Injury Prevention最新文献

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Manifold child, family and social variables are associated with injury among New Zealand preschool children. 多元的儿童、家庭和社会变量与新西兰学龄前儿童的伤害有关。
IF 2.5 3区 医学
Injury Prevention Pub Date : 2024-05-20 DOI: 10.1136/ip-2023-044869
Lisa Underwood, Bridget Kool, Avinesh Pillai, Te Kani Kingi, Susan Morton, Shanthi Ameratunga
{"title":"Manifold child, family and social variables are associated with injury among New Zealand preschool children.","authors":"Lisa Underwood, Bridget Kool, Avinesh Pillai, Te Kani Kingi, Susan Morton, Shanthi Ameratunga","doi":"10.1136/ip-2023-044869","DOIUrl":"10.1136/ip-2023-044869","url":null,"abstract":"<p><strong>Aim: </strong>Approaches to understanding child injury tend to focus on short-term proximal influences. Previous analyses have found higher rates of injury among Māori and Pacific children in Aotearoa New Zealand (NZ). This study aimed to investigate how combinations of situations and multiple events act across the life-course to either protect preschool children from, or place them at risk of, repeated injuries requiring medical attention.</p><p><strong>Methods: </strong>Longitudinal data were used to identify parent-reported injuries requiring medical attention among 6114 preschool NZ children. The environments experienced by children with multiple and/or severe injury were explored using multivariable analyses.</p><p><strong>Results: </strong>Eight percent of children (n=505) experienced 1-3 injuries with at least one hospitalisation or ≥4 injuries (<i>high injury</i> group) from birth to 4.5 years of age. After accounting for antenatal, sociodemographic and psychosocial variables, children of Māori mothers (OR=0.7, 95% CI 0.5 to 0.97) and children of Asian mothers (OR=0.5, 95% CI 0.3 to 0.7) were less likely to be in the <i>high injury</i> group than children of European mothers. After adjusting for maternal ethnicity and child variables (gender, temperament, level of activity and behaviour difficulties), cumulative exposure to factors in four domains was associated with injury category: maternal, family, social and service use.</p><p><strong>Conclusion: </strong>This study identified social and economic opportunities to lower rates of injury among preschool children, that might reduce associated direct and indirect costs. Our findings in relation to ethnicity go against the standard public rhetoric and provide support for shifting the apportioning of blame for child injury from individuals to wider environmental exposures for which public health and societal solutions are required.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":null,"pages":null},"PeriodicalIF":2.5,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138482300","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}
引用次数: 0
Exploring home fall events among infants and toddlers using social media information: an infodemiology study in China. 利用社交媒体信息探究婴幼儿家庭摔倒事件:一项中国信息流行病学研究。
IF 3.7 3区 医学
Injury Prevention Pub Date : 2024-05-20 DOI: 10.1136/ip-2023-045014
Jiang Tian, Peixia Cheng, Xiaonan Wang, Henry Xiang, Qi Gao, Huiping Zhu
{"title":"Exploring home fall events among infants and toddlers using social media information: an infodemiology study in China.","authors":"Jiang Tian, Peixia Cheng, Xiaonan Wang, Henry Xiang, Qi Gao, Huiping Zhu","doi":"10.1136/ip-2023-045014","DOIUrl":"https://doi.org/10.1136/ip-2023-045014","url":null,"abstract":"<p><strong>Background: </strong>Practical interventions of fall prevention are challenging for infants and toddlers. This study aimed to explore specific details of falls that occurred at home for kids 0-3 years old using key information from social media platforms, which provided abundant data sources for fall events.</p><p><strong>Methods: </strong>We used internet-based search techniques to collect fall events information from 2013 to 2023. The search was restricted and implemented between 1 and 12 April 2023. Online platforms included Baidu, Weibo, WeChat, TikTok, Toutiao and Little Red Book. A qualitative descriptive approach was used to analyse the fall events and major factors, including the fall event time, child age, environmental factors and behavioural characteristics of children and caregivers.</p><p><strong>Results: </strong>We identified 1005 fall injury cases among infants and toddlers. Fall mechanisms included falls from household furniture (71.2%), falls from height (21.4%) and falls on the same level (7.4%). Environmental risk factors mainly consisted of not using or installing bed rails incorrectly, a gap between beds, unstable furniture, slippery ground and windows without guardrails. Behavioural factors included caregivers leaving a child alone, lapsed attention, turning around to retrieve something, misusing baby products, inadequately holding the child and falling asleep with children. Child behavioural factors included walking or running while holding an object in hand or mouth and underdeveloped walking skills.</p><p><strong>Conclusion: </strong>Interventions for preventing falls should be designed specifically for Chinese families, especially considering family function in the context of Chinese culture. Social media reports could provide rich information for researchers.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141071071","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}
引用次数: 0
Understanding a community's needs for an emergency department-based childhood injury prevention programme: a mixed-methods study. 了解社区对以急诊科为基础的儿童伤害预防规划的需求:一项混合方法研究。
IF 3.7 3区 医学
Injury Prevention Pub Date : 2024-05-20 DOI: 10.1136/ip-2023-044920
Hamzah Majid Yusuf, Efrat Rosenthal, Aaron Kornblith, Christine Sowar, Rigoberto Del Toro, Carol C Chen
{"title":"Understanding a community's needs for an emergency department-based childhood injury prevention programme: a mixed-methods study.","authors":"Hamzah Majid Yusuf, Efrat Rosenthal, Aaron Kornblith, Christine Sowar, Rigoberto Del Toro, Carol C Chen","doi":"10.1136/ip-2023-044920","DOIUrl":"10.1136/ip-2023-044920","url":null,"abstract":"<p><strong>Objective: </strong>Unintentional injuries are the most common cause of childhood death in the USA and are preventable. We developed a framework for an injury prevention programme using local injury data and understanding stakeholder perspectives.</p><p><strong>Methods: </strong>We used a mixed-methods approach. We performed a retrospective cross-sectional analysis of children presenting to an academic hospital system between January 2019 and December 2020 with an injury-related diagnosis. The primary outcome was encounters with an injury-related ICD-10 code. We conducted a thematic analysis by interviewing caregivers and emergency department (ED) providers.</p><p><strong>Results: </strong>There were 10 193 unique injury-related encounters. Most common injuries were natural/environmental (22.9%), falls (20.0%) and striking an object (5.1%). Highest rates of injury were seen in children who identified as Native Hawaiian or Pacific Islander (154 injuries per 10 000 children per year), followed by Hispanic or Latino (148). Three out of 20 zip code areas represented 43.4% of all injuries and correlated with lower household income. Twenty-five caregivers and eight ED providers participated in interviews that resulted in four major themes: perceptions of injury risk, caregiver receipt of injury prevention information, barriers and provider counselling.</p><p><strong>Conclusion: </strong>Clear differences exist within the injury burden in San Francisco by demographics, geography and type of injury. The findings from the study will guide the first steps in designing a strategic paediatric injury prevention centre. The methods may guide future investigations into the dynamic needs of clinicians and caregivers regarding injury. A strategic programme focused on the community's unique needs and barriers may effectively reduce injury rates.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138482302","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}
引用次数: 0
Adults' exposure to adverse childhood experiences in the United States nationwide and in each state: modeled estimates from 2019-2020. 美国全国和各州成年人接触不良童年经历的情况:2019-2020 年的模型估计值。
IF 3.7 3区 医学
Injury Prevention Pub Date : 2024-05-20 DOI: 10.1136/ip-2023-044935
Maria V Aslam, Cora Peterson, Elizabeth Swedo, Phyllis H Niolon, Sarah Bacon, Curtis Florence
{"title":"Adults' exposure to adverse childhood experiences in the United States nationwide and in each state: modeled estimates from 2019-2020.","authors":"Maria V Aslam, Cora Peterson, Elizabeth Swedo, Phyllis H Niolon, Sarah Bacon, Curtis Florence","doi":"10.1136/ip-2023-044935","DOIUrl":"10.1136/ip-2023-044935","url":null,"abstract":"<p><strong>Background: </strong>Although preventable, adverse childhood experiences (ACEs) can result in lifelong health harms. Current surveillance data on adults' exposure to ACEs are either unavailable or incomplete for many U.S. states.</p><p><strong>Methods: </strong>Current estimates of the proportion of U.S. adults with past ACEs exposures were obtained by analysing individual-level data from 2019 to 2020 Behavioural Risk Factor Surveillance System-annual nationally representative survey of noninstitutionalized adults aged 18+years. Standardised questions measuring ACEs exposures (presence of household member with mental illness, substance abuse, or incarceration; parental separation; witnessing intimate partner violence; experiencing physical, emotional, or sexual abuse during childhood) were categorised into 0, 1, 2-3, or 4+ACEs and reported by sociodemographic group in each state. Missing ACEs responses (state did not offer ACEs questions or offered to only some respondents; respondent skipped questions) were modelled through multilevel mixed-effects logistic (MMEL) and jackknifed MMEL regressions.</p><p><strong>Results: </strong>In 2019-2020, an estimated 62.8% of U.S. adults had past exposure to 1+ACEs (range: 54.9% in Connecticut; 72.5% in Maine), including 22.4% of adults who were exposed to 4+ACEs (range: 11.9% in Connecticut; 32.8% in Nevada). At the national and state levels, exposure to 4+ACEs was highest among adults aged 18-34 years, those who did not graduate from high school, or adults who did not have a healthcare provider. Racial/ethnic distribution of adults exposed to 4+ACEs varied by age and state.</p><p><strong>Conclusions: </strong>ACEs are common but not equally distributed. ACEs exposures estimated by state and sociodemographic group can help decisionmakers focus public health interventions on populations disproportionately impacted in their area.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139491259","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}
引用次数: 0
Prevalence of vision zero action plans or strategies: USA, 2021. 零视觉行动计划或战略的普及率:美国,2021 年。
IF 3.7 3区 医学
Injury Prevention Pub Date : 2024-05-20 DOI: 10.1136/ip-2023-044926
Bryant J Webber, Geoffrey P Whitfield, Kenneth M Rose, Ellen W Stowe, Hatidza Zaganjor, David J Ederer, Janet E Fulton
{"title":"Prevalence of vision zero action plans or strategies: USA, 2021.","authors":"Bryant J Webber, Geoffrey P Whitfield, Kenneth M Rose, Ellen W Stowe, Hatidza Zaganjor, David J Ederer, Janet E Fulton","doi":"10.1136/ip-2023-044926","DOIUrl":"10.1136/ip-2023-044926","url":null,"abstract":"<p><strong>Background: </strong>Vision Zero is a strategy to eliminate traffic fatalities and to promote equitable mobility options for all road users. Using a nationally representative survey, we aimed to estimate the prevalence of Vision Zero action plans or strategies in the USA.</p><p><strong>Methods: </strong>Municipal officials were surveyed in 2021. In this cross-sectional study, we calculated the prevalence of Vision Zero plans or strategies and compared municipalities with adjusted prevalence ratios (PR) to account for region and sociodemographic characteristics.</p><p><strong>Results: </strong>Among 1955 municipalities participating in the survey (question-specific response rate: 44.3%), the prevalence of a Vision Zero action plan or strategy was 7.7%; 70.5% responded <i>no</i> and 21.8% <i>don't know</i>. Prevalence was 4.8% in small municipalities (1000-2499 residents), 20.3% in medium-large municipalities (50 000-124 999 residents; PR=4.1), and 37.8% in large municipalities (≥125 000 residents; PR=7.6).</p><p><strong>Conclusion: </strong>The prevalence of Vision Zero plans and strategies across the USA is low. Additional adoption of Vision Zero plans and strategies could help address traffic fatalities.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11137438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139912567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intimate partner violence during pregnancy against adolescents in sub-Saharan Africa: a systematic review. 撒哈拉以南非洲地区青少年在怀孕期间遭受亲密伴侣暴力侵害的情况:系统回顾。
IF 3.7 3区 医学
Injury Prevention Pub Date : 2024-05-20 DOI: 10.1136/ip-2023-044985
Caroline Adjimi Nyemgah, Meghna Ranganathan, Heidi Stöckl
{"title":"Intimate partner violence during pregnancy against adolescents in sub-Saharan Africa: a systematic review.","authors":"Caroline Adjimi Nyemgah, Meghna Ranganathan, Heidi Stöckl","doi":"10.1136/ip-2023-044985","DOIUrl":"10.1136/ip-2023-044985","url":null,"abstract":"<p><strong>Background: </strong>Adolescent pregnancy and intimate partner violence (IPV) are major public health issues that are linked to poor health outcomes particularly during pregnancy. In sub-Saharan Africa (SSA), previous studies on IPV during pregnancy have primarily focused on adults. This review examines the available evidence on adolescents' experience of IPV during pregnancy in SSA.</p><p><strong>Design: </strong>Systematic review.</p><p><strong>Methods: </strong>We searched multiple databases for articles that met our inclusion criteria. Included studies investigated IPV during pregnancy, including prevalence, risk factors and health outcomes among ever-pregnant adolescents aged 10-19 years old or younger in SSA. Studies were peer-reviewed studies from SSA, quantitative and/or qualitative; and published in English regardless of the year of publication.</p><p><strong>Results: </strong>Nine studies out of 570 abstracts screened, published between 2007 and 2020, met the inclusion criteria. The prevalence of IPV during pregnancy among adolescents in SSA ranged from 8.3% to 41%. Mental health symptoms, particularly depression, and anxiety, were associated with adolescent IPV during pregnancy and qualitatively linked to poor coping strategies when dealing with IPV.</p><p><strong>Conclusion: </strong>This review found evidence of a linkage between pregnancy and IPV during pregnancy among adolescents. Given the long-term negative effects of IPV during pregnancy on adolescents and children, this conclusion points to the critical need for developing interventions to improve IPV detection during pregnancy in SSA among adolescents to interrupt its continuation into adulthood.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11137446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139402751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Child pedestrian crossing behaviour and associated risk factors in school zones: a video-based observational study in Kampala, Uganda. 儿童过马路行为及相关危险因素在学校区域:在乌干达坎帕拉的一项基于视频的观察研究。
IF 3.7 3区 医学
Injury Prevention Pub Date : 2024-05-20 DOI: 10.1136/ip-2023-044932
Jimmy Osuret, Ashley Van Niekerk, Olive Kobusingye, Lynn Atuyambe, Victoria Nankabirwa
{"title":"Child pedestrian crossing behaviour and associated risk factors in school zones: a video-based observational study in Kampala, Uganda.","authors":"Jimmy Osuret, Ashley Van Niekerk, Olive Kobusingye, Lynn Atuyambe, Victoria Nankabirwa","doi":"10.1136/ip-2023-044932","DOIUrl":"10.1136/ip-2023-044932","url":null,"abstract":"<p><strong>Background: </strong>Pedestrian crashes, often occurring while road crossing and associated with crossing behaviour, make up 34.8% of road casualties in Uganda. This study determined crossing behaviour and associated factors among child pedestrians around primary schools in Kampala, Uganda.</p><p><strong>Methods: </strong>We conducted a cross-sectional study in 2022 among 2100 primary school children. Data on their crossing behaviour were collected using video recordings from cameras staged at the crossing points of 21 schools. We estimated prevalence ratios (PR) with their corresponding 95% CIs using a modified Poisson regression model for the association between unsafe behaviour and the predictors.</p><p><strong>Results: </strong>The prevalence for each of 5 unsafe child pedestrian behaviour was 206 (25.8%) for crossing outside the crosswalk, 415 (19.8%) for failing to wait at the kerb, 238 (11.3%) for failing to look for vehicles, 361 (17.2%) for running and 235 (13%) for crossing between vehicles. There was a higher likelihood of crossing outside the crosswalk when an obstacle was present (adjusted PR (aPR) 1.8; 95% CI 1.40 to 2.27) and when children crossed alone (aPR 1.5; 95% CI 1.13 to 2.06). Children who crossed without a traffic warden (aPR 2; 95% CI 1.40 to 2.37) had a significantly higher prevalence of failing to wait at a kerb.</p><p><strong>Conclusion: </strong>These findings reveal the interaction between child pedestrians, vehicles and the environment at crossings. Some factors associated with unsafe child pedestrian behaviour were the presence of an obstacle, crossing alone and the absence of a traffic warden. These findings can help researchers and practitioners understand child pedestrian crossing behaviour, highlighting the need to prioritise targeted safety measures.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11137463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107591185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New Zealand's Prospective Outcomes of Injury Study-10 years on (POIS-10): descriptive outcomes to 12 years post-injury. 新西兰受伤前瞻性结果研究-10 年(POIS-10):受伤后 12 年的描述性结果。
IF 3.7 3区 医学
Injury Prevention Pub Date : 2024-05-20 DOI: 10.1136/ip-2023-045058
Sarah Derrett, Helen E Owen, David Barson, Brett Maclennan, Ari Samaranayaka, Helen Harcombe, Emma H Wyeth
{"title":"New Zealand's Prospective Outcomes of Injury Study-10 years on (POIS-10): descriptive outcomes to 12 years post-injury.","authors":"Sarah Derrett, Helen E Owen, David Barson, Brett Maclennan, Ari Samaranayaka, Helen Harcombe, Emma H Wyeth","doi":"10.1136/ip-2023-045058","DOIUrl":"10.1136/ip-2023-045058","url":null,"abstract":"<p><strong>Background: </strong>The 'Prospective Outcomes of Injury Study-10 years on' (POIS-10) aims to contribute to improving long-term disability, health and well-being outcomes for injured New Zealanders. This brief report describes recruitment, characteristics and key outcomes to 12 years post-injury.</p><p><strong>Methods: </strong>Between 2007 and 2009, the study recruited 2856 people, including 566 Māori, from New Zealand's Accident Compensation Corporation's entitlement claims register. People experienced a range of injury types, causes and settings; 25% had been hospitalised for their injury. POIS-10 data were primarily collected via interviewer-administered structured questionnaires.</p><p><strong>Results: </strong>Of the original participants, 2068 (92%) were eligible for follow-up in POIS-10. Of these, 1543 (75%) people participated between March 2020 and July 2021, including 240 Māori. Half of the participants (n=757; 50%) reported ongoing problems attributed to their injury 12 years earlier. Most reported difficulties with items assessing disability (WHO Disability Assessment Schedule II). For health-related quality of life (HRQoL), measured using the EQ-5D-5L, the prevalence of problems was higher 12 years post-injury compared with 12 months post-injury for four of five dimensions. Importantly, the prevalence of problems did not reduce to pre-injury levels for any HRQoL dimension.</p><p><strong>Discussion: </strong>POIS-10 highlights the importance of early post-injury interventions to improve health, disability and well-being outcomes of injured New Zealanders.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139402752","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}
引用次数: 0
Financial barriers and facilitators to secure firearm and medication storage among veterans with elevated suicide risk: a qualitative study. 自杀风险较高的退伍军人安全存放枪支和药物的经济障碍和促进因素:一项定性研究。
IF 3.7 3区 医学
Injury Prevention Pub Date : 2024-05-09 DOI: 10.1136/ip-2024-045232
Gabriela Khazanov, Elizabeth Spitzer, Suzanne Thomas, Lisa A Brenner, Joseph A Simonetti
{"title":"Financial barriers and facilitators to secure firearm and medication storage among veterans with elevated suicide risk: a qualitative study.","authors":"Gabriela Khazanov, Elizabeth Spitzer, Suzanne Thomas, Lisa A Brenner, Joseph A Simonetti","doi":"10.1136/ip-2024-045232","DOIUrl":"https://doi.org/10.1136/ip-2024-045232","url":null,"abstract":"<p><strong>Objective: </strong>To explore financial barriers and facilitators to promoting secure firearm and medication storage among patients at risk for suicide.</p><p><strong>Methods: </strong>Veterans seeking care in Veterans Affairs emergency care settings (N=28) participated in qualitative interviews on barriers and facilitators to adopting secure firearm and medication storage behaviours. Thematic analysis with inductive and iterative coding was used to identify themes pertaining to financial barriers and facilitators. Interviews were double-coded for reliability.</p><p><strong>Results: </strong>We identified four themes-two related to financial barriers and two to financial facilitators. Barrier-related themes included: (1) the high cost of firearms and medications made owners less likely to dispose of medications, relinquish ownership of firearms or pursue out-of-home storage for firearms; (2) the high cost of out-of-home storage and preferred locking devices were barriers to secure storage. Facilitator-related themes included: (1) no-cost services or locking devices may help motivate secure firearm and medication storage and (2) preferences varied for no-cost locking devices versus coupons for devices.</p><p><strong>Conclusions: </strong>Addressing financial barriers and leveraging financial facilitators may motivate secure storage of lethal means, which could enhance suicide prevention efforts.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140897916","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}
引用次数: 0
Expression of concern about content of which Dr Paul McCrory is a single author. 对 Paul McCrory 博士为唯一作者的内容表示关切。
IF 3.7 3区 医学
Injury Prevention Pub Date : 2024-05-09 DOI: 10.1136/ip.2007.017624eoc
{"title":"Expression of concern about content of which Dr Paul McCrory is a single author.","authors":"","doi":"10.1136/ip.2007.017624eoc","DOIUrl":"10.1136/ip.2007.017624eoc","url":null,"abstract":"","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":null,"pages":null},"PeriodicalIF":3.7,"publicationDate":"2024-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140904143","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}
引用次数: 0
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