Housing as a Determinant of Tongan Children's Health: Innovative Methodology Using Wearable Cameras.

Housing as a Determinant of Tongan Children's Health: Innovative Methodology Using Wearable Cameras.
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DOI:
10.3390/ijerph14101170
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发表时间:
2017-10-04
影响因子:
--
通讯作者:
Signal L
Signal L
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Robinson A;Hulme-Moir S;Puloka V;Smith M;Stanley J;Signal L

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住房是健康的一个重要决定因素,特别是在汤加等发展中国家。目前,人们对汤加的住房质量知之甚少,许多发展中国家的情况也是如此,对儿童与家庭环境之间的相互作用也知之甚少。这项研究的目的是从儿童的角度确定汤加家庭中健康风险因素和行为的性质和程度。采用了一种创新方法,即“汤加儿童摄像”。从主岛汤加塔普的12所随机选择的学校中随机选择了72名六年级儿童(10至13岁)。每个参与的孩子脖子上都挂着一个可穿戴的相机。该设备每7秒自动拍摄一次儿童视角的广角136°图像。孩子们被要求从星期五早上到星期天晚上全天戴着相机。分析表明,研究中的大多数汤加儿童居住的房屋存在结构缺陷和危险,包括水损坏(42%)、霉菌(36%)、电气(89%)和烧伤风险因素(28%)。研究结果表明,改善住房存量可能会减少相关的健康负担,并提高建筑物对自然灾害的抵御能力。社区、社区领导人、政府和非政府组织之间迫切需要采取合作办法。这种研究方法可能对其他发展中国家有价值。
Housing is a significant determinant of health, particularly in developing countries such as Tonga. Currently, very little is known about the quality of the housing in Tonga, as is the case with many developing countries, nor about the interaction between children and the home environment. This study aimed to identify the nature and extent of health risk factors and behaviours in Tongan houses from a child’s perspective. An innovative methodology was used, Kids’Cam Tonga. Seventy-two Class 6 children (10 to 13-year-olds) were randomly selected from 12 randomly selected schools in Tongatapu, the main island. Each participating child wore a wearable camera on lanyards around their neck. The device automatically took wide-angled, 136° images of the child’s perspective every seven seconds. The children were instructed to wear the camera all day from Friday morning to Sunday evening, inclusive. The analysis showed that the majority of Tongan children in the study live in houses that have structural deficiencies and hazards, including water damage (42%), mould (36%), and electrical (89%) and burn risk factors (28%). The findings suggest that improvements to the housing stock may reduce the associated health burden and increase buildings’ resilience to natural hazards. A collaborative approach between communities, community leaders, government and non-governmental organisations (NGOs) is urgently needed. This research methodology may be of value to other developing countries.
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