Injury Prevention最新文献

{"title":"Examining contextual differences in suicide by rural-urban designation and military status, 2009-2019: a cross-sectional analysis of the National Violent Death Reporting System.","authors":"J Priyanka Vakkalanka, Eliezer Santos Leon, Jon Davis, Cameron Williams, Carri Casteel","doi":"10.1136/ip-2024-045430","DOIUrl":"https://doi.org/10.1136/ip-2024-045430","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate differences in mental health and substance use circumstances by rurality and military affiliations among suicide decedents.</p><p><strong>Methods: </strong>Multiyear (2009-2019) cross-sectional study of adult suicide decedents reported to the National Violent Death Reporting System. We classified suicide decedents into a four-level variable by geography (urban/rural) and military status and evaluated the prevalence of current and past alcohol and substance use problems, mental health problem recognition and mental illness treatment. We estimated prevalence ratios using multiple imputation chain equations to account for missing data and log-binomial regression models and present stratified estimates by military and rural classification.</p><p><strong>Findings: </strong>There was no significant relationship between rural-military classification and alcohol use problem. Compared with urban civilians, other groups had a lower risk identified of having a substance use problem: urban military (adjusted prevalence ratio (aPR): 0.65; 95% CI: 0.60 to 0.71), rural military (aPR: 0.57; 95% CI: 0.50 to 0.66) and rural civilians (aPR: 0.95; 95% CI: 0.90 to 1.00). Recognition of a mental health problem was lower among both rural military (aPR: 0.88; 95% CI: 0.81 to 0.96) and rural civilians (aPR: 0.89; 95% CI: 0.86 to 0.92). The likelihood of current mental treatment was lower in other groups (urban military (aPR: 0.93; 95% CI: 0.89 to 0.96); rural military (aPR: 0.87; 95% CI: 0.81 to 0.94); and rural civilian (aPR: 0.89; 95% CI: 0.85 to 0.92)). There was no evidence of effect modification by military and rural classification for any outcome.</p><p><strong>Conclusions: </strong>Mental health outcomes by military affiliation and urbanicity/rurality may need to be independently assessed as social determinants of health.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the association between a periodic safe-ride program and urban alcohol-impaired driving crashes in Quebec, Canada: a cross-sectional time-series analysis.","authors":"Asma Mamri, José Ignacio Nazif-Munoz, Thomas Gordon Brown, Marie Claude Ouimet","doi":"10.1136/ip-2024-045532","DOIUrl":"https://doi.org/10.1136/ip-2024-045532","url":null,"abstract":"<p><strong>Introduction: </strong>In Canada, alcohol-impaired driving is a persistent public health concern in need of effective community-based prevention strategies. This study examined the association between the number of rides offered by a safe-ride program in the province of Quebec every December and alcohol-related injury crashes during the 2000-2019 period.</p><p><strong>Method: </strong>Safe-ride programs in four cities were examined (Montreal, Quebec, Sherbrooke and Trois-Rivières) using an ecological approach. The data set was structured as a balanced cross-sectional time series. Random-effects negative binomial regression modelled the relationship between the number of rides provided by the safe-ride program and night-time alcohol-related crashes involving serious injuries and fatalities, with individual city population as an offset variable.</p><p><strong>Results: </strong>The median number of night-time alcohol-related crashes for the months of December for the 2000-2019 period was 3.0 (IQR=1.5-4.5). The median number of rides offered was 16 894 (IQR=15 586-18 391). The association between the number of rides provided by the safe-ride program and night-time alcohol-related crashes (IRR=1.0002; 95% CI 0.9999, 1.0005) was not significant.</p><p><strong>Conclusion: </strong>The role of the number of rides provided by the safe-ride program in reducing night-time alcohol-related crashes was inconclusive. Specific program features may influence the findings. Future research is needed to understand the specific characteristics of safe-ride programs that could influence their putative benefits.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fall-related mortality in Spain: trends and disparities by age and gender.","authors":"Lucía Cayuela, Cristina García-Muñoz, Victoria Achaval, Manuel Ortega Calvo, Aurelio Cayuela","doi":"10.1136/ip-2024-045538","DOIUrl":"https://doi.org/10.1136/ip-2024-045538","url":null,"abstract":"<p><strong>Background: </strong>Falls are a significant public health concern, particularly among older adults. This study aimed to analyse trends in fall-related mortality in Spain from 1999 to 2022, focusing on age and gender disparities.</p><p><strong>Methods: </strong>Using a longitudinal ecological study, we analysed trends in fall mortality. Using data from the Spanish National Institute of Statistics, age-standardised mortality rates (ASMRs) were calculated for different age groups and genders. Joinpoint regression analysis was employed to identify significant trends and calculate annual percentage changes in mortality rates.</p><p><strong>Results: </strong>Fall deaths in Spain surged from 1999 to 2022, with a significant increase in mortality rates. This increase was more pronounced among men than women, and the older adults aged 65 and older accounted for most fall-related deaths. Overall, ASMRs increased with age and were consistently higher for men across all age groups. Men experienced a 1.9% annual increase in ASMRs, with a significant rise starting in 2009. Women's ASMRs increased by 1.8% per year, with a more pronounced increase from 2007 to 2013 before slowing. Among those aged 65 and over, rates increased significantly across most age groups, with the ASMR for men rising by 2.7% per year and for women by 2%.</p><p><strong>Conclusions: </strong>Fall mortality in Spain has significantly increased, particularly among older adults and men. The findings underscore the need for targeted fall prevention strategies, especially for high-risk groups. Future interventions should address gender-specific risks and emerging issues in middle-aged adults to effectively reduce fall-related mortality across all age groups.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing and testing the predictive validity of household firearm storage measures: insights from rural Alaska.","authors":"Rebeccah Sokol, Amelia Mueller-Williams, Kelsey Porter, Megan Leys, Aneliese Apala Flaherty, Lisa Wexler","doi":"10.1136/ip-2024-045470","DOIUrl":"https://doi.org/10.1136/ip-2024-045470","url":null,"abstract":"<p><strong>Introduction: </strong>Measuring change in firearm storage is paramount to evaluating if interventions influence storage. Yet, there is little empirical basis for how to measure this change. This methodology study compared three different firearm storage measures using data from the Family Safety Net trial (n=46), a randomised controlled trial among firearm-owning adults in a rural Alaska Native community to encourage unloaded and locked firearm storage.</p><p><strong>Methods: </strong>The team compared baseline and 1-month follow-up measures of household firearm storage: (1) cumulative firearm accessibility, (2) average firearm accessibility, and (3) number of unlocked firearms. All measures included information about locking status; the cumulative and average firearm accessibility measures incorporated additional information about ammunition. Unadjusted and adjusted generalised estimating equations evaluated the associations of the storage measures with adult perceptions of youth firearm access. Receiver operating characteristic curves from unadjusted models compared the measures' abilities to predict adult perceptions of youth firearm access.</p><p><strong>Results: </strong>All household firearm storage measures were sensitive to change between baseline and 1 month follow-up (<i>p</i>s<0.05). These measures demonstrated a similar and moderate ability to predict adult perceptions of youth access (area under the curve range: 0.68-0.76).</p><p><strong>Conclusion: </strong>The number of unlocked firearms is an easily interpretable outcome when evaluating the effect of firearm storage interventions on storage practices, and it performed similarly well in predicting adults' perceptions of youth firearm access as compared with more complex measures. Research that evaluates the ability of firearm storage measures to predict actual youth access will inform interventions to prevent youth firearm access.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143500949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mechanisms of paediatric injury: an 11-year review of injury trends from the National Trauma Data Bank.","authors":"Carissa Tomas, Kara Kallies, Michael Levas, Terri deRoon-Cassini, Laura Cassidy, Katherine Flynn-O'Brien","doi":"10.1136/ip-2024-045440","DOIUrl":"https://doi.org/10.1136/ip-2024-045440","url":null,"abstract":"<p><strong>Background/purpose: </strong>Unintentional injuries are the leading cause of death among children and adolescents. The objective of this study was to describe temporal trends of paediatric traumatic injury over an 11-year period by mechanism of injury (MOI), age, sex, race and ethnicity, injury severity and hospital discharge disposition.</p><p><strong>Methods: </strong>The National Trauma Data Bank was queried to identify paediatric patients (1-17 years old) injured from 2012 to 2022. Two-sided non-parametric Mann-Kendall trend tests were used to evaluate temporal trends of MOI for all patients and within demographic groups.</p><p><strong>Results/outcomes: </strong>Over the 11-year period, 1 092 308 injury records met study inclusion criteria and had complete demographic and MOI data. Across all patients, there was a significant increase in bites and stings, cut/pierce injuries and firearm injuries, whereas there were decreasing trends in pedestrian and other blunt injuries over time. There was a significant increase in injury over time for Black, Hispanic or Latino, and Pacific Islander patients and those 5-9 years old. The MOIs with the highest injury severity and in-hospital mortality were firearm, pedestrian and motor vehicle transportation occupant injuries.</p><p><strong>Conclusions: </strong>Though a few MOIs increased for all paediatric patients in the study period, disparities persist for several specific populations. As such, injury prevention strategies should be tailored based on age, sex and race or ethnicity, and relevant education and resources should be provided to both children and their adult guardians. Future research should consider additional socioeconomic and community-based characteristics.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding non-fatal drowning in Victoria, Australia: a 20-year analysis of hospital admission data.","authors":"Hannah Calverley, Janneke Berecki-Gisolf, Amy E Peden, Bernadette Lucy Matthews","doi":"10.1136/ip-2024-045606","DOIUrl":"https://doi.org/10.1136/ip-2024-045606","url":null,"abstract":"<p><strong>Background: </strong>Unintentional drowning is a global public health concern, and in Australia, non-fatal drowning outcomes are estimated to be three times that of fatal incidents. Understanding non-fatal drowning trends would enable tailored prevention efforts to address the full burden of drowning, yet little research has investigated this.</p><p><strong>Methods: </strong>Retrospective analysis considered unintentional drowning-related hospital admissions in the state of Victoria, Australia between 1 July 2002 and 30 June 2022.</p><p><strong>Results: </strong>Overall, 1849 hospital admissions resulted from non-fatal drowning in Victoria. Rates increased significantly by 1.86% annually (95% CI (0.91, 2.82)). Males and females recorded significant increases in hospital admission (2.4% (95% CI 0.7%, 4.2%) for females vs 1.6% (95% CI 0.5%, 2.7%) for males). Admission rates increased among several age groups, with significant increases recorded among young people aged 15-24 years (3.99%, p=0.0041), children aged 5-9 years (3.33%, p<0.04) and 25-64 years (3.07%, p=0.0001). Regarding regionality, drowning rates were higher with increasing remoteness, and people born in Oceania and Antarctica recorded the majority (86.1%) of hospital admissions over the 20 years.</p><p><strong>Discussion and conclusions: </strong>Increases in hospital admissions over the 20 years are concerning and highlight the rising burden of drowning on Victorian health systems. These trends identify where preventative efforts may be directed to reduce drowning, especially regarding the prominence of children. Raising awareness of non-fatal drowning is necessary to demonstrate the full impact and burden of drowning and could be achieved through multisectoral collaboration, consistent communication and messaging, and innovative programmes and policy.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Explosive Ordnance Risk Education boosts interpersonal discussion to increase safe behavioural intentions in Afghanistan.","authors":"Benedek Paskuj, Mahdi Zaki, Ágnes Zsila, Nicola Bailey, Gábor Orosz","doi":"10.1136/ip-2024-045316","DOIUrl":"https://doi.org/10.1136/ip-2024-045316","url":null,"abstract":"<p><strong>Background: </strong>Explosive remnants of war claim more than three lives every day in Afghanistan. This study evaluates the impact of BBC Media Action Afghanistan's Explosive Ordnance Risk Education project in raising public awareness and promoting safe behaviours regarding explosive ordnances in Afghanistan. The project deployed a multimedia approach to reach a mass audience, including a radio discussion show, public service announcements on TV and radio, social media content and playing content on intercity buses.</p><p><strong>Methods: </strong>A panel study with 400 participants from high-risk provinces assessed knowledge, discussion and behavioural intentions related to explosives before and after a mass media intervention. In the broadcast period, the research unobtrusively monitored the dosage of exposure to the media content.</p><p><strong>Results: </strong>Findings from the panel study indicated a significant increase in discussions about explosive risks and safer behavioural interventions (e.g. avoiding and reporting explosive ordnances) post intervention.</p><p><strong>Conclusion: </strong>The results constitute one of the first pieces of systematically collected evidence on media and communication's potential in explosive risk education by facilitating interpersonal discussion and in turn change of behavioural intentions in areas contaminated by explosive ordnances and remnants of war.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Using emergency department data to reduce late-night alcohol-related presentations in an Australian central business district.","authors":"Peter Miller, Nicholas Taylor, Diana Egerton-Warburton, Timothy Baker, Kate Kloot, Jonathan Shepherd, Hamed Akhlaghi","doi":"10.1136/ip-2024-045362","DOIUrl":"https://doi.org/10.1136/ip-2024-045362","url":null,"abstract":"<p><strong>Introduction: </strong>The Cardiff Model for Violence Prevention is a data sharing approach aiming to reduce violence-related presentations to emergency departments (EDs). This model has not previously been tested with patients attending EDs in a major Australian urban setting, nor has the use of media reporting of results and letters to venues without a local violence prevention board been tested.</p><p><strong>Objective: </strong>To determine this approach's effect on alcohol-associated presentation rates during high-alcohol hours (HAHs) in a major ED servicing the nightlife district in central Melbourne.</p><p><strong>Design: </strong>Between July 2017 and June 2020, this prospective study asked people aged≥18 years attending ED about their alcohol consumption and last drink location. From December 2018, quarterly letters were sent to the top five venues identified as the last drink location and press releases were sent to all media outlets.</p><p><strong>Findings: </strong>A significant gradual decrease in monthly injury attendance rates during HAH was observed (coefficient = -0.001, p= 0.017), however, no step change was found. Venue-level data highlighted a short-term drop in attributed events.</p><p><strong>Discussion: </strong>Sharing Last Drinks ED data via stand-alone media reporting and letters to venues was associated with a small but significant reduction in alcohol-related injury presentation rates. However, the impact waned as media stopped reporting findings. This study highlights the importance of including a violence prevention board.</p><p><strong>Conclusion: </strong>The model continues to have promise for reducing alcohol-related harm, however, engagement from government agencies free from alcohol industry funding is important for long-term success.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143468013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Socioeconomic, demographic and environmental factors of child drownings in Northern Bangladesh.","authors":"Edris Alam, Khawla Saeed Al Hattawi, Habiba Akter, Jahangir Alam, Elizabeth Alvarez, Fahim Sufi, Md Kamrul Islam, Abu Reza Md Towfiqul Islam","doi":"10.1136/ip-2024-045434","DOIUrl":"10.1136/ip-2024-045434","url":null,"abstract":"<p><strong>Background: </strong>Drowning is the leading cause of death among children aged 0-17 years in rural Bangladesh, resulting in over 14 438 deaths annually-an average of 43 deaths per day. This study aims to identify socioeconomic, demographic and environmental factors linked to child drowning deaths in Northern Bangladesh-a region of high poverty, which is behind in overall socioeconomic indicators compared with other regions in the country.</p><p><strong>Methods: </strong>We conducted a cross-sectional survey through purposive sampling to identify child fatal and non-fatal drownings among a total of 18 004 households, comprising 71 185 people, in 2 unions in Northern Bangladesh. Interviews were conducted between January and March 2024 with the households that experienced child drownings in the region. We employed a mixed-methods approach to data collection, using quantitative analysis to examine socioeconomic, demographic and environmental factors, alongside qualitative analysis to explore situational factors associated with drownings in the region.</p><p><strong>Results: </strong>Through household visits, a total of 117 households were identified that faced child drowning incidents, comprising 84 fatal (71.8 %) and 33 non-fatal (28.2 %) drownings between 2018 and 2023. The households that faced drownings were comparatively of lower income groups, had lower rates of education and were mostly engaged in agriculture and other domestic work. In 2023, the number of drowning incidents was 34. Out of 117 drownings, 95% occurred between 9:00 and 15:00 hours, and more than 82% occurred between June and October. Out of 117 drowning incidents, approximately 97% of children did not know how to swim prior to the incident. Out of 117 respondents, 73.5% stated that they did not teach their child how to swim. Of those who taught their child to swim, the average age for learning to swim was 8.33 years. Out of 84 child drowning deaths, 75% were male and 25% were female, and the average age was 3.9 years. Out of the 84 fatal drowning deaths, 72.6% occurred in ponds.</p><p><strong>Conclusion: </strong>Identification of socioeconomic, demographic and environmental factors associated with child drownings will help to develop feasible prevention strategies and interventions in the region.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143074226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between ambient temperature and years of life lost of external causes of death in 16 prefecture-level regions of Yunnan Province.","authors":"Kai Wang, Yang Chen, Yuanyi Zha, Lvliang Lu, Yujin Wang, Pi Guo, Qingying Zhang","doi":"10.1136/ip-2024-045377","DOIUrl":"https://doi.org/10.1136/ip-2024-045377","url":null,"abstract":"<p><strong>Background: </strong>Many injury deaths are related to the environment. This study examined the impact of ambient temperature on external causes of death in Yunnan Province.</p><p><strong>Methods: </strong>Data on external causes of death and meteorological information were collected from 2014 to 2020 across 129 counties and districts of Yunnan Province. We estimated associations of the years of life lost (YLL) and its attributable fraction (AF) with temperature using a distributed lag non-linear model in each city and then pooled them in a multivariate meta-regression.</p><p><strong>Results: </strong>This study included 191 115 external causes of death and daily YLL was 2338.1 years. The relationship between mean temperature and YLL was found to be U-shaped. The AF of the YLL was 12.65% (95% empirical CI (eCI) 7.80% to 16.45%), 18.54% (95% eCI 8.91% to 23.56%) and 15.79% (95% eCI 8.83% to 20.07%) for external causes of death, traffic accidents and other external causes, respectively. Most of the disease burden was attributed to heat temperature. In the disease burden caused by temperature, males, individuals under 75 years old and those of Han ethnicity were mainly affected by heat temperature; individuals over 75 years old and minority populations were mainly affected by cold temperatures. Non-farmers are more affected by temperature than farmers.</p><p><strong>Conclusions: </strong>The findings suggest that ambient temperature impacts external causes of death, and the results vary by gender, age, ethnicity and occupation. The study shows the importance of implementing preventive measures targeting both the general population and vulnerable groups in order to address external causes of death in future adaptation policies.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143407337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}