Alcohol-related injuries from e-scooter and e-bike use in the US (2019-2022): a retrospective study.

IF 2.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Edwin Akomaning, Samuel Prince Osei, Akshaya Srikanth Bhagavathula
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引用次数: 0

Abstract

Background: The use of electric-powered scooters and bikes (e-scooters/bikes) is rising, but little is known about associated injuries and substance use. This study analysed the trends and factors associated with e-scooter/bike-related injuries and alcohol/substance use emergency department (ED) visits from 2019 to 2022.

Methods: A retrospective analysis of US ED visit data from the 2019-2022 National Electronic Injury Surveillance System (NEISS) identified visits for e-scooter/bike-related injuries. NEISS data were collected using stratified, multistage sampling, and the analysis accounted for this complex sampling design. Outcomes included yearly visits, patient demographics, injury details and alcohol/substance use associations. Multivariable logistic regression analysed factors associated with e-bike/scooter-related injury ED visits and alcohol/substance use.

Results: Of 4020 e-scooter/bike injury ED visits, 3700 (weighted estimate 279 990) were e-scooters and 320 (weighted estimate 16 600) were e-bikes. Visits increased three-fold from 2019 (n=22 835) to 2022 (n=65 892). Most of the injuries involved males, with 79.6% of e-scooter injuries and 79.7% of e-bike injuries), aged 18-39 years (51.5% e-scooter, 48.5% e-bike) and non-Hispanic White (34.9% e-scooter, 38.8% e-bike). Alcohol use was reported in 8.6% of e-scooters and 2.5% of e-bike injury-related ED visits. Males had 2.6 times higher odds of alcohol use (OR: 2.61, 95% CI: 1.84 to 3.69) and 2.2 times higher odds of substance use (OR: 2.23, 95% CI: 1.19 to 4.16) associated ED visits, compared with females. Compared with the 18-39-year age group, those aged 10-17 years had 7.5 and 4.1 times higher odds of alcohol and substance use leading to e-scooter and e-bike injury-related ED visits, respectively.

Conclusions: E-scooter injuries are increasing rapidly, especially among younger males, with a three-fold increase from 2019 to 2022. Alcohol and substance use both contribute significantly to morbidity. Strengthening policy and prevention approaches like the use of helmets are warranted to improve e-scooter/bike safety.

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来源期刊
Injury Prevention
Injury Prevention 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.30
自引率
2.70%
发文量
68
审稿时长
6-12 weeks
期刊介绍: Since its inception in 1995, Injury Prevention has been the pre-eminent repository of original research and compelling commentary relevant to this increasingly important field. An international peer reviewed journal, it offers the best in science, policy, and public health practice to reduce the burden of injury in all age groups around the world. The journal publishes original research, opinion, debate and special features on the prevention of unintentional, occupational and intentional (violence-related) injuries. Injury Prevention is online only.
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