[Injury control from the perspective of contextual pediatrics].
OBJECTIVE
To describe the relationship between injury control and contextual pediatrics.


METHODS
Quasi-systematic review of MEDLINE, SciELO and LILACS databases, using combinations of the words contextual, community, injury, accident and violence; and non-systematic review of book chapters and classic articles.


RESULTS
Safety depends on the interaction of family habits, cultural patterns and surroundings. Contextual pediatrics sees the child, the family, and the community as a continuum; health diagnosis (sequential observation of problems and assets) is one of its cornerstones. Changing intrapersonal factors for injuries requires the use of both passive and active strategies. Family and cultural risk factors for injury: home overcrowding, moving, poverty, and young, illiterate and unemployed parents. The main neighborhood factors: material deprivation and traffic. Cultural factors: illiteracy, unsafe products, lack of mass transportation, handguns, workplaces without safety rules, faulty community organization, lack of communication between social sectors, inadequate legislation, low priority for safety among government actions, lack of economic resources, and low academic commitment with the field of safety.


CONCLUSIONS
The pediatrician's roles include strengthening of the longitudinal relationship with families, integrated interdisciplinary work, constructive intervention, partnership with community, counseling on injury risks pertaining to each developmental stage, by using lists with explicit processes and contents, and by handing out written materials. Active advocacy for safety promotion in different environments, besides the clinical setting.
Blank
Danilo
D
Departamento de Pediatria e Puericultura, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS. blank@ufrgs.br
D000056:Accident Prevention / Q000379:methods*; D000061:Accidents, Home / Q000517:prevention & control*; D002648:Child; D002669:Child Welfare; D003376:Counseling; D003466:Cultural Characteristics; D005190:Family; D006266:Health Education / Q000379:methods*; D006801:Humans; D010372:Pediatrics; D012307:Risk Factors; D012931:Social Environment; D014947:Wounds and Injuries / Q000517:prevention & control*