Injury Prevention最新文献

{"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":"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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171409/pdf/","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":"OA","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":"Inequities of swimming ability: a population study of young people (aged 12-19) in British Columbia, Canada.","authors":"Annie Smith, Maya Peled, Elizabeth Saewyc","doi":"10.1136/ip-2024-045462","DOIUrl":"https://doi.org/10.1136/ip-2024-045462","url":null,"abstract":"<p><strong>Background: </strong>Fatal and non-fatal drowning incidents and drowning deaths in British Columbia (BC), Canada have risen in recent years. A lack of swimming proficiency can be a contributing factor. The aims of this study were to establish the prevalence of swimming ability among adolescents in BC and to assess which populations might be at greater risk of being unable to swim. It was hypothesised that marginalised populations would be the least likely to be able to swim.</p><p><strong>Methods: </strong>Analyses were conducted using data from 36 018 adolescents aged 12-19 who completed the cluster-stratified randomised population-level 2023 BC Adolescent Health Survey. Data were analysed using SPSS Complex Samples and included descriptive statistics, bivariate analyses and logistic regressions to assess factors that might predict a lack of swimming ability.</p><p><strong>Results: </strong>Youth living in poverty; Indigenous and other racialised youth; those born outside Canada, including refugees and international students; urban-based youth; youth with specific types of child welfare experience; girls; and non-binary youth were among those who were the least likely to be able to swim. Also, youth who disliked exercise and experienced racial discrimination were at increased risk of reporting that they were unable to swim.</p><p><strong>Discussion: </strong>Swimming should be made accessible through a public health approach and embedded in every school's curriculum. Results also suggest that swimming lessons need to be inclusive of all communities; low/no barrier; and enjoyable.</p><p><strong>Conclusion: </strong>Identifying populations at risk of being unable to swim can support interventions to prevent further increases in drownings.</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":"144010471","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":"'They have a really good way of getting it to the kids': evaluation of a child injury prevention programme in Walgett, New South Wales.","authors":"Amy Townsend, Rona Macniven, Nellie Pollard-Wharton, Melanie Andersen, Madeleine Powell, Sallie Cairnduff, Ruth McCausland, Christine Corby, Kathleen Clapham, Rebecca Q Ivers","doi":"10.1136/ip-2025-045630","DOIUrl":"https://doi.org/10.1136/ip-2025-045630","url":null,"abstract":"<p><strong>Background: </strong>Aboriginal community-led programmes are likely to be most effective in prevention of injury, but more evaluation is needed. This article examined participating family and community stakeholder views of the Child Injury Prevention Partnership (CHIPP) programme delivered within an existing playgroup at the Walgett Aboriginal Medical Service.</p><p><strong>Methods: </strong>This codesigned, mixed-methods evaluation adopted a decolonising Indigenous methodological approach. Aboriginal staff members provided weekly reflections on implementation, and family participation data were documented. Parents/carers provided regular feedback and, along with community stakeholders, participated in postprogramme research yarning.</p><p><strong>Results: </strong>During 2021, playgroup sessions were facilitated by locally trained Aboriginal early childhood staff, who offered 2 hourly sessions twice a week. CHIPP implemented safety education for both adults and children through safety yarns and resources to take home focused on water, home and road safety. Parent/carer and stakeholder research yarns revealed six themes: CHIPP was feasible and culturally acceptable for families; Playgroup enabled supportive, holistic delivery of safety messages to adults and children; CHIPP provided information and resources to equip parents and carers to help teach safety at home; Approach to teaching infants and preschoolers safety was based on building confidence through fun, engaging, age-appropriate activities; Programme topics and content were relevant for families and COVID-19 impacted programme delivery but pivoted temporarily to remote delivery.</p><p><strong>Conclusions: </strong>The CHIPP programme was feasible, accessible, acceptable and demonstrated initial beneficial impact, despite implementation challenges during the COVID-19 pandemic, offering suggestions to inform other child injury prevention programmes in Aboriginal community-controlled settings.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144011535","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":"Economic modelling of fall prevention interventions delivered by community emergency medical services: a decision-tree analysis.","authors":"Alexander James Ordoobadi, Tynan H Friend, Sarah D Berry, H Gilbert Welch, Zara Cooper, Molly P Jarman","doi":"10.1136/ip-2025-045643","DOIUrl":"https://doi.org/10.1136/ip-2025-045643","url":null,"abstract":"<p><strong>Background: </strong>Fall prevention interventions delivered by specially trained emergency medical services (EMS) clinicians in the homes of patients at high risk for falls have been shown to prevent recurrent falls. However, the cost of implementing this 'community EMS' approach to fall prevention is a barrier to widespread adoption. The objective of this study was to assess whether a community EMS fall prevention intervention results in overall cost savings for the healthcare system.</p><p><strong>Methods: </strong>We performed a cost-effectiveness analysis using a decision-tree model of possible outcomes after an index fall in a simulated population of community-dwelling adults aged ≥65 over a 1-year time horizon. Transition probabilities and costs were obtained through literature review. The intervention, delivered in patients' homes by specialised EMS clinicians, consisted of environmental modifications, fall prevention education, referral to occupational and physical therapy, and coordination with the patient's primary care physician. We compared the mean healthcare expenditures per patient among those receiving and not receiving the fall prevention intervention.</p><p><strong>Results: </strong>The intervention would result in a net cost savings of $964 per patient compared with no intervention, with an incremental cost-effectiveness ratio of -$22 174 per fall prevented (lower cost and more effective). Holding other variables constant, the programme would remain cost-saving if the effectiveness decreased to a 26% reduction in falls or the programme cost increased to $1634 per patient.</p><p><strong>Conclusions: </strong>In this economic modelling analysis, a multifactorial fall prevention intervention delivered by community EMS was cost saving to the healthcare system. Healthcare payors should provide financial support and reimbursement for these programmes.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143990620","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}