Injury Prevention最新文献

{"title":"Social determinants of health, driving time to trauma hospitals, racial composition, and firearm violence in South Carolina.","authors":"Hunter M Boehme, Brent R Klein, M Dylan Spencer, Alex Jones, Morgan McMains-Nurisio, Kayon Morgan, Jeffrey Trowbridge","doi":"10.1136/ip-2024-045442","DOIUrl":"10.1136/ip-2024-045442","url":null,"abstract":"<p><strong>Background: </strong>Neighbourhood-level social determinants of health ('SDOHs') have been linked to negative health outcomes which may include elevated risk of firearm-related injury. This study investigates whether certain SDOHs, including average drive time to trauma hospitals, are associated with increased risk of firearm-related violence and death.</p><p><strong>Methods: </strong>We execute a cross-sectional examination of pooled firearm incidents (2018-2023) and the relationship of neighbourhood-level SDOHs across the state of South Carolina using negative binomial count regression models.</p><p><strong>Results: </strong>Findings indicate that neighbourhood disadvantage, residential mobility, per cent black, the percentage of older housing units, lack of technology access and lack of insurance access were all positively associated with an increased risk of firearm victimisation and death. The relationship between neighbourhoods with longer drive times of firearm incidents to trauma hospitals and firearm-related death was significantly moderated by the per cent black of residents within census tracts.</p><p><strong>Conclusions: </strong>Public health neighbourhood risk factors that are detrimental to individuals' physical health are also associated with increased risk of firearm victimisation. Longer drive times from trauma hospitals increase the risk of death and this relationship disproportionately affects black Americans. The built environment of neighbourhoods and extended drive times to trauma centres 'doubly disadvantages' historically disadvantaged populations.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"842-847"},"PeriodicalIF":1.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143189169","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":"Analysis of 19 439 lower limb amputations in children in Brazilian health system over 14 years.","authors":"Felipe Soares Oliveira Portela, Andressa Cristina Sposato Louzada, Marcelo Fiorelli Alexandrino da Silva, Maria Fernanda Cassino Portugal, Fernando Ayroza Galvão, Marcelo Passos Teivelis, Edson Amaro Junior, Nelson Wolosker","doi":"10.1136/ip-2024-045472","DOIUrl":"10.1136/ip-2024-045472","url":null,"abstract":"<p><strong>Background: </strong>Amputations in children represent significant events. Few studies analyse amputations in this specific population, and most of them are old, regionalised and with small sample sizes. Besides, there are no large studies in low-income and middle-income countries. This study aims to analyse a large sample of amputations (19 439 procedures performed in the Brazilian public health system) in children aged 0-14 over 14 years.</p><p><strong>Methods: </strong>Retrospective cross-sectional population-based analysis of all lower limb amputations performed in the Brazilian public health system between 2008 and 2021 in children up to 14. Using a public database, all types of amputations were selected, defining the number of procedures, their main aetiologies, trends over the years, patient demographics and regional distribution.</p><p><strong>Results: </strong>19 439 lower limb amputations were performed in the Brazilian public health system between 2008 and 2021, mainly at the toe level (85%). Amputations occurred predominantly in males (64%) and children aged 0-4 (47%). The global trend is a non-significant decrease in the total number of amputations over the period (p=0.427), but we observe a significant decrease (p<0.001) in amputations in older children (aged 10-14). Amputations are more concentrated in the most populated regions, while the highest mortality is found in the least densely populated areas. Trauma is the main aetiology associated with lower limb amputations in Brazilian children (60%).</p><p><strong>Conclusion: </strong>The epidemiology of amputations in Brazil differs from the rest of the world. Trauma is the main aetiology.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"780-785"},"PeriodicalIF":1.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142948367","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":"Characteristics of injury deaths among homeless and non-homeless US veterans (2017-2021).","authors":"Hind A Beydoun, Dorota Szymkowiak, Ted K S Ng, Jack Tsai","doi":"10.1136/ip-2024-045366","DOIUrl":"10.1136/ip-2024-045366","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this study is to assess whether experiencing homelessness may be associated with future risk of injury death and characterise these injury deaths by homelessness status among veterans who received healthcare through the US Department of Veterans Affairs (VA).</p><p><strong>Methods: </strong>A retrospective cohort study was conducted among 6 128 921 veterans (399 125 homeless and 5 729 796 non-homeless) who received VA healthcare between 2017 and 2020 and were followed until 2021 using linked data from VA's Corporate Data Warehouse, Homeless Operations Management System and the VA/Department of Defense Joint Mortality Data Repository. Injury death rates were estimated by homelessness status with 95% CIs using the exact Poisson method. Multivariable Cox regression models were applied to estimate HRs with 95% CI for homelessness as a predictor of injury deaths, controlling for demographic, clinical, substance use and mental health characteristics.</p><p><strong>Results: </strong>The injury-specific mortality rate (per 100 000 person-years) was estimated at 254.4 (95% CI 252.5 to 256.4) and was higher among homeless (453.3 (95% CI 443.3 to 463.5)) versus non-homeless (239.9 (95% CI 237.9 to 241.9)) veterans. There were disparities in anatomical sites and injury type by homelessness status. Injury-related risk of death was twice as high among veterans with versus without a homelessness experience (adjusted HR 1.93, 95% CI 1.88 to 1.98).</p><p><strong>Conclusion: </strong>Homeless veterans may be at high risk for specific patterns of injury death. Injury prevention efforts should target exposures that distinguish this vulnerable population from other veterans seeking VA healthcare services.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"818-826"},"PeriodicalIF":1.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143052388","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":"Insufficient sleep, impaired sleep and medically treated injury in Canadian adolescents: a national cross-sectional study.","authors":"Valerie Frances Pagnotta, Jian Liu, Michelle Vine, William Pickett","doi":"10.1136/ip-2024-045529","DOIUrl":"10.1136/ip-2024-045529","url":null,"abstract":"<p><strong>Background: </strong>Insufficient and impaired sleep are common in adolescents and can adversely impact health and well-being. One likely consequence of poor sleep is a risk of unintentional injuries, yet the evidence base is limited for such relationships. We, therefore, documented contemporary sleeping behaviours of young people in Canada and examined relationships between these behaviours and risks for injury.</p><p><strong>Methods: </strong>A cross-sectional study was employed using records from the 2017/2018 Canadian Health Behaviour in School-aged Children study (n=21 745). Indicators of poor sleep (insufficient sleep on school and non-school days, impaired sleep, daytime sleepiness) and annual reports of medically treated injuries (any, serious) were obtained. Descriptive and hierarchical modified Poisson regression analyses were performed to explore these relationships, while controlling for potential confounders.</p><p><strong>Results: </strong>Insufficient sleep, impaired sleep and daytime sleepiness were reported by 11.3-35.3% of adolescents; variations in these estimates were observed by gender. Sleep indicators were modestly but consistently associated with risks for the occurrence of 'any injury', whereas impaired sleep and daytime sleepiness were the only meaningful and significant risk factors for 'serious injuries' in adjusted models (prevalence ratio range: 1.18-1.30). The analysis of interactions revealed boys with insufficient sleep on non-school days as well as impaired sleep to have higher injury risks compared with girls.</p><p><strong>Discussion and conclusions: </strong>Impaired sleep and its effects have emerged as a quiet epidemic, affecting up to one-third of Canadian adolescents and being associated with risks for injury. Sleep hygiene may therefore act as a plausible focus for clinical and public health initiatives to mitigate injury risks.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"801-807"},"PeriodicalIF":1.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13638348/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364440","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}

{"title":"Influence of non-pharmaceutical COVID-19 interventions on speed-related and alcohol-related traffic injuries in five cities of the province of Québec, Canada.","authors":"José Ignacio Nazif-Munoz, Brice Batomen, Thomas Gordon Brown, Camila Corrêa Matias Pereira, Claude Giroux, Asma Mamri, Vahid Najafi Moghaddam Gilani, Marie Claude Ouimet, Cynthia Paquet, Émilie Turmel, Ward Vanlaar","doi":"10.1136/ip-2024-045481","DOIUrl":"10.1136/ip-2024-045481","url":null,"abstract":"<p><strong>Introduction: </strong>Understanding the impact of non-pharmaceutical COVID-19 interventions (NPIs) on road safety has become increasingly important to uncover the unintended consequences of the pandemic. This study explores how NPIs influenced alcohol-related and speed-related traffic collisions, including fatalities and serious injuries, in five cities of the province of Québec, Canada: Montréal, Québec, Laval, Longueuil and Sherbrooke.</p><p><strong>Methods: </strong>We performed Poisson interrupted time-series analyses using daily traffic fatality and injury data from 2015 to 2022, to assess the change in rate expressed per 10 000 population. A Québec COVID-19 NPIs Index was applied, incorporating 58 interventions enacted from March 2020 to March 2022 in these cities. We accounted for weather conditions and seasonal patterns and divided the pandemic period into four semesters to better understand changes over time.</p><p><strong>Results: </strong>The analysis revealed a nuanced interaction between NPIs and road safety. Alcohol-related injuries decreased during stringent NPIs, particularly in Montréal, Québec city and Longueuil. In contrast, the effects on speed-related incidents were mixed, with Montréal and Laval, showing increases and the other three cities displaying no meaningful changes across the four semesters.</p><p><strong>Conclusions: </strong>These findings highlight the necessity for ad hoc road safety strategies that address specific patterns of alcohol consumption and speeding risks during future pandemic-related disruptions.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"786-792"},"PeriodicalIF":1.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13638290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142921758","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}

{"title":"Spatio-temporal clustering of drowning mortality in Iran, from 2005 to 2022.","authors":"Samaneh Ziyaee, Fatemeh Shahbazi, Reza Hajmanouchehri, Seyed Saeed Hashemi Nazari","doi":"10.1136/ip-2024-045356","DOIUrl":"10.1136/ip-2024-045356","url":null,"abstract":"<p><strong>Background: </strong>Drowning is a serious and neglected public health threat, and prevention of drowning has a multisectoral nature and requires multidimensional research. Therefore, this study aimed to evaluate the spatio-temporal variation in fatal unintentional drowning rates among the Iranian population from 2005 to 2022.</p><p><strong>Methods: </strong>In this repeated cross-sectional study, registry data were extracted from legal medicine organisations during 2005-2022. The mortality rate per 1 million population was calculated by gender and province. The joinpoint regression model was fitted to estimate average annual percentage changes and an annual percentage change in the drowning mortality rate. We used spatial scan statistics to detect high-risk clusters of drowning deaths at the provincial level.</p><p><strong>Results: </strong>Over 17 years 19 547 people died due to unintentional drowning. The highest yearly drowning rate was 15.58 per 1 000 000, and men had the highest rates of death (25.91) compared with women (4.98) in 2019. The overall mortality rate has decreased from 18.69 in 2005 to 12.87 in 2022. In the spatio-temporal analysis, four statistically significant high-risk clusters were detected in the north, southeast and centre of Iran.</p><p><strong>Conclusion: </strong>The overall mortality rate in 2022 decreased compared with the 17-year period. In the spatial analysis, several high-risk clusters were identified in different locations, which highlights the importance of targeted and more comprehensive interventions. It seems that the prevention of drowning requires the effective participation of all responsible organisations and risk reduction plans in the field of environmental and individual risk factors.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"793-800"},"PeriodicalIF":1.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13638342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143004948","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}

{"title":"Factors that may influence uptake of private party background checks for firearm transfers: a mixed-method descriptive study.","authors":"Rose M C Kagawa, Alexander D McCourt, LeAnn Gajunia, Shannon Hearney, Sydney Sohl, Daniel W Webster","doi":"10.1136/ip-2024-045417","DOIUrl":"10.1136/ip-2024-045417","url":null,"abstract":"<p><strong>Objective: </strong>To understand how the implementation and enforcement of universal background check (UBC) laws may influence the use of background checks during private party firearm transfers in the USA.</p><p><strong>Methods: </strong>This is a mixed-method, descriptive study. Data included the content of relevant state statutes and sentencing information from the 19 states with UBC laws in 2019, prosecutions and convictions for private party firearm transfer violations from 5 states and New York City, firearm transfer education and promotion efforts, and key informant interviews.</p><p><strong>Results: </strong>Information on conducting safe and legal private-party firearm transfers was widely available, but persuasive language encouraging background checks was rare. The median maximum prison time for violating UBC laws was 12 months and the median of the maximum fines was US$5000. However, the chances of being prosecuted in our sample states were extremely low. Finally, public support for UBC policies is high, but among some firearm owners, the perceived utility of such laws is very low.</p><p><strong>Conclusions: </strong>Available data suggest that enforcement of UBC requirements for private party transfers is rare. Additionally, advocacy efforts to encourage private gun sellers to make sales contingent on buyers passing background checks are few. People may choose to avoid the additional burden of undergoing a background check when they feel neither social nor legal pressure to comply. The results of this research can be used to identify potential avenues for enhancing enforcement of and compliance with private party firearm background check laws.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"865-870"},"PeriodicalIF":1.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13638270/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624440","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}

{"title":"Barriers and facilitators in the implementation of a child restraint system discharge programme in Singapore: a qualitative study.","authors":"Alicia May Lim, Yang Yann Foo, Ashley Xue Ting Ko, Shu Xin Oh, Khin Chaw Yu Aung, Shelly-Anne Sherwood, Nirmal Visruthan Kavalloor, Ronald Ming Ren Tan, Jasmine Feng, Arif Tyebally, Shu-Ling Chong","doi":"10.1136/ip-2024-045507","DOIUrl":"10.1136/ip-2024-045507","url":null,"abstract":"<p><strong>Objective: </strong>Child restraint systems (CRS) are essential in preventing injury during road traffic collisions, yet neonatal CRS discharge programmes are lacking worldwide. Trained healthcare providers have reported a lack of confidence in providing CRS advice during discharge. We aimed to study the barriers and facilitators in implementing a formal neonatal CRS discharge programme through the lens of healthcare providers.</p><p><strong>Methods: </strong>We interviewed 10 allied health and nursing staff who received CRS training to find out the barriers and facilitators they perceived and experienced when engaging parents of newborns with CRS education prior to hospital discharge. Interviews were audio-recorded and transcribed verbatim. Inductive analysis sensitised by Billett's workplace-based learning theory was conducted using Braun and Clarke's thematic analysis.</p><p><strong>Results: </strong>We constructed three themes. At the personal agency level, how participants viewed themselves and directed their cognition to the task affected their involvement in CRS education. At the social agency level, institutional and ward safety culture including the presence of ward CRS champions were powerful motivators for CRS education. Parental receptivity to CRS education was also important. Lastly, at the situational level, barriers to implementing a CRS discharge programme included factors such as competing duties at neonatal discharge.</p><p><strong>Conclusion: </strong>Using a workplace learning theory, our study highlights that healthcare providers' commitment and delivery of CRS education at neonatal discharge is a complex interplay of personal agency, social agency and situational factors. Future efforts must address these factors to optimise the effectiveness of a neonatal CRS discharge programme.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"853-858"},"PeriodicalIF":1.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585308","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":"Comparative analysis of injuries related to self-harm, assault, and intimate partner violence: insights from U.S. Emergency Departments (2005-2021).","authors":"Bharti Khurana, Haley Nicole Bayne, Jeff Temple, Peggy Andover, Randall Loder","doi":"10.1136/ip-2024-045435","DOIUrl":"10.1136/ip-2024-045435","url":null,"abstract":"<p><strong>Background: </strong>Emergency departments are on the front lines of non-fatal self-harm injury (SHI). This study identifies patterns in patients presenting to emergency departments with SHI compared with patients presenting with assault and intimate partner violence.</p><p><strong>Methods: </strong>Using the National Electronic Injury Surveillance System All Injury Program database, we analyzed SHI cases in the emergency department from 2005 to 2021 and examined demographic characteristics, injury mechanism and anatomic location, emergency department disposition and temporal patterns relative to cases involving assault and intimate partner violence.</p><p><strong>Results: </strong>Of all injury-related emergency department visits, 1.5% (7 774 900) were due to SHI, 4.8% (24 165 696) due to assault and 0.6% (3 188 790) due to intimate partner violence. SHI peaked in ages 15-19 (18.3%), assault in ages 20-24 (17.3%) and intimate partner violence in ages 25-29 (19.2%). Patients with SHI were 41.0% males, compared with assault (66.3%) and intimate partner violence (19.3%) groups (p<0.0001). Most SHIs involved white patients (75.2%), compared with assaults (46.2%) and intimate partner violence (40.4%) (p<0.0001). Lacerations (20.6%) were the most common injury for SHI, while contusions/abrasions were the most common injuries for both assaults (27.8%) and intimate partner violence (39.1%) (p<0.0001). The upper extremity was the most common injury location in SHI (71.11%), while the head/neck was the most injured area in assaults (58.4%) and intimate partner violence (59.7%). Of adolescents sustaining SHI, 76.7% were women, compared with 59.0% of emerging adults and 53.2% of adults (p<0.0001). Among adolescents, the prevalence of SHI was lowest on weekends and during the summer.</p><p><strong>Conclusions: </strong>Our findings highlight distinct demographic, injury and temporal patterns observed in patients with SHI.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"758-764"},"PeriodicalIF":1.9,"publicationDate":"2026-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142927012","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}

{"title":"Prioritising preventive measures for unintentional sport and recreation-related deaths in Québec, Canada, based on a 14-year review.","authors":"Philippe Richard, Mathieu Gagne, Paul-André Perron, Jérémie Sylvain-Morneau","doi":"10.1136/ip-2024-045410","DOIUrl":"10.1136/ip-2024-045410","url":null,"abstract":"<p><strong>Objectives: </strong>This study analysed sport and recreation-related fatalities in Québec, Canada, from January 2006 to December 2019, focusing on the six activities with the highest mortality frequencies. It aimed to identify activity-specific risk factors to inform prevention priorities.</p><p><strong>Methods: </strong>In this descriptive retrospective study, data extracted from the database of the Bureau du coroner du Québec were analysed. The characteristics and mechanisms of fatalities in all-terrain vehicles, snowmobiles, cycling, swimming, motorised navigation and non-motorised navigation activities were presented. Incidence rates were calculated using Canadian census data.</p><p><strong>Results: </strong>Male fatalities predominated, ranging from 83% to 91%, in the six activities. Traumatic brain injuries or cranial traumas were reported in 55.7% of land-based activities-related deaths, particularly in 70.1% of cycling fatalities. In 44.2% of cycling-related cases, victims were not wearing a helmet, while in 44.1% of cases involving all-terrain vehicles, victims either wore a helmet improperly or did not wear one at all. Cycling deaths mainly occurred on roads (82.9%), with 63.9% involving collisions with motor vehicles. Alcohol-impaired driving was observed in 29.8% of victims involved in all-terrain vehicle and snowmobile activities combined. Natural water accounted for 67.1% of swimming fatalities. Alcohol consumption was documented in 28.8% of deaths related to water-based activities. Personal flotation devices were not worn in 61.5% of navigation-related fatalities.</p><p><strong>Conclusion: </strong>Activity-specific prevention priorities have been highlighted. A thorough examination of coroners' recommendations is now necessary to understand their characteristics, as this information can guide both the identification and implementation of preventive measures.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"604-614"},"PeriodicalIF":1.9,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13422090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142390341","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}