The Lidköping Accident Prevention Programme--a community approach to preventing childhood injuries in Sweden.

Svanström, Leif; Ekman, Robert; Schelp, Lothar; Lindström, Åke

doi:10.1136/ip.1.3.169

Cited by 64 publications

(36 citation statements)

References 4 publications

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“…The first concerns the way in which safety promotion is organized, and the second is the relative affluence of the municipality. During recent years, a multi-sectorial community Key words: cross-sectional; municipality; safety promotion approach to the organization of municipal safety has been advocated (Svanström et al, 1995;Andersson, 1996). This approach is used in contrast to an organization in which each sector (like roadwork and schools) carries out its activities independently of one another.…”

Section: Introductionmentioning

confidence: 99%

A study of safety-promoting activities for children and adolescents in 25 Swedish municipalities

Guldbrandsson

Bremberg²

2004

Health Promotion International

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Section: Introductionmentioning

confidence: 99%

A study of safety-promoting activities for children and adolescents in 25 Swedish municipalities

Guldbrandsson

Bremberg²

2004

Health Promotion International

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“…However, some other studies based on hospital discharge data report increasing trends for non-fatal injuries for the period of the study, though these may not be strictly comparable. 10 In light of the failure to use an experimental study design, a cautious interpretation of the results appears to suggest that the all-cause injury rate decreased more in the intervention area than in the control area. This could indicate a modest but significant effect of the local intervention, despite a general decline in injury rates over time.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a child safety program based on the WHO Safe Community model

Lindqvist

Timpka²,

Schelp³

et al. 2002

Inj Prev

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Objectives: To evaluate the outcome of the World Health Organization (WHO) Safe Community model with respect to child injuries. Study design: A population based quasiexperimental design was used. Cross sectional pre-implementation and post-implementation data were collected in intervention (Motala municipality) and control (Mjölby municipality) areas, both in Östergötland county, Sweden. Results: The total relative risk of child injury in the intervention community decreased more (odds ratio 0.74; 95% confidence interval (CI) 0.68 to 0.81) than in a control community exposed only to national level injury prevention programs (0.93; 95% CI 0.82 to 1.05). The relative risk of moderately (abbreviated injury scale (AIS) 2) severe injury in the study area was reduced to almost a half (odds ratio 0.49; 95% CI 0.41 to 0.57), whereas the risk of minor (AIS 1) injuries decreased only slightly (odds ratio 0.89; 95% CI 0.80 to 0.99). The risk of severe or fatal (AIS 3-6) injuries remained constant. Conclusions: After introduction of an injury prevention program based on the WHO Safe Community model, the relative risk for child injury in the intervention community decreased significantly more than in a control community exposed only to national injury prevention programs.

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“…Publicações de âmbito internacional ressaltam duas questões primordiais: a necessidade de ações coordenadas do tipo de cima para baixo, preferentemente a partir da gestão exercida por um órgão governamental de alcance nacional (como o NCIPC, dos EUA) 22,110,111 , e iniciativas de baixo para cima, baseadas em projetos comunitários (como as comunidades seguras do modelo da OMS) [112][113][114][115] . Tal discussão, em geral, exclui o pediatra na sua função precípua de médico clínico, exceto nas circunstâncias em que ele assume sua responsabilidade de participação social e política 31 .…”

Section: A Sociedade: Fatores Culturaisunclassified

Injury control from the perspective of contextual pediatrics

Blank¹

2005

J Pediatr (Rio J)

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Como citar este artigo: Blank D. Controle de injúrias sob a ótica da pediatria contextual. J Pediatr (Rio J). 2005;81(5 Supl):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.

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The Lidköping Accident Prevention Programme--a community approach to preventing childhood injuries in Sweden.

Abstract: [169][170][171][172]

Cited by 64 publications

References 4 publications

A study of safety-promoting activities for children and adolescents in 25 Swedish municipalities

A study of safety-promoting activities for children and adolescents in 25 Swedish municipalities

Evaluation of a child safety program based on the WHO Safe Community model

Injury control from the perspective of contextual pediatrics

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