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Sökning: L773:1353 8047 > (2000-2004)

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  • Lindqvist, Kent, 1948-, et al. (författare)
  • Evaluation of a child safety program based on the WHO Safe Community model
  • 2002
  • Ingår i: Injury Prevention. - : BMJ. - 1353-8047 .- 1475-5785. ; 8:1, s. 23-26
  • Tidskriftsartikel (refereegranskat)abstract
    • 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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  • Lindqvist, Per, et al. (författare)
  • Teenage suicides in northern Sweden : an interview study of investigating police officers
  • 2000
  • Ingår i: Injury Prevention. - : BMJ. - 1353-8047 .- 1475-5785. ; 6:2, s. 115-119
  • Tidskriftsartikel (refereegranskat)abstract
    • OBJECTIVE: To disclose recurrent, dynamic, and static factors in teenage suicide involving the suicidee, his/her family, and the community; and to investigate the feasibility of using police as informants for suicide studies.SUBJECTS: All deaths categorised as suicide 1993 through 1995 among teenagers in Northern Sweden (n=15).METHOD: Semiqualitative interviews with police officers, and, when applicable, general practitioners. Police reports, necropsy protocols, medical records, and conscription data were also analysed.RESULTS: Most suicides occurred in rural and depopulated areas. In contrast to males, females often had a history of overt psychiatric problems with suicide attempts. At least two thirds of the suicides were planned.CONCLUSION: Cultural and sociopolitical aspects are important in teenage suicide as well as gender differences. Police officers can provide essential information. Identifying teenagers at risk remains difficult, however, due to low baseline rates.
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  • Nilsen, Per, et al. (författare)
  • Making sense of safety
  • 2004
  • Ingår i: Injury Prevention. - : BMJ. - 1353-8047 .- 1475-5785. ; 10:2
  • Annan publikation (övrigt vetenskapligt/konstnärligt)
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  • Nilsen, Per (författare)
  • What makes community based injury prevention work? : In search of evidence of effectiveness
  • 2004
  • Ingår i: Injury Prevention. - : BMJ. - 1353-8047. ; 10:5, s. 268-274
  • Tidskriftsartikel (refereegranskat)abstract
    • Community based injury prevention work has become a widely accepted strategy among safety promotion specialists. Hundreds of community based injury prevention programs have been implemented since the mid-1970s, but relatively few have been evaluated rigorously, resulting in a lack of consensus regarding the effectiveness of this approach. This study sought to identify key components that contribute to the effectiveness of these programs. The objective was to gain a better understanding of the community based model for injury prevention. The study was performed as a structured review of existing evaluations of injury prevention programs that employed multiple strategies to target different age groups, environments, and situations. The results of this study suggested that there are complex relationships between the outcome and the context, structure, and process of community-wide injury prevention programs. The interconnectedness of these variables made it difficult to provide solid evidence to prioritise in terms of program effectiveness. The evaluations of multifaceted community oriented injury prevention programs were found to have many shortcomings. Meagre descriptions of community characteristics and conditions, insufficient assessment of structural program components, and failure to establish process-outcome relationships contributed to the difficulty of identifying key success factors of the programs.
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