THE IMPACT OF THE SAFE KIDS HEALTHY NEIGHBORHOODS INJURY PREVENTION PROGRAM IN HARLEM, 1988 THROUGH 1991
THE IMPACT OF THE SAFE KIDS HEALTHY NEIGHBORHOODS INJURY PREVENTION PROGRAM IN HARLEM, 1988 THROUGH 1991
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DOI：
10.2105/ajph.84.4.580
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发表时间：
1994-04-01
影响因子：
12.7
通讯作者：
HEAGARTY, MC
中科院分区：
文献类型：
--
作者：
DAVIDSON, LL;DURKIN, MS;HEAGARTY, MC
目标。这项研究评估了一个社区联盟在预防纽约州纽约哈莱姆区中心儿童严重伤害方面的有效性。假设在干预期间(至1991年)伤害发生率将较干预前年份(1983至1988年)有所下降；目标年龄组(5至16岁)和目标伤害原因(交通事故、袭击、枪击、户外跌倒)的下降幅度最大；且下降发生在干预社区而不是对照社区。自1983年以来，一直在监测导致这两个社区儿童住院和/或死亡的伤害情况。使用这次监测的数据来检验在干预期间严重伤害的发生率是否下降；其他时间变量由泊松回归控制。在干预期间，哈莱姆区中心学龄儿童的伤害发生率有所下降。下降是特定于目标年龄组和目标原因的。对照组也出现了非特异性下降。中央哈莱姆区发病率的下降与有利的项目效果一致，但还需要对可能的长期趋势或溢出效应进行额外的调查。
Objectives. This study evaluated the effectiveness of a community coalition to prevent severe injuries to children in Central Harlem, New York, NY. It was hypothesized that injury incidence rates would decline during the intervention (1989 through 1991) relative to preintervention years (1983 through 1988); that the decline would be greatest for the targeted age group through (5 through 16 years) and targeted injury causes (traffic accidents, assaults, firearms, outdoor falls); and that the decline would occur in the intervention community rather than a control community.Methods. Surveillance of injuries that result in hospitalization and/or death among children in the two communities has been under way since 1983. Data from this surveillance were used to test whether the incidence of severe injury declined during the intervention; other temporal variations were controled by Poisson regression.Results. The incidence of injury among school-aged children in central Harlem declined during the intervention. The decline was-specific to the targeted age group and targeted causes. A nonspecific decline also occurred in the control community.Conclusions. The declining incidence rate in Central Harlem is consistent with a favorable program effect, but additional investigation of possible secular trend or spillover effects is needed.