Child and neighborhood factors associated with pediatric injuries sustained while engaged in activities where helmet usage is recommended.

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

Injury Epidemiology Pub Date : 2025-07-07 DOI:10.1186/s40621-025-00598-6

Brent M Troy, Maneesha Agarwal, Allison F Linden, Andrew Jergel, Anthony Giarusso, Kiesha Fraser Doh

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引用次数: 0

Abstract

Background: Unintentional injuries, including traumatic brain injuries (TBI) during activities where helmet usage is recommended (AWHUR), are a leading cause of pediatric morbidity and mortality in the U.S. While advocacy and education are proven measures to address safety, community resources in a child's neighborhood are known to have a large impact on their health.

Methods: We utilized the trauma registry at two pediatric trauma centers, in a major metropolitan area from 2018 to 2022, to perform a retrospective chart review and Geographical Information System (GIS) mapping on all AWHUR injuries that were included in the trauma registry. Data extracted from the trauma registry included: mechanism, demographics, insurance status, and injury characteristics. AWHUR data was then overlaid with the Childhood Opportunity Index (COI) to assess community resources in relation to injury characteristics.

Results: Our sample size included 1425 children throughout the 5-year time period. The most common injury mechanisms included: bicycle 34.0%, ATV 18.2%, skateboard 13.3%, scooter 9.2%, and dirt-bike 7.4%. Most patients in very low and low COI were publicly insured, respectively 81.9% and 63.2%; while 65.8% of high COI injured patients were privately insured children. There was a statistically significant difference in helmet usage across different levels of COI (p < 0.001). The rates of helmet usage by COI ranking from very low to very high were as follows: 21.6%, 25.2%, 37.8%, 40.2%, and 51.6% utilization. Among those injured while wearing a helmet, the odds of sustaining a higher ISS were 34% lower (OR = 0.66, 95% CI: 0.50-0.89) compared to those who were not wearing a helmet at the time of injury. Additionally, GIS mapping identified low and very low COI communities with higher injury rates and lower helmet use.

Conclusion: Children with lower COI were more likely to be publicly insured with a lower percentage of helmet usage. Overlapping injury data and COI identified high-risk communities where low resources can contribute to growing injury severity. This data can then be used to inform injury prevention and highlight the importance of community factors.

查看原文本刊更多论文

儿童和社区因素与儿童在从事建议使用头盔的活动时持续受伤有关。

背景：在建议使用头盔的活动（AWHUR）中，意外伤害，包括创伤性脑损伤（TBI），是美国儿童发病率和死亡率的主要原因。虽然宣传和教育是解决安全问题的有效措施，但已知儿童社区资源对他们的健康有很大影响。方法：我们利用2018年至2022年在一个主要大都市地区的两家儿科创伤中心的创伤登记处，对创伤登记处中包括的所有AWHUR损伤进行回顾性图表审查和地理信息系统（GIS）制图。从创伤登记处提取的数据包括：机制、人口统计、保险状况和损伤特征。然后将AWHUR数据与儿童机会指数（COI）叠加，以评估与损伤特征相关的社区资源。结果：我们的样本量在5年期间包括1425名儿童。最常见的伤害机制包括：自行车34.0%,ATV 18.2%，滑板13.3%，踏板车9.2%，脏车7.4%。极低和低COI患者以公费参保为主，分别为81.9%和63.2%；65.8%的高COI损伤患者为私保儿童。不同COI水平的儿童头盔使用有统计学意义差异(p)结论：COI较低的儿童更有可能参加公共保险，头盔使用比例较低。重叠的伤害数据和COI确定了资源不足可能导致伤害严重程度增加的高风险社区。这些数据可以用来告知伤害预防，并强调社区因素的重要性。

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.