) declared that they were monitoring their PA regularly and smartwatches (20.5%) are the most preferable type for PAM.Conclusion: In this survey, it can be concluded that more awareness needs to be created on the importance of PAM among young adults as nearly another half of the participants surveyed that they were not monitoring their regular PA to follow a healthy lifestyle.
背景:体力活动监测(PAM)被有效地用于鼓励和促进年轻人提高体力活动(PA)水平。本研究的目的是确定马来西亚年轻人的体力活动监测状况,并确定他们所使用的监测方法类型,以避免健康风险:在这项横断面研究中,数据收集以经过验证的定制问卷为基础,通过电子邮件、WhatsApp 和 Facebook 在线发送,并向受访者解释研究背景,包括调查问卷的链接:共有 400 名参与者完成了此次调查,大多数参与者的年龄在 25-29 岁之间,50.7% 为男性。近一半的参与者(61.0%)宣称他们定期监测自己的 PA,而智能手表(20.5%)是最受欢迎的 PAM 类型:通过此次调查,我们可以得出结论,由于近一半的参与者表示他们没有定期监测自己的运动量以保持健康的生活方式,因此需要提高年轻人对运动量监测重要性的认识。
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引用次数: 0
A Survey On Physical Activity Monitoring (PAM) Among Malaysian Young Adults 马来西亚青少年体育活动监测(PAM)调查
Pub Date : 2024-02-01 DOI: 10.55489/njcm.150220243512
Rajkumar Krishnan Vasanthi, Kishanthini Murugayah, Praveen Jayaprabha Surendran, A. Nadzalan, V. Purushothaman, Yughdtheswari Muniandy, Sivabavani Sadasivam
Background: Physical Activity Monitoring (PAM) is used effectively to encourage and promote an increased level of Physical Activity (PA) in young adults. The aim of this study was to determine the status of PAM and to identify the type of monitoring method being used among young adults in Malaysia is avoid health risks.Methods: In this cross-sectional study, the data collection was based on a validated customized questionnaire carried out by sending it online via email, WhatsApp, and Facebook with an explanation of the research background, including the link of the survey questionnaires to the respondents.Results: A total of 400 participants completed this survey and most participants were in the age range between 25-29 and 50.7% were males. Nearly half of the participants (61.0%) declared that they were monitoring their PA regularly and smartwatches (20.5%) are the most preferable type for PAM.Conclusion: In this survey, it can be concluded that more awareness needs to be created on the importance of PAM among young adults as nearly another half of the participants surveyed that they were not monitoring their regular PA to follow a healthy lifestyle.
背景:体力活动监测(PAM)被有效地用于鼓励和促进年轻人提高体力活动(PA)水平。本研究的目的是确定马来西亚年轻人的体力活动监测状况,并确定他们所使用的监测方法类型,以避免健康风险:在这项横断面研究中,数据收集以经过验证的定制问卷为基础,通过电子邮件、WhatsApp 和 Facebook 在线发送,并向受访者解释研究背景,包括调查问卷的链接:共有 400 名参与者完成了此次调查,大多数参与者的年龄在 25-29 岁之间,50.7% 为男性。近一半的参与者(61.0%)宣称他们定期监测自己的 PA,而智能手表(20.5%)是最受欢迎的 PAM 类型:通过此次调查,可以得出结论:由于近一半的参与者表示他们没有定期监测自己的运动量以保持健康的生活方式,因此需要提高年轻人对运动量监测重要性的认识。
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引用次数: 0
Comparison of Effects of Interactive Health Education and Self-Reading Learning on Blood Pressure Control in Hypertensive Patients: A Non-Randomised Controlled Trial 互动式健康教育与自读学习对高血压患者血压控制效果的比较:非随机对照试验
Pub Date : 2024-02-01 DOI: 10.55489/njcm.150220243452
Rangla James, Shantibala Konjengbam, Soubam Christina
Context/Background: Hypertension is a major contributor to cardiovascular mortality and morbidity worldwide and in India. Educational interventions can create opportunities for patients to better understand their conditions and the role of therapies, as well as heighten awareness about disease progression and complications. This study was conducted to evaluate the effectiveness of an interactive health education program in comparison with self-reading learning on blood pressure control.Methodology: This study was a non-randomised controlled trial, involving 66 hypertensive patients from the eight villages in Kamjong district, Manipur. Participants were allocated to one of the two groups; intervention group (interactive health education) and control group (self-reading learning). Changes in blood pressure, Hypertension-related knowledge, attitude, lifestyle, adherence to medications and anthropometric parameters at three months post intervention from baseline were measured. Data was analysed using SPSS for Windows (Version 26.0).Results: Three months post intervention, intervention group had more knowledge and adherence and better attitude as compared to the control. There was no significant change in the proportion of participants with controlled blood pressure in both the groups. Changes in lifestyle and anthropometric parameters were not significant.Conclusions: Interactive health education is effective in terms of improvement in knowledge about hypertension, adherence to medication and attitude towards hypertension. A longer follow up might be needed to see changes in blood pressure control.
背景:高血压是导致全球和印度心血管疾病死亡和发病的主要因素。教育干预措施可以为患者创造机会,使他们更好地了解自己的病情和疗法的作用,并提高对疾病进展和并发症的认识。本研究旨在评估互动式健康教育计划与自读学习在血压控制方面的效果对比:本研究是一项非随机对照试验,涉及曼尼普尔邦 Kamjong 地区 8 个村庄的 66 名高血压患者。参与者被分配到两组中的一组:干预组(互动式健康教育)和对照组(自学)。测量干预后三个月与基线相比血压、高血压相关知识、态度、生活方式、服药依从性和人体测量参数的变化。数据使用 SPSS for Windows(26.0 版)进行分析:干预三个月后,与对照组相比,干预组的知识水平和依从性更高,态度更好。两组参与者中血压得到控制的比例均无明显变化。生活方式和人体测量参数的变化不明显:结论:互动式健康教育在提高高血压知识、坚持服药和对高血压的态度方面是有效的。要了解血压控制方面的变化,可能需要更长时间的随访。
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引用次数: 0
Handling Stunting in Indonesia: Challenges, Progress and Recommendations 处理印度尼西亚的发育迟缓问题:挑战、进展和建议
Pub Date : 2024-02-01 DOI: 10.55489/njcm.150220243546
Suparji, Heru Santoso Wahito Nugroho, N. Surtinah
Stunting is a nutritional problem that has an impact on children's growth and development. This article discusses the prevalence of stunting in Indonesia, the efforts made by the government, and Indonesia's position in dealing with the stunting problem. Data from various sources, including WHO and the Global Nutrition Report, is used to provide a comprehensive picture. In a global context, stunting affected approximately 144 million children under five years in 2019, with a higher prevalence in low- and middle-income countries . In Southeast Asia, Indonesia, the Philippines and Timor Leste have a high prevalence of stunting. Even though Indonesia has shown progress in reducing stunting rates, there are still challenges and targets that must be achieved. Indonesia's contribution to the global stunting problem, both in terms of causes and solutions. Efforts that have been made, such as improving nutrition for children and pregnant women, quality of health services, access to sanitation, and participation of all parties, are highlighted as important steps in dealing with stunting.
发育迟缓是影响儿童生长发育的营养问题。本文讨论了发育迟缓在印度尼西亚的普遍程度、政府所做的努力以及印度尼西亚在应对发育迟缓问题方面的立场。文章采用了包括世卫组织和《全球营养报告》在内的各种来源的数据,以提供全面的情况。在全球范围内,2019 年约有 1.44 亿五岁以下儿童受到发育迟缓的影响,中低收入国家的发病率更高。在东南亚,印度尼西亚、菲律宾和东帝汶的发育迟缓发生率较高。尽管印尼在降低发育迟缓率方面取得了进展,但仍面临着挑战和必须实现的目标。印度尼西亚在全球发育迟缓问题的成因和解决方案两方面都做出了贡献。强调已做出的努力,如改善儿童和孕妇的营养状况、提高医疗服务质量、提供卫生设施以及各方参与,都是应对发育迟缓问题的重要步骤。
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引用次数: 0
Handling Stunting in Indonesia: Challenges, Progress and Recommendations 处理印度尼西亚的发育迟缓问题:挑战、进展和建议
Pub Date : 2024-02-01 DOI: 10.55489/njcm.150220243546
Suparji, Heru Santoso Wahito Nugroho, N. Surtinah
Stunting is a nutritional problem that has an impact on children's growth and development. This article discusses the prevalence of stunting in Indonesia, the efforts made by the government, and Indonesia's position in dealing with the stunting problem. Data from various sources, including WHO and the Global Nutrition Report, is used to provide a comprehensive picture. In a global context, stunting affected approximately 144 million children under five years in 2019, with a higher prevalence in low- and middle-income countries . In Southeast Asia, Indonesia, the Philippines and Timor Leste have a high prevalence of stunting. Even though Indonesia has shown progress in reducing stunting rates, there are still challenges and targets that must be achieved. Indonesia's contribution to the global stunting problem, both in terms of causes and solutions. Efforts that have been made, such as improving nutrition for children and pregnant women, quality of health services, access to sanitation, and participation of all parties, are highlighted as important steps in dealing with stunting.
发育迟缓是影响儿童生长发育的营养问题。本文讨论了发育迟缓在印度尼西亚的普遍程度、政府所做的努力以及印度尼西亚在应对发育迟缓问题方面的立场。文章采用了包括世卫组织和《全球营养报告》在内的各种来源的数据,以提供全面的情况。在全球范围内,2019 年约有 1.44 亿五岁以下儿童受到发育迟缓的影响,中低收入国家的发病率更高。在东南亚,印度尼西亚、菲律宾和东帝汶的发育迟缓发生率较高。尽管印尼在降低发育迟缓率方面取得了进展,但仍面临着挑战和必须实现的目标。印度尼西亚在全球发育迟缓问题的成因和解决方案两方面都做出了贡献。强调已做出的努力,如改善儿童和孕妇的营养状况、提高医疗服务质量、提供卫生设施以及各方参与,都是应对发育迟缓问题的重要步骤。
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引用次数: 0
Multiple Micronutrient Deficiency Among Adolescent Girls with Normal Nutritional Status - Need for Fortified Nutritional Support in Rural Settings of South Tamil Nadu, India 营养状况正常的少女中存在多种微量营养素缺乏症--印度南泰米尔纳德邦农村地区需要强化营养支持
Pub Date : 2024-02-01 DOI: 10.55489/njcm.150220242830
Sunitha K, Muthu G, Jesuraj Arockiasamy, Maryam Jamila S, Yuvaraj J, Shantaraman K
Introduction: Adolescents contribute to one fifth of the world's population and is a high priority lifecycle stage for nutrition needs and intervention. Nutritional deficiency, including micronutrients, hinders their normal growth and development. Improving adolescent girls’ nutrition has reproduction-related benefits and serves as a unique opportunity to break the vicious cycle of intergenerational structural problems. The objective is to estimate the prevalence of anaemia, micronutrient deficiency and nutritional status among adolescent girls in rural India.Methods: A community-based cross-sectional study was conducted among 241 adolescent girls in rural Tirunelveli, India with 220 blood samples.Results: The mean age of 241 adolescent girls was 13.8±1.4 years and nutritional status was normal, overweight, obese, thin and stunted in 81.7%, 14.5%, 3.3%,0.4% and 4.6% respectively. The prevalence of anaemia, iron deficiency and iron-deficiency anaemia were 37.2%, 34.5% and 12.3%. Except for selenium, the estimated micronutrient deficiency levels were Vitamin B12 - 40.9%, Copper-30.9%, Zinc-13.6% and Iodine- 11%. Only 19.1% girls had adequate levels of all micronutrients. Vitamin B12 deficiency was more in girls who were overweight (p<0.05).Conclusion: Multiple micronutrient deficiency with normal nutritional status is high among adolescent girls with Vitamin B12 deficiency higher than Iron. Multipronged strategies, including introducing micronutrient fortified healthy snacks in schools, might bring greater acceptance and improvement in nutritional health among these girls.
导言:青少年占世界人口的五分之一,是生命周期中营养需求和干预的重中之重。包括微量元素在内的营养缺乏阻碍了她们的正常生长和发育。改善青春期少女的营养状况具有与生殖相关的益处,是打破代际结构问题恶性循环的独特机会。本研究旨在估算印度农村地区少女贫血、微量营养素缺乏和营养状况的发生率:方法:以社区为基础,对印度 Tirunelveli 农村地区的 241 名少女进行了横断面研究,采集了 220 份血样:结果:241 名少女的平均年龄为(13.8±1.4)岁,营养状况正常、超重、肥胖、消瘦和发育不良的少女分别占 81.7%、14.5%、3.3%、0.4% 和 4.6%。贫血、缺铁和缺铁性贫血的发病率分别为 37.2%、34.5% 和 12.3%。除硒外,估计的微量营养素缺乏水平为维生素 B12 - 40.9%、铜 - 30.9%、锌 - 13.6%和碘 - 11%。只有 19.1%的女孩所有微量营养素含量充足。超重女孩更容易缺乏维生素 B12(P<0.05):结论:在营养状况正常的少女中,多种微量营养素缺乏的比例很高,其中维生素 B12 的缺乏高于铁的缺乏。多管齐下的策略,包括在学校引入微量营养素强化健康零食,可能会使这些女孩更容易接受并改善营养健康状况。
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引用次数: 0
Epidemiological Profile of Unintentional Childhood Injuries in Urban Area of Mangaluru Taluk, Dakshina Kannada District, Karnataka State, India 印度卡纳塔克邦 Dakshina Kannada 县 Mangaluru Taluk 城市地区儿童意外伤害流行病学概况
Pub Date : 2024-02-01 DOI: 10.55489/njcm.150220243434
Abhay S Nirgude, Mubeena Haleema
Introduction: Worldwide injury & violence is most important cause of death in children, every year it causes death in approximately 950000 children under the age group of 18. This study was conducted to find out the magnitude & epidemiological factors associated with unintentional childhood injuries.Methods: The study was conducted in urban field practice area of a Medical College, in Southern India. Community based cross sectional study was conducted by enrolling 500 children (0-18 years) during October 2018 to September 2020. Multistage simple random sampling method was followed to select the participants. Source of data was Mother/Father. Predesigned pretested validated structured questionnaire was used to collect the data.Results: Period prevalence of unintentional childhood injury was 18.6%. Fall was reported as most common cause of injury among children. Fall, sharp injuries, burn was associated with certain environmental risk factors. Children were at risk of road traffic injuries, burns, sharp injuries, and fall. Protective factors against injury were children belonging to lower and middle socio-economic status, child with 1 sibling.Conclusions: Period prevalence of unintentional childhood injury was 18.6%. Majority of them had fall as a cause of injury, with the risk factors for fall in the child’s environment.
导言:在世界范围内,伤害和暴力是导致儿童死亡的最主要原因,每年约有 95 万名 18 岁以下的儿童死于伤害和暴力。本研究旨在找出与儿童意外伤害相关的严重程度和流行病学因素:研究在印度南部一所医学院的城市实习区进行。在 2018 年 10 月至 2020 年 9 月期间,对 500 名儿童(0-18 岁)进行了基于社区的横断面研究。研究采用多阶段简单随机抽样法选取参与者。数据来源为母亲/父亲。采用预先设计的、经过预试验证的结构化问卷收集数据:结果:儿童意外伤害的发生率为 18.6%。据报告,跌倒是儿童最常见的受伤原因。摔伤、锐器伤、烧伤与某些环境风险因素有关。儿童面临道路交通伤害、烧伤、锐器伤和跌倒的风险。中低社会经济地位的儿童、有一个兄弟姐妹的儿童是避免受伤的保护因素:儿童意外伤害发生率为 18.6%。结论:儿童意外伤害的时期发生率为 18.6%,其中大部分伤害的原因是摔倒,而摔倒的风险因素在于儿童所处的环境。
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引用次数: 0
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National Journal of Community Medicine
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