Pivoting injury prevention efforts during a pandemic: results of an international survey.

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Injury Epidemiology Pub Date : 2023-11-16 DOI:10.1186/s40621-023-00472-3

Tanya Charyk Stewart, Purnima Unni, Holly Renee Hanson, Jason Gilliland, Andrew Clark, Douglas D Fraser

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引用次数: 0

Abstract

Background: The COVID-19 a pandemic changed the world. Public health directives to socially distance with stay-at-home orders altered injury risk factor exposure, resulting injury patterns and conducting injury prevention (IP). The objective of this study was to determine the impact the COVID-19 pandemic on injury and IP at North American trauma centers (TC).

Results: Sixty-two responses were received from pediatric (44%), adult (11%), and combined (31%) TC, from 22 American states, 5 Canadian provinces and Australia. The majority (91%) of programs targeted age groups from birth to 15 years old. Nearly one-third reported IP to be less of an institutional priority with funding redistributed in 15% of centers [median (IQR) - 25% (- 43, 1)], and resultant staffing changes at 38% of centers. A decrease in IP efforts was reported at 64% of TC. Overall, the majority of respondents reviewed injury data, with the top reported increased mechanisms mainly intentional: Firearm-related (75%), assaults (72%), and abuse (71%). Leading increased unintentional injuries were injuries occurring in the home such as falls (70%), followed by ATV (62%), and cycling (57%). Sites pivoted by presenting (74%) or participating (73%) in IP education virtually, social media posts (61%) and the addition of technology (29%). Top barriers were redeployment of partners (45%) and staff (31%), as well as lack of technology (40%) in the target population. Facilitators were technology at TC (74%), support of trauma program (63%), and having IP funding maintained (55%).

Conclusions: Nearly two-thirds of TC decreased IP efforts during the pandemic due to staffing and funding reductions. The leading reported increased injuries were intentional, indicating that violence prevention is needed, along with support for mental health. While TC successfully pivoted by using technology, access issues in the target population was a barrier resulting in health inequities.

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大流行期间伤害预防工作的重点:一项国际调查的结果。

背景:新冠肺炎大流行改变了世界。公共卫生指示与家庭主妇的社会距离改变伤害风险因素暴露，导致伤害模式和进行伤害预防(IP)。本研究的目的是确定COVID-19大流行对北美创伤中心(TC)损伤和IP的影响。结果:共收到62份来自美国22个州、加拿大5个省和澳大利亚的儿童(44%)、成人(11%)和联合(31%)TC的回复。大多数(91%)的项目针对的是出生到15岁的年龄组。近三分之一的报告称，知识产权不再是机构的优先事项，15%的中心重新分配了资金[中位数(IQR) - 25%(- 43.1)]， 38%的中心因此调整了人员配置。据报告，在知识产权方面的努力减少了64%。总体而言，大多数受访者回顾了伤害数据，其中报告最多的伤害机制主要是故意的:枪支相关(75%)、袭击(72%)和虐待(71%)。意外伤害增加最多的是发生在家中的伤害，如跌倒(70%)，其次是ATV(62%)和骑自行车(57%)。网站主要通过虚拟知识产权教育(74%)或参与(73%)、社交媒体帖子(61%)和增加技术(29%)来实现。最大的障碍是重新部署合作伙伴(45%)和员工(31%)，以及目标人群缺乏技术(40%)。促进因素是TC的技术(74%)、创伤项目的支持(63%)和保持知识产权资金(55%)。结论:在大流行期间，由于人员配备和资金减少，近三分之二的TC减少了知识产权工作。主要报告的伤害增加是故意的，这表明需要预防暴力，同时支持心理健康。虽然技术转移成功地利用了技术，但目标人群的获取问题是造成卫生不平等的障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Injury Epidemiology Medicine-Medicine (all)

CiteScore

3.20

自引率

4.50%

发文量

审稿时长

13 weeks

期刊介绍： Injury Epidemiology is dedicated to advancing the scientific foundation for injury prevention and control through timely publication and dissemination of peer-reviewed research. Injury Epidemiology aims to be the premier venue for communicating epidemiologic studies of unintentional and intentional injuries, including, but not limited to, morbidity and mortality from motor vehicle crashes, drug overdose/poisoning, falls, drowning, fires/burns, iatrogenic injury, suicide, homicide, assaults, and abuse. We welcome investigations designed to understand the magnitude, distribution, determinants, causes, prevention, diagnosis, treatment, prognosis, and outcomes of injuries in specific population groups, geographic regions, and environmental settings (e.g., home, workplace, transport, recreation, sports, and urban/rural). Injury Epidemiology has a special focus on studies generating objective and practical knowledge that can be translated into interventions to reduce injury morbidity and mortality on a population level. Priority consideration will be given to manuscripts that feature contemporary theories and concepts, innovative methods, and novel techniques as applied to injury surveillance, risk assessment, development and implementation of effective interventions, and program and policy evaluation.