美国各州的烟花限制如何影响儿童烟花伤害的发生率。

IF 2 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Nicholas Tranchitella, Emily Wilson, Thomas Geiger, William Barfield, Ian Kane, Corrine Corrigan, Robert Murphy, Sara Van Nortwick
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引用次数: 0

摘要

目的:在美国,烟花爆竹的燃放受各州法律的制约,而各州法律与儿童烟花爆竹伤害之间的关系尚未得到研究。我们假设,烟花限制较少的州将会有更高的儿童烟花伤害发生率:我们利用儿科健康信息系统对遭受烟花相关伤害的儿科患者进行了回顾性研究(2012-2020 年)。纳入标准为年龄小于18岁,国际疾病分类代码为烟花相关伤害。根据允许燃放烟花爆竹的州分为 "非限制 "州和 "限制 "州。对病例数、人口统计学和伤害严重程度进行了评估。采用负二项回归法评估预测烟花伤害的独立变量,因变量为伤害数量。随后使用曼-惠特尼检验法对预测受伤人数的独立变量进行评估,以确定 "无限制 "州和 "有限制 "州之间差异的显著性:研究期间共报告了 2299 起烟花爆竹相关伤害事故。平均年龄为 9.2±4.8 岁(0-17 岁不等)。从原始数字来看,大多数伤害发生在 "非限制性 "状态下(72.6%)。如果根据各州的儿科人口数量进行标准化比较,则在统计上存在显著差异,在 "无限制 "州发生的伤害比例更高(P=0.002)。在 "无限制 "州与 "有限制 "州之间,每百万儿科适龄儿童的平均病例数要更高(p=0.003):结论:烟花爆竹限制较少的州的儿童烟花爆竹相关伤害发生率较高。限制烟花可能会保护儿童免受烟花相关伤害。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
How state firework restrictions affect the incidence of paediatric firework injuries in the USA.

Objectives: State laws dictate firework access in the USA, and the association between state laws and paediatric firework injuries has not been investigated. We hypothesise that states with fewer firework restrictions will have a higher incidence of paediatric firework injuries.

Methods: A retrospective review (2012-2020) of paediatric patients who sustained a fireworks-related injury was conducted using the Pediatric Health Information System. Inclusion criteria were age less than 18 years and International Classification of Diseases code for fireworks-related injury. States were classified as 'unrestrictive' or 'restrictive' based on permitted fireworks. Case number, demographics and injury severity were evaluated. A negative binomial regression was used to evaluate independent variables predictive of firework injuries, with the dependent variable being the number of injuries. Independent variables that were predictive of number of injuries were subsequently evaluated with a Mann-Whitney test to determine the significance of the differences between 'unrestrictive' and 'restrictive' states.

Results: During the study period, 2299 fireworks-related injuries were reported. Mean age was 9.2±4.8 years (range 0-17). Most injuries, based on raw numbers, were in 'unrestrictive' states (72.6%). When normalised measures were used for comparison, based on paediatric state population, there was a statistically significant difference with a higher percentage of injuries in unrestricted states (p=0.002). The mean number of cases per million pediatric-aged individuals was higher in the 'unrestrictive' states versus the 'restrictive' states (p=0.003).

Conclusions: States with fewer firework restrictions had a higher incidence of fireworks-related injuries in children. Restricting fireworks may protect children from fireworks-related injuries.

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来源期刊
Injury Prevention
Injury Prevention 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.30
自引率
2.70%
发文量
68
审稿时长
6-12 weeks
期刊介绍: Since its inception in 1995, Injury Prevention has been the pre-eminent repository of original research and compelling commentary relevant to this increasingly important field. An international peer reviewed journal, it offers the best in science, policy, and public health practice to reduce the burden of injury in all age groups around the world. The journal publishes original research, opinion, debate and special features on the prevention of unintentional, occupational and intentional (violence-related) injuries. Injury Prevention is online only.
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