Injury Prevention最新文献

{"title":"Motor vehicle collision (MVC) emergency department (ED) visits and hospitalisations in Ontario during the COVID-19 pandemic.","authors":"Adrian Sammy, Alexia Medeiros, Brice Batomen, Linda Rothman, M Anne Harris, Daniel W Harrington, Colin Macarthur, Sarah A Richmond","doi":"10.1136/ip-2024-045269","DOIUrl":"10.1136/ip-2024-045269","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic policy response dramatically changed local transportation patterns. This project investigated the impact of COVID-19 policies on motor vehicle collision (MVC)-related emergency department (ED) visits and hospitalisations in Ontario.</p><p><strong>Methods: </strong>Data were collected on MVC-related ED visits and hospitalisations in Ontario between March 2016 and December 2022. Using an interrupted time series design, negative binomial regression models were fitted to the pre-pandemic data, including monthly indicator variables for seasonality and accounting for autocorrelation. Extrapolations simulated expected outcome trajectories during the pandemic, which were compared with actual observed outcome counts using the overall per cent change and mean monthly difference. Data were modelled separately for vehicle occupants, pedestrians and cyclists (MVC and non-MVC injuries).</p><p><strong>Results: </strong>There was a 31.5% decrease in observed ED visits (95% CI -35.4 to -27.3) and a 6.0% decrease in hospitalisations (95% CI -13.2 to 1.6) among vehicle occupants, relative to expected counts during the pandemic. Results were similar for pedestrians. Among cyclist MVCs, there was an increase in ED visits (12.8%, 95% CI -8.2 to 39.4) and hospitalisations (46.0%, 95% CI 11.6 to 93.6). Among non-MVC cyclists, there was also an increase in ED visits (47.0%, 95% CI 12.5 to 86.8) and hospitalisations (50.1%, 95% CI 8.2 to 101.2).</p><p><strong>Conclusions: </strong>We observed fewer vehicle occupant and pedestrian collision injuries than expected during the pandemic. By contrast, we observed more cycling injuries than expected, especially in cycling injuries not involving motor vehicles. These observations may be attributable to changes in transportation patterns during the pandemic and increased uptake of recreational cycling.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"211-216"},"PeriodicalIF":2.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141317242","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":"Work-related road traffic accidents: emergence of new modes of personal journey - analysis based on data from a register of road traffic accidents in France.","authors":"Emmanuel Fort, Nicolas Connesson, Julien Brière, Amina Ndiaye, Blandine Gadegbeku, Barbara Charbotel","doi":"10.1136/ip-2023-045102","DOIUrl":"10.1136/ip-2023-045102","url":null,"abstract":"<p><strong>Introduction: </strong>According to the 2018-2019 People Mobility Survey, work-related journeys (commuting and on-duty journeys) account for approximately 25% of all journeys. The use of non-motorised (nm) and motorised (m) personal mobility devices (PMDs) has steadily increased since their introduction into the French market in the last decade.</p><p><strong>Objective: </strong>This study aimed to describe the characteristics of work-related road accidents and their evolution since the introduction of new PMDs in France and the increase in the use of scooters.</p><p><strong>Materials and methods: </strong>This was a retrospective, cross-sectional study using data from the Rhône Road Trauma Registry. Data were collected from 2015 to 2020. We included the data for the victims aged 18-70 years who were injured in work-related road accidents.</p><p><strong>Results: </strong>We identified 11 296 individuals aged 18-70 years who experienced work-related road accidents. An injury report was provided for a total of 11 277 patients. A total of 546 passengers and 78 drivers of other motorised vehicles (buses/trams, construction equipment and tractors) were excluded from the analysis. Seven patients died at the time of the accident and seven died after hospitalisation. Of the 10 653 (94.4%) victims, there were pedestrians (5.1%) or riders of bicycles (16.9%), scooters (3.8%), other PMDs (roller blades, skateboards, monowheels, gyropods and hoverboards; 0.4%) and motorised two wheelers (21.4%), or drivers of car (45.3%), and truck (1.5%). More than half of the scooter riders and 80% of other PMD riders were men. More than 60% of other PMD riders and 53% of scooter riders were under 34 years of age. Most scooter road accidents occurred during commuting (95.6%). 65% of the scooter accidents and 50% of other PMD accidents did not have opponents. Overall, one-quarter of the victims experienced accidents without opponents. Most scooter riders had injuries to their upper limbs (59.2%), lower limbs (46.8%), face (21.2%) or head (17.9%).</p><p><strong>Discussion: </strong>This original study on work-related road accidents allowed us to characterise the increase in work-related road accidents associated with new modes of travel, particularly scooters. The results observed for users of scooters and other PMDs in this study were generally consistent with those found in the scientific literature. Despite limited data, the results suggest that accidents involving scooters or other PMDs are of low severity.</p><p><strong>Conclusion: </strong>Many head injuries could be prevented with more widespread use of helmets, among scooter and other PMD users and bicycle users.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"242-252"},"PeriodicalIF":2.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141874729","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":"Child safety seat checks in Salt Lake County: protective and risk factors.","authors":"Morgan Talbot, Linsey Miller, Siosaia Hafoka","doi":"10.1136/ip-2023-045218","DOIUrl":"10.1136/ip-2023-045218","url":null,"abstract":"<p><strong>Background: </strong>Older children are at an increased risk of injury due to less commonly being in an appropriate child safety seat (CSS). Proper installation and consistent use of CSSs can significantly reduce child and infant automobile injuries. While research exists around parent behaviours concerning CSS use (or lack), little research takes place at the county level to identify normative beliefs as they contribute to risk factors.</p><p><strong>Methods: </strong>Through a mixed-methods approach, this evaluation retrospectively determines the Salt Lake County Health Department's impact on CSS usage, as well as identify normative parent behaviours that impact CSS usage.</p><p><strong>Results: </strong>Results indicated that parents' level of education and being in the car with family/friends was significantly associated with overall CSS usage.</p><p><strong>Discussion: </strong>More research is needed to specify parent normative beliefs around CSS use (or lack).</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"262-263"},"PeriodicalIF":2.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141093168","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":"Quantifying relational change in community organisations participating in a Veteran suicide prevention learning collaborative: a social network analysis.","authors":"Bryann B DeBeer, Patricia D Russell, Joseph Mignogna, Nathaniel Mohatt, Elisa Borah, Craig J Bryan, Lindsey Monteith, Alan Peterson, Andy Zheng, Sara Sprong, Kathryn Bongiovanni, Edgar Villareal, Claire A Hoffmire, Jenna Heise, Sylvia Baack, Kimberly Weinberg, Marcy Polk, Tabitha Alverio, Meredith Mealer, Juliana Scheihing, Justin Benzer, Danielle Varda","doi":"10.1136/ip-2023-045194","DOIUrl":"10.1136/ip-2023-045194","url":null,"abstract":"<p><strong>Background: </strong>Veteran suicide remains a significant issue, as 17.5 Veterans die by suicide each day. The US Department of Veteran Affairs (VA) has implemented a robust suicide prevention program within its integrated behavioural health system. Further, the VA has increasingly contributed to suicide prevention in community settings, where a large proportion of Veterans receive health care and social services. One component integral to preventing suicide among Veterans receiving community services is ensuring that organisations are equipped with the latest evidence-based Veteran-specific suicide prevention strategies.</p><p><strong>Methods: </strong>The Patient Safety Center of Inquiry-Suicide Prevention Collaborative piloted a Veteran suicide prevention learning collaborative in the Denver/Colorado Springs, CO region, spanning 16 months as a multimodal initiative to integrate community organisations and assist them in implementing Veteran suicide prevention strategies used within VA. Agencies completed social network analysis surveys at baseline (T1), year 1 (T2) and 16 months (T3) to examine social networks, partnerships and collaborations among community organisations and the VA over time.</p><p><strong>Results: </strong>The quantity of learning collaborative relationships increased from 30 at T1 to 41 at T3 while the quality of relationships deepened over time from awareness and cooperative to more coordinated and integrated.</p><p><strong>Conclusion: </strong>Improvement in relationship quantity and quality facilitates community organisation engagement in collaborating to strengthen their Veteran suicide prevention programming. Learning collaboratives work with the individual organisation for intraorganisational facilitation of implementing suicide prevention strategies and engage and enhance interorganisational partnerships. This multimodal intervention can engage community organisations and provide a stronger safety net for Veterans at risk for suicide.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"205-210"},"PeriodicalIF":2.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141283668","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":"Epidemiological analysis of fatal and non-fatal firearm injuries occurring in gun establishments in the United States, 2015-2022.","authors":"Mike Henson-Garcia, Lauren Malthaner, Alaina Beauchamp, Sandra McKay, Katelyn Jetelina","doi":"10.1136/ip-2023-045127","DOIUrl":"10.1136/ip-2023-045127","url":null,"abstract":"<p><strong>Background: </strong>Firearm-related injury represents a significant public health problem in the USA. Firearm purchasing has risen nationwide and there has been increased efforts to deploy injury prevention initiatives within gun establishments. However, firearm-related risks and harms that may occur inside these high-exposure settings are not well characterized.</p><p><strong>Methods: </strong>This secondary analysis leveraged Gun Violence Archive data to quantify firearm injury prevalence rates within different types of gun establishments from 1 January 2015 to 31 December 2022. Data were restricted to incidents that occurred in gun ranges, gun shops, and public and private ranges. The following incident characteristics were available in the individual-level data: date, location, injury count, fatality count, victim demographics (age, sex), shooting intent (suicide/self-inflicted, assault/homicide, unintentional, undetermined) and establishment type.</p><p><strong>Results: </strong>Over 7 years, 445 non-fatal and 183 fatal shooting events occurred across 576 unique establishments. Non-fatal, unintentional injuries predominated in stand-alone firing ranges whereas fatal, self-inflicted injuries concentrated in retail shops with accompanying firing ranges. Firearm-related assaults were prevalent among stand-alone retail shops.</p><p><strong>Conclusion: </strong>Overall, this secondary analysis underscores that the prevalence of firearm injury in gun establishments across the USA is low, and these settings should continue to be studied as important contexts for intervention. Interweaving public health interventions into gun establishments presents an opportunity to potentially reduce associated harms to consumers interacting within these environments.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"253-256"},"PeriodicalIF":2.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141305891","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":"New motivation for injury prevention in the face of dramatic demographic changes in China.","authors":"Wanbao Ye, Shuxian Yu, Zhaojing Yang, Liping Li","doi":"10.1136/ip-2024-045578","DOIUrl":"10.1136/ip-2024-045578","url":null,"abstract":"<p><p>Our manuscript reviewed the enormous number of deaths caused by different types of injuries in China and around the world and proposed a new motivation for injury prevention to address sharp demographic changes and promote constant economic growth when China faces ageing, fewer children and industrial upgrading.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"175-176"},"PeriodicalIF":2.5,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143028397","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":"Ending nuclear weapons, before they end us.","authors":"Chris Zielinski","doi":"10.1136/ip-2025-045820","DOIUrl":"https://doi.org/10.1136/ip-2025-045820","url":null,"abstract":"","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077734","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":"Morbidities associated with suicide mortality in the USA according to education using death certificates from 2010 to 2019.","authors":"Clara Girault, Sergi Trias-Llimós","doi":"10.1136/ip-2025-045634","DOIUrl":"https://doi.org/10.1136/ip-2025-045634","url":null,"abstract":"<p><strong>Objectives: </strong>To identify relationships between multiple causes of death information and a decedent's sex and education in suicide compared with accidental deaths.</p><p><strong>Methods: </strong>Based on the US Mortality Multiple Cause-of-Death Public Use Record from 2010 to 2019, we performed correspondence analysis to visualise the relationships between comorbidity and sex-education profiles of individuals who died by suicide, and logistic regression models to estimate the odds that a comorbidity group is associated with suicide deaths relative to accidental deaths.</p><p><strong>Results: </strong>Sex and education are important factors of comorbidity registration in suicide deaths, but sex explains most of it. Having a high school degree was differentiated from other educational level groups among males' suicide deaths. Poisoning due to drugs and medication, mood disorders, and other mental and behavioural disorders are more associated with females, while neoplasms and injuries are associated with male suicides. Schizophrenia, mood disorders, and anxiety, dissociative and non-psychotic disorders have higher odds of suicide compared with accidental death.</p><p><strong>Conclusions: </strong>This study highlights the need for adapted prevention among sex-educational groups to prevent suicide due to their differences in registered comorbidity.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143992599","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":"Impact of the pandemic on traffic injuries in Macao: an analysis of interrupted time-series data.","authors":"Mingming Liang, Yun Zhang, Pengpeng Ye, Yanni Li","doi":"10.1136/ip-2024-045242","DOIUrl":"https://doi.org/10.1136/ip-2024-045242","url":null,"abstract":"<p><strong>Objective: </strong>With social restrictions serving as a mitigating factor against the severe consequences of public health emergencies, this study investigates the impact of episodic travel restrictions on road traffic injuries (TIs) in Macao during the pandemic, employing Interrupted Time Series Analysis (ITSA) models.</p><p><strong>Methods: </strong>We used ITSA models, including Bayesian Structured Time Series and Seasonal Autoregressive Integrated Moving Average models, to assess traffic outcomes, particularly focusing on total road traffic crashes (RTCs) and TIs. Predictive models were developed for traffic fatalities, fatal RTCs, RTCs involving injuries and vehicles sustaining damage.</p><p><strong>Results: </strong>From 2014 to 2020, Macao recorded a total of 99 541 RTCs. Over the study period, there were 32 562 reported injuries. After the outbreak of the epidemic, traffic volume decreased by 53.03%, leading to a 25.54% reduction in RTCs. The severity of crashes also declined, with TIs decreasing by 20.35% compared with the same period in 2019, and fatalities and damaged vehicles decreasing by 37.50% and 26.62%, respectively. Analysis of the interrupted time-series data revealed that the actual number of RTCs after COVID-19 in 2020 was 20% (95% CI: 14% to 26%) lower than expected, and TIs were reduced by 11% (95% CI: 3% to 19%).</p><p><strong>Conclusion: </strong>This study demonstrates that the implementation of episodic travel restrictions significantly reduced TIs and crashes in Macao, providing crucial insights for traffic management and resource allocation during pandemics. These findings contribute to understanding the dynamic relationship between travel restrictions and road traffic outcomes.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015025","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":"Unrealised potential of pool fencing and life jackets to prevent US drownings.","authors":"Cora Peterson, Elizabeth Ayangunna, Briana Moreland, Michael F Ballesteros, Curtis Florence, Tessa Clemens","doi":"10.1136/ip-2024-045597","DOIUrl":"https://doi.org/10.1136/ip-2024-045597","url":null,"abstract":"<p><strong>Background: </strong>Drowning causes more than 4500 deaths annually and is the leading cause of death among children aged 1-4 years old in the USA. Isolation pool fencing (ie, four-sided fencing to limit access from all adjoining areas including residences and yards) and use of US Coast Guard-approved life jackets while boating can prevent drowning, but preventable deaths still occur. This study aimed to estimate the annual health and economic burden of drowning likely attributable to inadequate pool fencing and not wearing life jackets while boating to highlight the unrealised value of these known prevention strategies.</p><p><strong>Methods: </strong>A simple mathematical model used the most recent annual number of drowning deaths by decedent age in combination with previous study data to estimate the number of drowning deaths that might have been prevented through: (1) adequate isolation fencing for swimming pools among children aged <5 years old and (2) use of life jackets while boating for people of all ages. Prevention effectiveness estimates of pool fencing and life jackets were based on previous studies. Unit costs for drowning-related medical spending and avoidable mortality using the value of statistical life were from existing sources.</p><p><strong>Results: </strong>Proper use of swimming pool isolation fencing and always wearing a life jacket while boating could prevent an estimated 348 US drowning deaths and an economic cost of US$4.5 billion per year.</p><p><strong>Conclusions: </strong>Highlighting the effectiveness of drowning prevention strategies can help inform public attention to this issue and support cost-effective public health decision-making.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968644","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}