Controle de injúrias sob a ótica da pediatria contextual

Abstract

Suggested citation: Blank D. Injury control from the perspective of contextual pediatrics. J Pediatr (Rio J). 2005;81(5 Suppl):S123-S136. AbstractObjective: To describe the relationship between injury control and contextual pediatrics. Sources of data:Quasi-systematic review of MEDLINE, SciELO and LILACS databases, using combinations of the words contextual, community, injury, accident and violence; and non-systematic review of book chapters and classic articles.Summary of the findings: Safety depends on the interaction of family habits, cultural patterns and surroundings. Contextual pediatrics sees the child, the family, and the community as a continuum; health diagnosis (sequential observation of problems and assets) is one of its cornerstones. Changing intrapersonal factors for injuries requires the use of both passive and active strategies. Family and cultural risk factors for injury: home overcrowding, moving, poverty, and young, illiterate and unemployed parents. The main neighborhood factors: material deprivation and traffic. Cultural factors: illiteracy, unsafe products, lack of mass transportation, handguns, workplaces without safety rules, faulty community organization, lack of communication between social sectors, inadequate legislation, low priority for safety among government actions, lack of economic resources, and low academic commitment with the field of safety. Conclusions:The pediatricians roles include strengthening of the longitudinal relationship with families, integrated interdisciplinary work, constructive intervention, partnership with community, counseling on injury risks pertaining to each developmental stage, by using lists with explicit processes and contents, and by handing out written materials. Active advocacy for safety promotion in different environments, besides the clinical setting.J Pediatr (Rio J). 2005;81(5 Suppl):S123-S136: Community medicine, wounds and injuries, counseling, health education. Injury control from the perspective of contextual pediatricsDanilo Blank* 0021-7557/05/81-05-Suppl/S123 Jornal de Pediatria Copyright © 2005 by Sociedade Brasileira de Pediatria REVIEW ARTICLEPediatrics is a contextual specialty concerned about children, their families, and the communities in which they live (...) Although the morbidity and mortality of children have changed over the past 150 years, the need for engaging in the community with families and community-based partners has not. Rather, the salience of community pediatrics has risen as the effects of societal forces have intensified and knowledge of the bioenvironmental interface has become more sophisticated (...)Pediatricians began collaborating with others in the community to prevent disease and promote health.Beyond the clinic doors, they found clear patterns and explanations. Child health outcomes were in a dynamic interplay with the environment, secular trends, commercial developments, the economy, family customs, and cultural norms.Judith S. Palfrey, Thomas F. Tonniges, Morris Green and Julius Richmond 1 S124 Jornal d...

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