Injury Prevention最新文献

{"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":"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":"495-497"},"PeriodicalIF":1.9,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353649/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of Oregon's extreme risk protection order law to address risk of firearm suicide.","authors":"Rebecca Valek, Rebecca Teichman, Shauna Rakshe, Susan DeFrancesco, Kathleen F Carlson","doi":"10.1136/ip-2024-045581","DOIUrl":"10.1136/ip-2024-045581","url":null,"abstract":"<p><strong>Background: </strong>Extreme risk protection order (ERPO) laws may be effective tools for preventing firearm suicide. Oregon's ERPO law allows family/household members or law enforcement officers (LEOs) to petition a civil court for an order to temporarily restrict a person's access to firearms when at imminent risk of harming themselves or others. We analysed Oregon's ERPO petitions to describe the law's utilisation for the potential prevention of suicide.</p><p><strong>Methods: </strong>ERPO petitions were obtained from the Oregon Judicial Department. Data were abstracted for the 6-year period after the law took effect (2018-2023). A 20% random sample of records was double-coded. Inter-rater agreement was >80% for key variables. Descriptive analyses were conducted to examine petitions citing suicide risk; cross-tabulations compared suicide-related petitions to those unrelated to suicide.</p><p><strong>Results: </strong>There were 835 petitions filed and 650 (78%) initially granted. Suicide risk was identified in 516 petitions (62%), 421 of which were initially granted (82%). Suicide-related petitions were more likely to be granted than non-suicide-related petitions (72%; p=0.001). Threats to others were also cited in 80% of suicide-related petitions. LEOs filed 60% and family/household members filed 29% of suicide-related petitions. Concerns cited in suicide-related petitions included substance use (56%) and mental health diagnoses (27%). Respondents were hospitalised or referred for services in 41% of suicide-related petitions.</p><p><strong>Conclusions: </strong>Oregon's ERPO law is being used to address firearm suicide risk, but implementation gaps may exist, including missed opportunities for healthcare or other services. Further research examining barriers and facilitators to ERPO use for suicide prevention is needed.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"485-489"},"PeriodicalIF":1.9,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143691962","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":"Rates of fall injuries across three claims databases, 2019.","authors":"Gabrielle F Miller, Christopher Dunphy, Yara K Haddad, Jufu Chen, Alen Alic, Karen Thomas, Amy F Wolkin","doi":"10.1136/ip-2024-045346","DOIUrl":"10.1136/ip-2024-045346","url":null,"abstract":"<p><strong>Introduction: </strong>In 2021, among all age groups, falls ranked as the third leading cause of unintentional injury death in the USA. Unlike fatal data, which rely on death certificates as the gold standard, there is not a gold standard for non-fatal data. Non-fatal falls data are often based on insurance claims or administrative billing data. The purpose of our study is to compare three claims databases to estimate rates of unintentional fall-related hospitalisations in 2019, the most recent year of available data across the three sources.</p><p><strong>Methods: </strong>Three databases were used to produce incidence rates of fall-related hospitalisations for the year 2019: (1) Merative MarketScan research databases, (2) Centers for Medicare and Medicaid Services (CMS) data and (3) Healthcare Cost and Utilization Project (HCUP) National Inpatient Sample. Inpatient falls were identified using International Classification of Diseases, 10th Revision, Clinical Modification codes. Incidence rates per 100 000 people were then produced across all three datasets by payer type. Unadjusted incidence rate ratios were estimated with corresponding 95% CIs.</p><p><strong>Results: </strong>There were wide disparities among fall rates between the three datasets by payer type. HCUP had the highest rate of falls among Medicare (1087.6 per 100 000) and commercial enrollees (74.7 per 100 000), while CMS had the highest rates of falls among Medicaid enrollees (148.0 per 100 000).</p><p><strong>Conclusions: </strong>This study shows wide variation in fall hospitalisation rates based on the claims data used to estimate rates. This study suggests that database selection is an important consideration when determining incidence of non-fatal falls.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"408-414"},"PeriodicalIF":1.9,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12006441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142464372","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":"Injuries from falling out of bed in infants under 1 year of age: a systematic review.","authors":"Camile Lima Barros Ourem Campos, Gabriela Carneiro de Farias Evangelista, Lucas Victor Alves, Joao Guilherme Alves","doi":"10.1136/ip-2025-045660","DOIUrl":"10.1136/ip-2025-045660","url":null,"abstract":"<p><strong>Context: </strong>Falls from beds are a leading cause of unintentional injuries in infants under 1 year of age. While most cases result in mild outcomes, the potential for severe injuries, such as skull fractures or intracranial haemorrhages, exists. Despite the prevalence of these incidents, no systematic review has focused specifically on injuries from bed falls in this specific age.</p><p><strong>Objective: </strong>To evaluate the risk and severity of injuries caused by falls from beds in infants under 1 year of age through a systematic review.</p><p><strong>Data sources: </strong>We searched in PubMed, Embase, Cochrane Library and Lilacs Scielo for studies published between 1984 and December 2024.</p><p><strong>Study selection: </strong>We included observational studies that reported injuries from falls from beds in infants under 1 year.</p><p><strong>Data extraction: </strong>We extracted the relevant data from the included study details, recruitment setting, study design, sample size and outcome measures. We conducted a quality assessment using the Newcastle-Ottawa Scale.</p><p><strong>Results: </strong>Out of 297 initially identified studies, three met inclusion criteria, comprising a total of 2034 infants under 1 year of age. Most falls resulted in minor or no injuries. Warrington <i>et al</i> reported <1% of cases leading to concussion or fractures. Samuel <i>et al</i> identified two cases of intracranial haemorrhage and linear skull fractures without intervention. Kolulu <i>et al</i> observed significant injuries, including skull fractures and cerebral contusions, in 10.2% of infants.</p><p><strong>Conclusions: </strong>Falls from beds are frequent in infants under 1 year, with most resulting in minor outcomes. However, serious injuries occur in around 5% of infants below 1-year old, emphasising the need for prevention strategies and clinical guidelines for managing post-fall assessments. Further research is required to refine understanding and improve prevention and management practices.</p><p><strong>Prospero registration number: </strong>CRD42024626255.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"366-370"},"PeriodicalIF":1.9,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999626","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":"Frequency and mechanism of injury for unintentional paediatric femoral fractures associated with consumer products over a 10-year period in the USA.","authors":"Andrew Peace, Siddartha Dandamudi, Sevil Ozdemir, James Ostrander, Theresa Atkinson","doi":"10.1136/ip-2024-045278","DOIUrl":"10.1136/ip-2024-045278","url":null,"abstract":"<p><strong>Background: </strong>Femoral shaft fractures tend to be rare among children; however, these injuries are the most common major paediatric injuries treated by orthopaedic surgeons. The purpose of this study is to characterise the demographics and mechanisms of femoral injury associated with consumer products in the age group treated with spica casting, children 6 months to 6 years, to identify areas for injury prevention.</p><p><strong>Methods: </strong>Data from 2012 to 2021 were obtained from the National Electronic Injury Surveillance System maintained by the Consumer Products Safety Commission, documenting emergency department visits for unintentional injuries associated with consumer products. Narrative descriptions were analysed to identify common factors in the injury events such as location, products and mechanisms of action.</p><p><strong>Results: </strong>From 2012 to 2021, the estimated incidence of femur fractures was 23.5 cases per 100 000 children with no significant difference in yearly frequency. The most common mechanism of injury was a fall with the most frequent fracture sources being bed/bunk beds (16.1%), floor (slips/falls, 9.7%) and trampolines (9.7%). Most fractures occurred at the patient's home (58.4%). The incidence of injury outside of the home and frequency of fractures involving play structures/trampolines increased with age.</p><p><strong>Conclusions: </strong>The incidence and demographic characteristics of paediatric femur fractures associated with consumer products have remained consistent over the past 10 years. As home was the most common location of fracture, prevention of femur fractures should focus on caregiver education around high-risk sources of fracture (bed, stairs and trampolines) and manufacturers should consider design alternatives that discourage potential misuse.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"432-437"},"PeriodicalIF":1.9,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142545267","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":"Provision of basic swimming and water safety skills in low-resource environments: barriers and facilitators of use of WHO practical guidance.","authors":"Thomas Mecrow, Jill Fortuin Abrahams, Muhammad Said, Shayne Baker, James Bonney, Aminur Rahman, Amy E Peden","doi":"10.1136/ip-2024-045300","DOIUrl":"10.1136/ip-2024-045300","url":null,"abstract":"<p><strong>Introduction: </strong>WHO guidance supports implementation of drowning prevention interventions. This study aimed to examine barriers and facilitators of use of WHO guidance on basic swimming and water safety skills in low-resource settings, gathering insights inform codesign of technical resources.</p><p><strong>Methods: </strong>Mixed methods were used comprising WHO guidance gap analysis, participant surveys and thematic analysis of workshop discussions (17 participants and 13 countries). WHO document analysis and analysis of pre-workshop survey responses were combined to identify topic areas where additional guidance was required. Inductive thematic analysis of workshop discussions spanned current practice, challenges and opportunities. Postworkshop anonymous evaluation forms were also analysed.</p><p><strong>Results: </strong>Four topic areas were identified that required additional technical guidance to support implementation: Site Safety Auditing; Medical Screening of Participants; Informed Consent and Emergency Action Planning. Barriers broadly spanned a lack of trained personnel and equipment as well as a lack of community understanding and varying support from external agencies. Opportunities identified included partnering with local organisations with specific expertise (ie, medical, emergency planning), improving programme administration and challenging traditional community practices (ie, informed consent, superstitions). Participants agreed the workshop would lead to changes in practice, however this remains to be confirmed.</p><p><strong>Discussion: </strong>Additional technical resources to address gaps and support implementation were suggested and should now be developed, implemented and evaluated.</p><p><strong>Conclusion: </strong>This study identified additional technical resources and the development of a community of practice to support effective teaching of school age children swimming and water safety skills in low-resource settings.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"452-458"},"PeriodicalIF":1.9,"publicationDate":"2026-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13217059/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142604377","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":"'I just don't want them to be my patient again': an exploratory mixed-methods study examining provider home safety concerns for adolescents with acquired brain injuries in the US Midwest.","authors":"Sarah E Anderson, Sarah Schroedle, Taylor Stamper, Jennifer P Lundine, Emily S Patterson, Carmen P DiGiovine, Scott Swearingen, Lauren R Wengerd, Amy R Darragh","doi":"10.1136/ip-2024-045326","DOIUrl":"10.1136/ip-2024-045326","url":null,"abstract":"<p><strong>Objective: </strong>Adolescents with acquired brain injuries are at risk for additional injuries after hospital discharge. We asked healthcare providers to identify and prioritise urgent hazards in the home setting for this population.</p><p><strong>Methods: </strong>We used a convergent mixed methods approach. Healthcare providers who do discharge planning and community re-integration for adolescent patients with brain injury were recruited from hospitals in the US Midwest. Participants completed two structured surveys, semi-structured interviews and a Hazard Prioritisation Matrix Activity. We analysed quantitative data via descriptive statistics and qualitative data via inductive thematic analysis to identify hazards, urgency, interactive themes and generate a conceptual model.</p><p><strong>Results: </strong>All participants validated four preidentified hazards in the surveys and the interviews: slippery objects on the floor, large furniture/objects in the path of travel, unattended open flames and inappropriate use of cooking appliances. 59 hazards were self-identified during the Hazard Priority Matrix Activity and assigned an urgency rating, with 12 (20.3%) urgent, 20 (33.9%) major, 19 (32.2%) moderate and 8 (13.6%) minor risks. We identified seven interactive themes about hazard factors: hazardous activities, hazardous situations, hazardous objects, hazardous others, hazardous spaces, harms and client factors. A conceptual model for home safety concerns links hazards, risks and harms.</p><p><strong>Conclusions: </strong>Adolescents with acquired brain injuries need healthcare providers to recognise unique and complex hazards in their homes that could lead to harm. Mitigating home hazards may prevent additional unintentional injury for these adolescents. More research is needed to generalise this information for this population across clinical settings.</p><p><strong>Trial registration number: </strong>NCT04768946.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"309-316"},"PeriodicalIF":1.9,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12065924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142619768","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":"Population-based study of factors associated with severe paediatric drowning events in Maryland.","authors":"Katherine Macmillan, Katherine Hoops, Sapna Kudchadkar, Andrea C Gielen, Eileen M McDonald, Laura Prichett, Isam Nasr, Leticia Manning Ryan","doi":"10.1136/ip-2023-045160","DOIUrl":"10.1136/ip-2023-045160","url":null,"abstract":"<p><strong>Introduction: </strong>Paediatric drowning is an injury associated with significant morbidity and mortality.</p><p><strong>Objective: </strong>The objective is to describe drowning trends, including associations with inpatient hospitalisation or fatality, in a state-wide paediatric cohort to inform prevention strategies.</p><p><strong>Methods: </strong>In this retrospective cohort study using the Health Services Cost Review Commission database, we used International Classification of Diseases, Tenth Revision (ICD-10) codes to identify patients aged 0-19 years with an outpatient (including emergency department) or inpatient medical encounter following a non-fatal or fatal drowning event between 2016 and 2019. Descriptive statistics and logistic regression were used to summarise the data and evaluate associations with inpatient hospitalisation or fatality.</p><p><strong>Results: </strong>There were 541 medical encounters for drowning events, including 483 non-fatal outpatient encounters, 42 non-fatal inpatient encounters and 16 fatal cases. Overall, most patients were boys, 0-4 years, white and lived in urban settings. White children accounted for 66% of encounters among those aged 0-4 years, whereas non-white children accounted for 62% of visits among those aged 10-19 years. Non-white children were more likely than white children to experience a fatal drowning (OR 3.6, 95% CI: 1.2 to 11.5). Adolescents were more likely than younger children to be hospitalised (OR 3.1, 95% CI: 1.6 to 6.5) and had higher charges in outpatient (p=0.002) and inpatient settings (p=0.003).</p><p><strong>Discussion: </strong>Our study revealed high fatality rates among non-white children and high admission rates among adolescents.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"323-328"},"PeriodicalIF":1.9,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142017328","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":"Trend analysis and prediction of injury incidence in China from 1990 to 2019 based on Bayesian age-period-cohort model.","authors":"Yuanjie Meng, Chaocai Wang, Yan Liu","doi":"10.1136/ip-2024-045303","DOIUrl":"10.1136/ip-2024-045303","url":null,"abstract":"<p><strong>Background: </strong>Injury is a major challenge to global public health. Analysing the trend of injury incidence in China from 1990 to 2019 and predicting future trends in incidence can provide a theoretical basis for injury prevention and control in China.</p><p><strong>Methods: </strong>We collected age-standardised incidence rates of injuries in China from 1990 to 2019 from the Global Burden of Disease 2019 study. We analysed trends using joinpoint regression and age-period-cohort models. A prediction study was conducted using the Bayesian age-period-cohort model.</p><p><strong>Results: </strong>From 1990 to 2019, there was an increasing trend in transport injuries, a decreasing trend in unintentional injuries and a decreasing trend in self-harm and interpersonal violence. The high-risk age for transport injuries, unintentional injuries and self-harm and interpersonal violence were 20-69 years (relative risk (RR)>1), ≤14 and ≥80 years (RR>1) and 20-24 years (RR=2.311, 95% CI 2.296 to 2.326), respectively. Projections indicate that by 2030, the incidence of transport and unintentional injuries will increase, whereas the incidence of self-harm and interpersonal violence will decrease.</p><p><strong>Conclusion: </strong>The age group with the highest risk of transport injuries, unintentional injuries and self-harm and interpersonal violence were the 20-69 years, ≤ 14 and ≥80 years and 20-24 years age groups, respectively. Transport injuries and unintentional injuries will increase in 2020-2030, while self-harm and interpersonal violence will decrease. These can serve as a basis for developing measures to prevent and manage the impact of injuries.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"250-256"},"PeriodicalIF":1.9,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141723608","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":"Week-to-week changes in training were not prospectively associated with injuries among Wisconsin high school cross-country runners.","authors":"Mikel Renee Joachim, Bryan C Heiderscheit, Stephanie A Kliethermes","doi":"10.1136/ip-2024-045233","DOIUrl":"10.1136/ip-2024-045233","url":null,"abstract":"<p><strong>Background: </strong>Training characteristics, such as volume and duration, have been studied in relation to running-related injury (RRI) risk, with mixed findings in adult runners. There is a lack of research assessing how training characteristics relate to RRI in youth runners, despite the high RRI rates observed in this population.</p><p><strong>Purpose: </strong>To prospectively determine associations between (1) total weekly running volume and duration and (2) week-to-week changes in running volume, duration, intensity and training stress with in-season RRI among high school cross-country runners.</p><p><strong>Methods: </strong>Runners completed a preseason demographics and injury history survey and daily surveys regarding training distance, duration, intensity and current RRI. Values were summed weekly and change scores were calculated relative to the prior week. Runners completing ≥75% of daily surveys were analysed; sensitivity analyses for those completing ≥50% and ≥90% were conducted. Generalised estimating equations assessed associations between change in each predictor, including interactions with sex and RRI within the subsequent week, controlling for year in school, prior RRI and repeated observations.</p><p><strong>Results: </strong>434 runners enrolled in the study; 161 (37%) completed ≥75% of daily surveys. No associations between total volume, total duration or week-to-week change in training characteristics and in-season RRI were observed (p≥0.54). Sensitivity analyses did not detect any significant associations.</p><p><strong>Conclusion: </strong>Total weekly running volume and duration and weekly changes in training were not associated with RRI. RRI are multifactorial and assessing the interaction between training characteristics and other lifestyle factors is likely necessary for determining RRI risk in youth runners.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"289-294"},"PeriodicalIF":1.9,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859603","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}