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首页> 外文期刊>BMJ: British medical journal >Does home visiting prevent childhood injury? A systematic review of randomised controlled trials
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Does home visiting prevent childhood injury? A systematic review of randomised controlled trials

机译：家访防止儿童受伤吗?随机对照试验的系统评价

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Objective—To quantify the effectiveness of home visiting programmes in the prevention of child injury and child abuse. Design—Systematic review of 11 randomised controlled trials of home visiting programmes. Pooled odds ratios were estimated as an inverse variance weighted average of the study specific odds ratios. Setting—Randomised trials that were available by April 1995. Subjects—The trials comprised 3433 participants. Results—Eight trials examined the effectiveness of home visiting in the prevention of childhood injury. The pooled odds ratio for the eight trials was 0.74 (95% confidence interval 0.60 to 0.92). Four studies examined the effect of home visiting on injury in the first year of life. The pooled odds ratio was 0.98 (0.62 to 1.53). Nine trials examined the effect of home visiting on the occurrence of suspected abuse, reported abuse, or out of home placement for child abuse. Because of the potential for bias in outcome reporting in these studies, pooled effect estimates were not calculated. Conclusions—Home visiting programmes have the potential to reduce significantly the rates of childhood injury. The problem of differential surveillance for child abuse between intervention and control groups precludes the use of reported abuse as a valid outcome measure in controlled trials of home visiting.
机译：:靠量化的有效性访问计划在预防儿童伤害和虐待儿童。11个随机对照试验的家里访问计划。估计的方差倒数加权平均这项研究的具体优势比。Setting-Randomised试验可用的1995年4月。参与者。家访的预防的有效性童年的伤害。八个试验为0.74(95%的信心区间0.60 - 0.92)。家访对损伤的影响一年的生活。(0.62 - 1.53)。家访的发生的疑似病例虐待,虐待,或位置虐待儿童。偏见在这些研究结果的报告,混合效应的估计没有计算。Conclusions-Home访问计划的可能减少明显的利率童年的伤害。监测干预之间的虐待儿童和对照组排除了使用报道滥用控制的一个有效的测量结果家访的试验。

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