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safety standards and socioeconomic disparities in school playground injuries a retrospective cohort study安全标准和社会经济差距在学校操场上伤害一个回顾性队列研究
Macpherson et al. BMC Public Health 2010, 10:542
/1471-2458/10/542
RESEARCH ARTICLE Open Access
Safety standards and socioeconomic disparities in
school playground injuries: a retrospective
cohort study
1* 2 3 3,4 3
Alison K Macpherson , Jennifer Jones , Linda Rothman , Colin Macarthur , Andrew W Howard
Abstract
Background: Playground injuries are fairly common and can require hospitalization and or surgery. Previous
research has suggested that compliance with guidelines or standards can reduce the incidence of such injuries,
and that poorer children are at increased risk of playground injuries.
Objective: The objective of this study was to determine the association between playground injury and school
socioeconomic status before and after the upgrading of playground equipment to meet CSA guidelines.
Methods: Injury data were collected from January 1998-December 1999 and January 2004 - June 2007 for
374 elementary schools in Toronto, Canada. The objective of this study was to investigate the effect of a program of
playground assessment, upgrading, and replacement on school injury rates and socio-economic status. Injury rates
were calculated for all injuries, injuries that did not occur on equipment, and injuries on play equipment. Poisson
regression was performed to determine the relationship between injury rates and school socio-economic status.
Results: Prior to upgrading the equipment there was a significant relationship between socio-economic status
and equipment-related injuries with children at poorer schools being at increased risk (Relative risk: 1.52 [95%
CI = 1.24-1.86]). After unsafe equipment was upgraded, the relationship between injury and SES decreased and was no
longer si
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