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首页> 外文期刊>International Journal of Environmental Research and Public Health >Interventions Aimed at the Prevention of Childhood Injuries in the Indigenous Populations in Canada, Australia and New Zealand in the Last 20 Years: A Systematic Review
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Interventions Aimed at the Prevention of Childhood Injuries in the Indigenous Populations in Canada, Australia and New Zealand in the Last 20 Years: A Systematic Review

机译：旨在预防过去20年中加拿大，澳大利亚和新西兰的土著居民的童年伤害的干预措施：系统回顾

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Globally, Indigenous children are found to be at a significantly higher risk of injury compared to non-Indigenous children. It has been suggested that mainstream injury prevention strategies are ineffective within Indigenous communities. The aim of this review is to identify existing interventions aimed at preventing injury in Indigenous children in the hope that it guides future strategies. To the best of the authors’ knowledge, no prior systematic reviews exist looking at interventions specifically aimed at preventing injury in Indigenous child populations in the three chosen countries. Electronic databases were systematically searched for relevant childhood interventions aimed at the prevention of injuries in Indigenous populations based in Canada, Australia and New Zealand from 1996 to 2016. A manual search of the reference lists of relevant articles and a manual search of relevant websites were also completed. After 191 records were screened, six interventions were identified meeting the criteria for inclusion. Eligible papers underwent a quality appraisal using adapted assessment checklists and key information was extracted. Findings were then synthesized using a narrative approach. The interventions mainly promoted child safety through activities focusing on education and awareness. Only three of the six studies measured changes in injury hospitalization rates, all but one evaluation reporting a significant decrease. Studies which measured awareness all demonstrated positive changes. Results suggest that interventions delivered in a culturally appropriate manner acted as a main success factor. Barriers identified as hindering intervention success included lack of cohesion within the intervention due to staff turnover and lack of experienced staff with Indigenous knowledge. This review revealed a limited amount of evaluated interventions for the prevention of Indigenous childhood injuries. Conclusive evidence of the effectiveness of existing interventions is lacking due to the predominantly small-scale evaluations of pilot interventions. Future research is needed to provide more rigorous evidence of the mechanisms driving the successful implementation, delivery and uptake of such strategies tailored to Indigenous children.
机译：在全球范围内，与非土著儿童相比，发现土著儿童受伤的风险明显更高。有人提出，在土著社区内，主流的伤害预防策略是无效的。这次审查的目的是确定旨在防止土著儿童受伤的现有干预措施，以期为将来的策略提供指导。据作者所知，目前尚无系统的回顾来研究专门针对三个选定国家中的土著儿童群体造成伤害的干预措施。系统地搜索了电子数据库，以寻找1996年至2016年在加拿大，澳大利亚和新西兰的旨在防止土著居民受伤的有关儿童时期的相关干预措施。还手动搜索了相关文章的参考清单，并手动搜索了相关网站。完成。在筛选了191条记录后，确定了六项符合纳入标准的干预措施。使用适应性评估清单对合格的论文进行质量评估，并提取关键信息。然后使用叙述方法对发现进行综合。这些干预措施主要通过开展注重教育和认识的活动来促进儿童安全。六项研究中只有三项测量了受伤住院率的变化，除一项评估外，其他所有评估均表明伤亡率显着下降。衡量意识的研究均显示出积极的变化。结果表明，以文化上适当的方式进行的干预是成功的主要因素。被确定为阻碍干预成功的障碍包括：由于工作人员更替而导致的干预缺乏凝聚力，以及缺乏经验丰富的具有土著知识的工作人员。这项审查显示，为预防儿童期土著伤害而进行的评估干预措施数量有限。由于主要是对试点干预措施进行小规模评估，因此缺乏有关现有干预措施有效性的确凿证据。需要进行进一步的研究，以提供更为严格的证据，证明能够成功实施，实施和采用针对土著儿童的此类战略的机制。

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