A review of successful transport and home injury interventions to guide developing countries

被引:50
作者
Forjuoh, SN
Li, GH
机构
[1] UNIV PITTSBURGH, CTR INJURY RES & CONTROL, PITTSBURGH, PA 15213 USA
[2] JOHNS HOPKINS UNIV, DEPT EMERGENCY MED, BALTIMORE, MD 21218 USA
[3] JOHNS HOPKINS UNIV, CTR INJURY RES & POLICY, BALTIMORE, MD 21218 USA
关键词
developing countries; home injury; intervention; review; transport injury;
D O I
10.1016/S0277-9536(96)00051-2
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Injury is recognized as an increasing public health problem in developing countries. Extensive research on injury control has been conducted in the U.S. and other industrialized countries in the past several decades, but research is still in its infancy in developing countries. In this paper, successful interventions for transport and home injuries are reviewed in the context of the developing country setting. The aim is to evaluate injury interventions developed in the industrialized countries and identify those likely to be usable in developing countries. The evaluation criteria used include the efficacy of the interventions, as well as their affordability, feasibility and sustainability. The review demonstrates that while several interventions are available in the held of injury prevention for developing countries to import, caution should be taken in doing this. The use of automobile safety seat belts, bicyclist and motorcyclist helmets, speed limits, laws banning the sale of alcohol at lorry parks, pedestrian crossing signs, adequate roadway lighting, separation of pedestrians from vehicles, conspicuity-enhancement measures, simple safety equipment, and poison prevention packaging should be seriously considered by developing countries to reduce the morbidity and mortality from transport and home injuries. Since injury prevention may often require a blend of several interventions due to the multifactorial nature of the causes of injury, interventions that appear to be most effective are those with multidimensional strategies including education, legislation and environmental modification. This review should serve as a useful guide to injury control efforts in developing countries which must grapple with limited resources and low levels of education. Copyright (C) 1996 Elsevier Science Ltd.
引用
收藏
页码:1551 / 1560
页数:10
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