DETERMINANTS OF CHILDHOOD POISON INGESTIONS

儿童时期摄入毒物的决定因素

• 批准号: 3321588
• 负责人: LOIS A MAIMAN
• 金额: $ 17.99万
• 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/3321588
• 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3,000多人死亡，中毒是第三大死亡原因。 6岁以下儿童去急诊室的常见原因 岁的 1984年，罗切斯特生命线收到了5312个 4岁以下儿童寻求帮助的电话 年龄及以下。 研究的主要目标是确定规格 最能解释儿童风险的变量组合 中毒 研究的具体目的是：1）确定 社会人口统计学，易感性，生活事件和情况， 社会网络、行为和预防健康信念因素 影响儿童中毒摄入量; 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 为儿童和有毒的ingredients;和4）检查亲属 这些因素对中毒的贡献。 发现将 允许我们推荐降低风险的干预策略 因素 病例对照研究，采用分层系统随机抽样 4岁及以下儿童中毒 需要生命线的物质 已经对儿科急诊进行了援助或访问 部门（Strong Memorial Hospital，St.玛丽医院，或 罗切斯特综合医院）和对照组（匹配的定期 医疗来源、年龄和居住地） 从社区儿科医生的做法，将进行。 摄入量将限于2大物质类别： 家用清洁产品及家居维修保养 产品. 每项研究将选择168例病例和169例对照， 物质类别（总N = 672）。 数据将被收集 通过对病例组和对照组母亲的家庭访谈， 危险物质储存的观察检查，以及寿命 线路和急诊记录。 分析将集中在危险因素的病例对照差异上 利益和社会人口的相对贡献 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 对中毒的保护行为