DETERMINANTS OF CHILDHOOD POISON INGESTIONS

儿童时期摄入毒物的决定因素

• 批准号: 3321587
• 负责人: LOIS A MAIMAN
• 金额: $ 14.28万
• 依托单位: UNIVERSITY OF ROCHESTER
• 依托单位国家: 美国
• 财政年份: 1988
• 资助国家: 美国
• 起止时间: 1988-02-01 至 1990-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3321587
• 关键词: behavioral medicine; child behavior; consumer product; emergency care; gastrointestinal toxin absorption; health behavior; human subject; interview; pediatrics; preschool child (1-5); social support network; socioenvironment; user protection

Two million children a year have significant exposure to poison; over 3,000 die each year and poisonings are the third most common cause for emergency room visits for children under 6 years of age. In 1984, Rochester Life Line received 5,312 telephone calls for assistance with ingestions by children 4 years of age and under. The major goal of the research is to identify the specification combinations of variables that best explain risk of childhood poisoning. The specific aims of the study are: 1) to determine the sociodemographic, predisposing, life events and situation, social network, behavioral and preventive health belief factors that affect childhood poison ingestions; 2) to assess the interrelationships of health protective behaviors for children; 3) to examine the relationship between health protective behaviors for children and poison ingestions; and 4) to examine the relative contributions of these factors to poison ingestions. Findings will permit us to recommend intervention strategies for reducing risk factors. A case-control study, using a stratified systematic random sample of children 4 years of age and under ingesting a poisonous substance for which either Life Line has been called for assistance or a visit has been made to a pediatric emergency department (Strong Memorial Hospital, St. Mary's Hospital, or Rochester General Hospital) and controls (matched for regular source of medical care, age, and geographic location of residence) from practices of community pediatricians, will be conducted. Ingestions will be limited to 2 broad substance categories: household cleaning products and home repair and maintenance products. 168 cases and 169 controls will be selected in each of the substance categories (total N = 672). Data will be collected by home interview with mothers of cases and controls, observational check for storage of hazardous substances, and Life Line and emergency department records. The analyses will focus on case-control differences on risk factors of interest and the relative contributions of sociodemographic characteristics, predisposing factors, life events and situations, behavioral problems, preventive health beliefs and health protective behaviros to poisoning.

每年有 200 万儿童大量接触毒物； 每年有超过 3,000 人死亡，中毒是第三大死亡人数 6 岁以下儿童前往急诊室的常见原因 岁数。 1984 年，罗切斯特生命线 (Rochester Life Line) 收到了 5,312 打电话寻求 4 岁儿童吞食帮助 年龄及以下。 研究的主要目标是确定规范 最能解释童年风险的变量组合 中毒。 研究的具体目的是：1）确定 社会人口统计、倾向、生活事件和情况， 社交网络、行为和预防性健康信念因素 影响儿童毒物摄入的； 2）评估 儿童健康保护行为的相互关系； 3） 检查健康保护行为之间的关系 对于儿童和毒物摄入； 4）检查亲属 这些因素对毒物摄入的影响。 调查结果将 允许我们推荐降低风险的干预策略 因素。 使用分层系统随机样本的病例对照研究 4 岁及以下儿童摄入有毒物质 需要任一生命线的物质 已对儿科紧急情况进行过援助或访问 科室（斯特朗纪念医院、圣玛丽医院，或 罗切斯特综合医院）和对照（与常规匹配 医疗来源、年龄和居住地理位置） 将根据社区儿科医生的实践进行。 摄入仅限于两大类物质： 家庭清洁产品和家庭维修和保养 产品。 每个病例将选择 168 个病例和 169 个对照 物质类别（总数 N = 672）。 将收集数据 通过对病例和对照的母亲进行家庭访谈， 有害物质储存的观察检查和生命 线路和急诊科记录。 分析将重点关注风险因素的病例对照差异 的兴趣和社会人口学的相对贡献 特征、诱发因素、生活事件和情况， 行为问题、预防性健康信念和健康 中毒的防护行为。