Safety standards and socioeconomic disparities in school playground injuries a retrospective cohort study 英文参考文献.docVIP
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Safety standards and socioeconomic disparities in school playground injuries a retrospective cohort study 英文参考文献
Macphersonetal.BMCPublicHealth2010,10:542
/1471-2458/10/542
RESEARCH ARTICLE
OpenAccess
Safetystandardsandsocioeconomicdisparitiesin
schoolplaygroundinjuries:aretrospective
cohortstudy
AlisonKMacpherson1*,JenniferJones2,LindaRothman3,ColinMacarthur3,4,AndrewWHoward3
Abstract
Background:Playgroundinjuriesarefairlycommonandcanrequirehospitalizationandorsurgery.Previous
researchhassuggestedthatcompliancewithguidelinesorstandardscanreducetheincidenceofsuchinjuries,
andthatpoorerchildrenareatincreasedriskofplaygroundinjuries.
Objective:Theobjectiveofthisstudywastodeterminetheassociationbetweenplaygroundinjuryandschool
socioeconomicstatusbeforeandaftertheupgradingofplaygroundequipmenttomeetCSAguidelines.
Methods:InjurydatawerecollectedfromJanuary1998-December1999andJanuary2004-June2007for
374elementaryschoolsinToronto,Canada.Theobjectiveofthisstudywastoinvestigatetheeffectofaprogramof
playgroundassessment,upgrading,andreplacementonschoolinjuryratesandsocio-economicstatus.Injuryrates
werecalculatedforallinjuries,injuriesthatdidnotoccuronequipment,andinjuriesonplayequipment.Poisson
regressionwasperformedtodeterminetherelationshipbetweeninjuryratesandschoolsocio-economicstatus.
Results:Priortoupgradingtheequipmenttherewasasignificantrelationshipbetweensocio-economicstatus
andequipment-relatedinjurieswithchildrenatpoorerschoolsbeingatincreasedrisk(Relativerisk:1.52[95%
CI=1.24-1.86]).Afterunsafeequipmentwasupgraded,therelationshipbetweeninjuryandSESdecreasedandwasno
longersignificant(RR1.13[95%CI=0.95-1.32]).
Conclusions:Improvementsinplaygroundequipmentcanresultinanenvironmentinwhichstudentsfrom
schoolsinpoorerneighbourhoodsarenolongeratincreasedriskofinjuriesonplayequipment.
Background
one way to reduce the burden of playground injuries
Unintentionalinjuriesaretheleadingcauseofdeathand because injuries duetofalls from equipment aremore
oneoftheleadingcausesofhospitalization forchildren severethanotherfallsontheplayground.Oneprevious
overoneyearinCanada[1].Sport
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