Injury Prevention最新文献

筛选
英文 中文
Association between ambient temperature and years of life lost of external causes of death in 16 prefecture-level regions of Yunnan Province. 云南省16个地级市环境温度与外因死亡减数年的关系
IF 2.5 3区 医学
Injury Prevention Pub Date : 2025-03-20 DOI: 10.1136/ip-2024-045377
Kai Wang, Yang Chen, Yuanyi Zha, Lvliang Lu, Yujin Wang, Pi Guo, Qingying Zhang
{"title":"Association between ambient temperature and years of life lost of external causes of death in 16 prefecture-level regions of Yunnan Province.","authors":"Kai Wang, Yang Chen, Yuanyi Zha, Lvliang Lu, Yujin Wang, Pi Guo, Qingying Zhang","doi":"10.1136/ip-2024-045377","DOIUrl":"10.1136/ip-2024-045377","url":null,"abstract":"<p><strong>Background: </strong>Many injury deaths are related to the environment. This study examined the impact of ambient temperature on external causes of death in Yunnan Province.</p><p><strong>Methods: </strong>Data on external causes of death and meteorological information were collected from 2014 to 2020 across 129 counties and districts of Yunnan Province. We estimated associations of the years of life lost (YLL) and its attributable fraction (AF) with temperature using a distributed lag non-linear model in each city and then pooled them in a multivariate meta-regression.</p><p><strong>Results: </strong>This study included 191 115 external causes of death and daily YLL was 2338.1 years. The relationship between mean temperature and YLL was found to be U-shaped. The AF of the YLL was 12.65% (95% empirical CI (eCI) 7.80% to 16.45%), 18.54% (95% eCI 8.91% to 23.56%) and 15.79% (95% eCI 8.83% to 20.07%) for external causes of death, traffic accidents and other external causes, respectively. Most of the disease burden was attributed to heat temperature. In the disease burden caused by temperature, males, individuals under 75 years old and those of Han ethnicity were mainly affected by heat temperature; individuals over 75 years old and minority populations were mainly affected by cold temperatures. Non-farmers are more affected by temperature than farmers.</p><p><strong>Conclusions: </strong>The findings suggest that ambient temperature impacts external causes of death, and the results vary by gender, age, ethnicity and occupation. The study shows the importance of implementing preventive measures targeting both the general population and vulnerable groups in order to address external causes of death in future adaptation policies.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"136-143"},"PeriodicalIF":2.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143407337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Developing and testing the predictive validity of household firearm storage measures: insights from rural Alaska. 开发和测试家庭枪支储存措施的预测有效性:来自阿拉斯加农村的见解。
IF 2.5 3区 医学
Injury Prevention Pub Date : 2025-03-20 DOI: 10.1136/ip-2024-045470
Rebeccah Sokol, Amelia Mueller-Williams, Kelsey Porter, Megan Leys, Aneliese Apala Flaherty, Lisa Wexler
{"title":"Developing and testing the predictive validity of household firearm storage measures: insights from rural Alaska.","authors":"Rebeccah Sokol, Amelia Mueller-Williams, Kelsey Porter, Megan Leys, Aneliese Apala Flaherty, Lisa Wexler","doi":"10.1136/ip-2024-045470","DOIUrl":"10.1136/ip-2024-045470","url":null,"abstract":"<p><strong>Introduction: </strong>Measuring change in firearm storage is paramount to evaluating if interventions influence storage. Yet, there is little empirical basis for how to measure this change. This methodology study compared three different firearm storage measures using data from the Family Safety Net trial (n=46), a randomised controlled trial among firearm-owning adults in a rural Alaska Native community to encourage unloaded and locked firearm storage.</p><p><strong>Methods: </strong>The team compared baseline and 1-month follow-up measures of household firearm storage: (1) cumulative firearm accessibility, (2) average firearm accessibility, and (3) number of unlocked firearms. All measures included information about locking status; the cumulative and average firearm accessibility measures incorporated additional information about ammunition. Unadjusted and adjusted generalised estimating equations evaluated the associations of the storage measures with adult perceptions of youth firearm access. Receiver operating characteristic curves from unadjusted models compared the measures' abilities to predict adult perceptions of youth firearm access.</p><p><strong>Results: </strong>All household firearm storage measures were sensitive to change between baseline and 1 month follow-up (<i>p</i>s<0.05). These measures demonstrated a similar and moderate ability to predict adult perceptions of youth access (area under the curve range: 0.68-0.76).</p><p><strong>Conclusion: </strong>The number of unlocked firearms is an easily interpretable outcome when evaluating the effect of firearm storage interventions on storage practices, and it performed similarly well in predicting adults' perceptions of youth firearm access as compared with more complex measures. Research that evaluates the ability of firearm storage measures to predict actual youth access will inform interventions to prevent youth firearm access.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"169-173"},"PeriodicalIF":2.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143500949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Distribution and determinants of unintentional injuries among older adults population in Tamil Nadu, India: a community-based injury prediction model. 印度泰米尔纳德邦老年人意外伤害的分布和决定因素:基于社区的伤害预测模型。
IF 2.5 3区 医学
Injury Prevention Pub Date : 2025-03-20 DOI: 10.1136/ip-2024-045344
Alex Joseph, Dhasarathi Kumar, Roshni Mary Peter, Bagavandas Mappillairaju
{"title":"Distribution and determinants of unintentional injuries among older adults population in Tamil Nadu, India: a community-based injury prediction model.","authors":"Alex Joseph, Dhasarathi Kumar, Roshni Mary Peter, Bagavandas Mappillairaju","doi":"10.1136/ip-2024-045344","DOIUrl":"10.1136/ip-2024-045344","url":null,"abstract":"<p><strong>Background: </strong>Unintentional injuries among older adults represent a significant public health challenge, particularly in low-resource settings. This study aimed to estimate the prevalence of unintentional injuries among older adults in Tamil Nadu, identify associated risk factors and develop a prediction model for unintentional injuries.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among older adults in Tamil Nadu, India, and used probability proportional to size sampling. Data were collected via a semistructured questionnaire. The receiver-operating characteristic curve was created to show the probability of the occurrence of unintentional injuries among older adults.</p><p><strong>Results: </strong>Among 995 older adults, 13.9% reported having unintentional injuries. Among those injured, about 49% of all injuries were due to falls. The best cut-off point for predicted probability was found to be 0.88 for a sensitivity of 81% and a specificity of 61%, from receiver-operating characteristic curve. The regression analysis showed that fear of falling (4.5 times higher risk), being tribal (3.15 times higher risk), female gender (1.98 times higher risk) and alcohol consumption (1.95 times higher risk) significantly increased chance of unintentional injury.</p><p><strong>Conclusions: </strong>The study highlighted the critical need to prioritise the prevention of unintentional injuries among older adults, particularly focusing on high-risk populations such as those from low socioeconomic and tribal communities. The use of receiver-operating characteristic curve in this study provides a robust and reliable method for predicting unintentional injuries in older adults in India, offering actionable insights for healthcare professionals and public health planners, if validated in future studies.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"144-150"},"PeriodicalIF":2.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143390441","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mechanisms of paediatric injury: an 11-year review of injury trends from the National Trauma Data Bank. 儿科损伤机制:国家创伤数据库11年损伤趋势回顾。
IF 2.5 3区 医学
Injury Prevention Pub Date : 2025-03-20 DOI: 10.1136/ip-2024-045440
Carissa Tomas, Kara Kallies, Michael Levas, Terri deRoon-Cassini, Laura Cassidy, Katherine Flynn-O'Brien
{"title":"Mechanisms of paediatric injury: an 11-year review of injury trends from the National Trauma Data Bank.","authors":"Carissa Tomas, Kara Kallies, Michael Levas, Terri deRoon-Cassini, Laura Cassidy, Katherine Flynn-O'Brien","doi":"10.1136/ip-2024-045440","DOIUrl":"10.1136/ip-2024-045440","url":null,"abstract":"<p><strong>Background/purpose: </strong>Unintentional injuries are the leading cause of death among children and adolescents. The objective of this study was to describe temporal trends of paediatric traumatic injury over an 11-year period by mechanism of injury (MOI), age, sex, race and ethnicity, injury severity and hospital discharge disposition.</p><p><strong>Methods: </strong>The National Trauma Data Bank was queried to identify paediatric patients (1-17 years old) injured from 2012 to 2022. Two-sided non-parametric Mann-Kendall trend tests were used to evaluate temporal trends of MOI for all patients and within demographic groups.</p><p><strong>Results/outcomes: </strong>Over the 11-year period, 1 092 308 injury records met study inclusion criteria and had complete demographic and MOI data. Across all patients, there was a significant increase in bites and stings, cut/pierce injuries and firearm injuries, whereas there were decreasing trends in pedestrian and other blunt injuries over time. There was a significant increase in injury over time for Black, Hispanic or Latino, and Pacific Islander patients and those 5-9 years old. The MOIs with the highest injury severity and in-hospital mortality were firearm, pedestrian and motor vehicle transportation occupant injuries.</p><p><strong>Conclusions: </strong>Though a few MOIs increased for all paediatric patients in the study period, disparities persist for several specific populations. As such, injury prevention strategies should be tailored based on age, sex and race or ethnicity, and relevant education and resources should be provided to both children and their adult guardians. Future research should consider additional socioeconomic and community-based characteristics.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"107-113"},"PeriodicalIF":2.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Understanding non-fatal drowning in Victoria, Australia: a 20-year analysis of hospital admission data. 了解澳大利亚维多利亚州的非致命性溺水:对住院数据的20年分析
IF 2.5 3区 医学
Injury Prevention Pub Date : 2025-03-20 DOI: 10.1136/ip-2024-045606
Hannah Calverley, Janneke Berecki-Gisolf, Amy E Peden, Bernadette Lucy Matthews
{"title":"Understanding non-fatal drowning in Victoria, Australia: a 20-year analysis of hospital admission data.","authors":"Hannah Calverley, Janneke Berecki-Gisolf, Amy E Peden, Bernadette Lucy Matthews","doi":"10.1136/ip-2024-045606","DOIUrl":"10.1136/ip-2024-045606","url":null,"abstract":"<p><strong>Background: </strong>Unintentional drowning is a global public health concern, and in Australia, non-fatal drowning outcomes are estimated to be three times that of fatal incidents. Understanding non-fatal drowning trends would enable tailored prevention efforts to address the full burden of drowning, yet little research has investigated this.</p><p><strong>Methods: </strong>Retrospective analysis considered unintentional drowning-related hospital admissions in the state of Victoria, Australia between 1 July 2002 and 30 June 2022.</p><p><strong>Results: </strong>Overall, 1849 hospital admissions resulted from non-fatal drowning in Victoria. Rates increased significantly by 1.86% annually (95% CI (0.91, 2.82)). Males and females recorded significant increases in hospital admission (2.4% (95% CI 0.7%, 4.2%) for females vs 1.6% (95% CI 0.5%, 2.7%) for males). Admission rates increased among several age groups, with significant increases recorded among young people aged 15-24 years (3.99%, p=0.0041), children aged 5-9 years (3.33%, p<0.04) and 25-64 years (3.07%, p=0.0001). Regarding regionality, drowning rates were higher with increasing remoteness, and people born in Oceania and Antarctica recorded the majority (86.1%) of hospital admissions over the 20 years.</p><p><strong>Discussion and conclusions: </strong>Increases in hospital admissions over the 20 years are concerning and highlight the rising burden of drowning on Victorian health systems. These trends identify where preventative efforts may be directed to reduce drowning, especially regarding the prominence of children. Raising awareness of non-fatal drowning is necessary to demonstrate the full impact and burden of drowning and could be achieved through multisectoral collaboration, consistent communication and messaging, and innovative programmes and policy.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"94-100"},"PeriodicalIF":2.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fall-related mortality in Spain: trends and disparities by age and gender. 西班牙与跌倒有关的死亡率:按年龄和性别划分的趋势和差异。
IF 2.5 3区 医学
Injury Prevention Pub Date : 2025-03-20 DOI: 10.1136/ip-2024-045538
Lucía Cayuela, Cristina García-Muñoz, Victoria Achaval, Manuel Ortega Calvo, Aurelio Cayuela
{"title":"Fall-related mortality in Spain: trends and disparities by age and gender.","authors":"Lucía Cayuela, Cristina García-Muñoz, Victoria Achaval, Manuel Ortega Calvo, Aurelio Cayuela","doi":"10.1136/ip-2024-045538","DOIUrl":"10.1136/ip-2024-045538","url":null,"abstract":"<p><strong>Background: </strong>Falls are a significant public health concern, particularly among older adults. This study aimed to analyse trends in fall-related mortality in Spain from 1999 to 2022, focusing on age and gender disparities.</p><p><strong>Methods: </strong>Using a longitudinal ecological study, we analysed trends in fall mortality. Using data from the Spanish National Institute of Statistics, age-standardised mortality rates (ASMRs) were calculated for different age groups and genders. Joinpoint regression analysis was employed to identify significant trends and calculate annual percentage changes in mortality rates.</p><p><strong>Results: </strong>Fall deaths in Spain surged from 1999 to 2022, with a significant increase in mortality rates. This increase was more pronounced among men than women, and the older adults aged 65 and older accounted for most fall-related deaths. Overall, ASMRs increased with age and were consistently higher for men across all age groups. Men experienced a 1.9% annual increase in ASMRs, with a significant rise starting in 2009. Women's ASMRs increased by 1.8% per year, with a more pronounced increase from 2007 to 2013 before slowing. Among those aged 65 and over, rates increased significantly across most age groups, with the ASMR for men rising by 2.7% per year and for women by 2%.</p><p><strong>Conclusions: </strong>Fall mortality in Spain has significantly increased, particularly among older adults and men. The findings underscore the need for targeted fall prevention strategies, especially for high-risk groups. Future interventions should address gender-specific risks and emerging issues in middle-aged adults to effectively reduce fall-related mortality across all age groups.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"101-106"},"PeriodicalIF":2.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515607","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Comparison of syndromic surveillance and hospital discharge data for unintentional drowning in metropolitan Houston, Texas, USA. 美国德克萨斯州休斯顿市区意外溺水综合征监测与出院数据的比较
IF 2.5 3区 医学
Injury Prevention Pub Date : 2025-03-20 DOI: 10.1136/ip-2024-045301
Nicholas Peoples, Jennifer L Jones, Elizabeth A Camp, Ned Norman Levine, Rohit P Shenoi
{"title":"Comparison of syndromic surveillance and hospital discharge data for unintentional drowning in metropolitan Houston, Texas, USA.","authors":"Nicholas Peoples, Jennifer L Jones, Elizabeth A Camp, Ned Norman Levine, Rohit P Shenoi","doi":"10.1136/ip-2024-045301","DOIUrl":"10.1136/ip-2024-045301","url":null,"abstract":"<p><strong>Background: </strong>Syndromic surveillance, which provides real-time data, may provide timely drowning surveillance compared with hospital discharge data where the release of data may be delayed. We compared data on hospital visits for unintentional drowning identified in hospital discharge and syndromic surveillance data sets for accuracy and completeness.</p><p><strong>Methods: </strong>We compared data for hospital visits for unintentional drowning identified in the Texas Health Care Information Collection hospital discharge and syndromic surveillance data sets for metropolitan Houston, Texas, USA from 2019 to 2021. Hospital visits included emergency department-only visits and hospital admissions. We compared time-series visualisation of hospital visits between data sets. Injury burden, demographics and intercounty distribution of drowning patients were compared using the Pearson correlation coefficient for continuous data and the Pearson χ<sup>2</sup> goodness-of-fit test for categorical data.</p><p><strong>Results: </strong>We identified 860 hospital discharge visits and 929 syndromic surveillance visits (quarterly median (IQR): 64.0 (26.8-117.5); 54.5 (28.0-132.3), respectively) for unintentional drowning. Time-series visualisation showed a high correlation between syndromic surveillance and hospital discharge visits (correlation coefficient: 0.93 (95% CI: 0.77 to 0.98)). There were small differences by race, ethnicity and county for all ages and for paediatrics and large differences by sex for all ages in the number of unintentional drowning hospital visits identified within the data sets.</p><p><strong>Conclusions: </strong>Regional unintentional drowning burden and trends are highly correlated between syndromic surveillance and hospital discharge data. Small differences by race, ethnicity and county and large differences by sex in the number of unintentional drowning hospital visits were identified between data sets. Syndromic surveillance is useful for real-time surveillance of unintentional drowning.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"151-157"},"PeriodicalIF":2.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11925658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prioritising preventive measures for unintentional sport and recreation-related deaths in Québec, Canada, based on a 14-year review. 加拿大魁北克省根据 14 年的审查结果,对体育和娱乐相关意外死亡的预防措施进行优先排序。
IF 2.5 3区 医学
Injury Prevention Pub Date : 2025-03-18 DOI: 10.1136/ip-2024-045410
Philippe Richard, Mathieu Gagne, Paul-André Perron, Jérémie Sylvain-Morneau
{"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":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Change in suicides during and after the installation of barriers at the Golden Gate Bridge. 在金门大桥安装障碍物期间和之后自杀率的变化。
IF 2.5 3区 医学
Injury Prevention Pub Date : 2025-03-18 DOI: 10.1136/ip-2024-045604
Sangsoo Shin, Jane Pirkis, Angela Clapperton, Matthew Spittal
{"title":"Change in suicides during and after the installation of barriers at the Golden Gate Bridge.","authors":"Sangsoo Shin, Jane Pirkis, Angela Clapperton, Matthew Spittal","doi":"10.1136/ip-2024-045604","DOIUrl":"https://doi.org/10.1136/ip-2024-045604","url":null,"abstract":"<p><strong>Background: </strong>Restricting access to means is a highly effective suicide prevention strategy for some methods. We evaluated the effectiveness of nets installed at the Golden Gate Bridge to prevent suicides by jumping at this site.</p><p><strong>Methods: </strong>We used Poisson regression analyses to model suicide before, during and after the installation of safety nets at the Golden Gate Bridge between January 2000 and December 2024. We also modelled the number of times a third party intervened with someone showing signs of imminent suicide risk on the bridge.</p><p><strong>Results: </strong>There were 681 suicides at the site. There were 2.48 suicides per month before installation of the safety nets, 1.83 during installation and 0.67 after installation. During the installation of the nets, suicides declined by 26% (rate ratio (RR)=0.74, 95% CI 0.60 to 0.90) and after installation by 73% (RR=0.27, 95% CI 0.13 to 0.54). There were 2901 instances where a third party intervened, 8.22 per month before installation, 14.42 during installation and 11.00 after installation. The number of interventions by a third party increased during installation by 75% (RR=1.75, 95% CI 1.62 to 1.90) and after installation by 34% (RR=1.34, 95% CI 1.12 to 1.60).</p><p><strong>Conclusions: </strong>The early evidence indicates the installation of safety nets on the Golden Gate Bridge is associated with an immediate and substantial reduction in suicides at the site. This finding highlights the value of installing nets on this bridge and the importance of barriers as a strategy to prevent suicides by jumping.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143657205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Socioeconomic, demographic and environmental factors of child drownings in Northern Bangladesh. 孟加拉国北部儿童溺水的社会经济、人口和环境因素。
IF 2.5 3区 医学
Injury Prevention Pub Date : 2025-03-12 DOI: 10.1136/ip-2024-045434
Edris Alam, Khawla Saeed Al Hattawi, Habiba Akter, Jahangir Alam, Elizabeth Alvarez, Fahim Sufi, Md Kamrul Islam, Abu Reza Md Towfiqul Islam
{"title":"Socioeconomic, demographic and environmental factors of child drownings in Northern Bangladesh.","authors":"Edris Alam, Khawla Saeed Al Hattawi, Habiba Akter, Jahangir Alam, Elizabeth Alvarez, Fahim Sufi, Md Kamrul Islam, Abu Reza Md Towfiqul Islam","doi":"10.1136/ip-2024-045434","DOIUrl":"10.1136/ip-2024-045434","url":null,"abstract":"<p><strong>Background: </strong>Drowning is the leading cause of death among children aged 0-17 years in rural Bangladesh, resulting in over 14 438 deaths annually-an average of 43 deaths per day. This study aims to identify socioeconomic, demographic and environmental factors linked to child drowning deaths in Northern Bangladesh-a region of high poverty, which is behind in overall socioeconomic indicators compared with other regions in the country.</p><p><strong>Methods: </strong>We conducted a cross-sectional survey through purposive sampling to identify child fatal and non-fatal drownings among a total of 18 004 households, comprising 71 185 people, in 2 unions in Northern Bangladesh. Interviews were conducted between January and March 2024 with the households that experienced child drownings in the region. We employed a mixed-methods approach to data collection, using quantitative analysis to examine socioeconomic, demographic and environmental factors, alongside qualitative analysis to explore situational factors associated with drownings in the region.</p><p><strong>Results: </strong>Through household visits, a total of 117 households were identified that faced child drowning incidents, comprising 84 fatal (71.8 %) and 33 non-fatal (28.2 %) drownings between 2018 and 2023. The households that faced drownings were comparatively of lower income groups, had lower rates of education and were mostly engaged in agriculture and other domestic work. In 2023, the number of drowning incidents was 34. Out of 117 drownings, 95% occurred between 9:00 and 15:00 hours, and more than 82% occurred between June and October. Out of 117 drowning incidents, approximately 97% of children did not know how to swim prior to the incident. Out of 117 respondents, 73.5% stated that they did not teach their child how to swim. Of those who taught their child to swim, the average age for learning to swim was 8.33 years. Out of 84 child drowning deaths, 75% were male and 25% were female, and the average age was 3.9 years. Out of the 84 fatal drowning deaths, 72.6% occurred in ponds.</p><p><strong>Conclusion: </strong>Identification of socioeconomic, demographic and environmental factors associated with child drownings will help to develop feasible prevention strategies and interventions in the region.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143074226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信