Injury Prevention最新文献

{"title":"Homicides of American Indians/Alaska Natives in urban versus rural areas: United States National Violent Death Reporting System, 2003-2020.","authors":"Daniel T Corry, Laura M Mercer Kollar, Carter J Betz, Katherine A Fowler, Megan C Kearns, Sharon G Smith, Delight E Satter","doi":"10.1136/ip-2024-045335","DOIUrl":"10.1136/ip-2024-045335","url":null,"abstract":"<p><strong>Background: </strong>Missing and Murdered Indigenous People is a historic and contemporary issue that has gained national attention. In 2021, homicide was the eighth leading cause of death among American Indian/Alaska Native (AIAN) persons aged between 1 and 54 years old, and homicide is the sixth leading cause of death among all AIAN males aged 1-54 years old.</p><p><strong>Aim: </strong>These data will build knowledge around AIAN homicides and to identify circumstances that can aid in comprehensive Missing and Murdered Indigenous People prevention efforts.</p><p><strong>Methods: </strong>AIAN homicide data came from Centers for Disease Control and Prevention's National Violent Death Reporting System, a state/jurisdiction-based surveillance system that collects detailed information about characteristics and circumstances of violent deaths. We examined data from 2003 to 2020 (all available years) from participating states/jurisdictions. We also assessed sociodemographic characteristics of victims and suspects, incident characteristics and differences across dichotomised urban/rural status. The study was conducted in 2022.</p><p><strong>Results: </strong>The National Violent Death Reporting System provided data on 2959 AIAN homicides from 2003 to 2020 (54.2% urban and 45.8% rural). Significant differences based on the two locations included type of weapon used, the location of the injury, race of the primary suspect, the victim's relationship to the suspect and select circumstances precipitating the homicide including crimes precipitating the homicide and homicides stemming from intimate partner violence.</p><p><strong>Outcomes: </strong>These findings provide crucial information to strengthen public health efforts for prevention.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"257-264"},"PeriodicalIF":1.9,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11762353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141765946","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":"Incidents and patterns of <i>commotio cordis</i> among athletes in the USA from 1982 to 2023.","authors":"Erin Shore, Garrett A Moseley, Randi DeLong, Johna Register-Mihalik, Jonathan A Drezner, Grant James Dickey, Haojie Mao, Robert C Cantu, Kristen L Kucera","doi":"10.1136/ip-2024-045374","DOIUrl":"10.1136/ip-2024-045374","url":null,"abstract":"<p><strong>Introduction: </strong><i>Commotio cordis</i> is a rare event that occurs following blunt, non-penetrating trauma to the chest, precipitating a ventricular arrhythmia. <i>Commotio cordis</i> requires immediate medical attention through cardiopulmonary resuscitation and defibrillation, often resulting in death. <i>Commotio cordis</i> is most common condition among young male athletes. The purpose of this study was to describe the incidents and patterns of <i>commotio cordis</i> among young athletes participating in organised sports in the USA from academic years 1982-1983 through 2022-2023.</p><p><strong>Methods: </strong>This was a retrospective, descriptive epidemiology study using surveillance data from the National Center for Catastrophic Sport Injury Research. The study included all <i>commotio cordis</i> incidents captured in the database. We calculated descriptive statistics (counts and proportions) overall and stratified by outcome and athlete sport.</p><p><strong>Results: </strong>Over the study period, 64 incidents of commotio cordis were captured. The majority occurred among males (n=60) and were caused by contact with an object/apparatus (n=39) or contact with another player (n=20). The most common sports were baseball (n=20), lacrosse (n=17) and football (n=13). Over half of these incidents resulted in death (n=34), although survival from <i>commotio cordis</i> increased over the study period. A higher proportion of fatal incidents occurred among football athletes and were caused by contact with another player.</p><p><strong>Conclusions: </strong><i>Commotio cordis</i> remains most common among young male athletes who participate in organised baseball, lacrosse and football. Although survival has improved over time, greater awareness and emergency preparedness for <i>commotio cordis</i> in an organised sport are needed to facilitate prompt recognition and intervention.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"329-334"},"PeriodicalIF":1.9,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141859555","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":"Ankle sprains in male Israeli infantry soldiers during training: prevalence and risk factors.","authors":"Nili Steinberg, Michal Shenhar, Gali Dar, Gordon Waddington, Jeremy Witchalls, Omer Paulman, Chuck Milgrom, Aharon Finestone","doi":"10.1136/ip-2023-045126","DOIUrl":"10.1136/ip-2023-045126","url":null,"abstract":"<p><strong>Background: </strong>Given the high incidence and heavy burden of ankle sprains in recruits, large-scale, multifactorial investigations into potential risk factors are warranted. This study aimed to identify the incidence of ankle sprains and associated risk factors among new military recruits during their infantry training.</p><p><strong>Methods: </strong>The study included 365 infantry recruits (aged 18-21 years), who were inducted into service in March 2022. These recruits were monitored for ankle sprains throughout their basicy and advanced infantry training by a physiotherapist. Preinduction smoking habits, physical fitness preparation and recurrent ankle sprains were recorded. Anthropometric measures, lower-extremity functional movement, Achilles tendon structure, perceived ankle instability, and mechanical ankle instability were assessed at the onset of both training periods.</p><p><strong>Results: </strong>Ankle sprains were diagnosed in 109 trainees (29.9%) during both the basic and the advanced training periods. Preinduction recurrent ankle sprains were reported by 28.2% of the participants. The relative risk of a recruit with preinduction ankle sprains suffering a subsequent sprain during training was 1.66 (p=0.001). Logistic regression analysis indicated that reduced proprioception ability (OR=0.002), higher body mass index (OR=1.08), preinduction recurrent sprains (OR=1.95) and lack of physical fitness preparation (OR=3.12) were related to ankle sprains throughout the complete basic-and-advanced training period. Preinduction recurrent ankle sprains (OR=3.37) and reduced Achilles tendon quality (OR=1.30) were associated with ankle sprains during the advanced training period.</p><p><strong>Conclusions: </strong>Lower-extremity functional movement, body mass index, preinduction recurrent sprains, physical preparation and reduced Achilles tendon quality were associated with the risk of ankle sprains during training. These findings could contribute to developing prevention and intervention programmes for reducing ankle sprains in military trainees.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"213-220"},"PeriodicalIF":1.9,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142346021","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":"Public support for logbooks during the supervised practice driving phase of graduated driver licensing: a national survey of teens and parents in the USA.","authors":"Johnathon P Ehsani, Michelle L Duren, Andrew Hellinger, Ahmed Sabit","doi":"10.1136/ip-2024-045318","DOIUrl":"10.1136/ip-2024-045318","url":null,"abstract":"<p><strong>Background: </strong>Verification of the completion of supervised practice driving hours for teenagers is challenging. Electronic logbooks could provide an objective alternative to paper logbooks. Factors influencing the adoption of electronic logbooks are poorly understood. We conducted a survey of a nationally representative sample of teenagers and parents in the USA to address these gaps in understanding.</p><p><strong>Methods: </strong>The survey was fielded to teenagers who were currently learning to drive or had a full driver's licence, and parents of teenager with a learner's permit or a driver's licence. We measured (1) support for supervised practice driving requirements and logbook requirements, (2) preferences between paper and electronic logbooks and (3) features that would make an electronic logbook useful.</p><p><strong>Results: </strong>Most parents and teenagers supported both supervised practice driving and logbook requirements. The overwhelming majority of teenagers and parents preferred an electronic logbook over paper. Electronic logbooks that provide (1) summary information about completed drives, (2) parent certification of drives and (3) automatic trip detection were features that were rated most useful by respondents.</p><p><strong>Discussion: </strong>This is the first study to measure teen and parent support for the logbook format to track supervised practice driving. Public support for electronic logbooks is high, suggesting that policy makers could consider adding an electronic logbook requirement to graduated driver licensing systems to objectively measure completed practice driving hours. Driver educators could also promote the use electronic logbooks to track practice and calibrate behind-the-wheel lessons to the amount of practice driving that has been completed.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"304-308"},"PeriodicalIF":1.9,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141906574","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":"Geospatial analysis of injury severity on major roads in Ghana (2017-2020): implications for targeted injury prevention and control initiatives.","authors":"Aldina Mesic, James Damsere-Derry, Caryl Feldacker, Joshua Larley, Irene Opoku, Daniel Hardy Wuaku, Martin Owusu Afram, Ernest Ekuban, Stephen J Mooney, Adam Gyedu, Charles N Mock, Angela E Kitali, Brad H Wagenaar, Maxwell Osei-Ampofo, Barclay T Stewart","doi":"10.1136/ip-2024-045270","DOIUrl":"10.1136/ip-2024-045270","url":null,"abstract":"<p><strong>Background: </strong>Road safety authorities in high-income countries use geospatial motor vehicle collision data for planning hazard reduction and intervention targeting. However, low-income and middle-income countries (LMICs) rarely conduct such geospatial analyses due to a lack of data. Since 1991, Ghana has maintained a database of all collisions and is uniquely positioned to lead data-informed road injury prevention and control initiatives.</p><p><strong>Methods: </strong>We identified and mapped geospatial patterns of hotspots of collisions, injuries, severe injuries and deaths using a well-known injury severity index with geographic information systems statistical methods (Getis-Ord Gi*).</p><p><strong>Results: </strong>We identified specific areas (4.66% of major roads in urban areas and 6.16% of major roads in rural areas) to target injury control. Key roads, including National Road 1 (from the border of Cote D'Ivoire to the border of Togo) and National Road 6 (from Accra to Kumasi), have a significant concentration of high-risk roads.</p><p><strong>Conclusions: </strong>A few key road sections are critical to target for injury prevention. We conduct a collaborative geospatial study to demonstrate the importance of addressing data and research gaps in LMICs and call for similar future research on targeting injury control and prevention efforts.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"271-281"},"PeriodicalIF":1.9,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142107056","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":"Identifying facilitators and barriers to implementing the Say Something Anonymous Reporting System in Miami-Dade County, USA: a qualitative study.","authors":"Esther Lee, Briana A Scott, Hsing-Fang Hsieh, Marc Zimmerman, Amy Rusch, Justin Heinze","doi":"10.1136/ip-2023-045120","DOIUrl":"10.1136/ip-2023-045120","url":null,"abstract":"<p><strong>Background: </strong>Multiple anonymous reporting systems (ARS) have been implemented to prevent school violence and improve school climate. This study examines the facilitators and barriers to implementation and the role and usability of the Say Something Anonymous Reporting System (SS-ARS).</p><p><strong>Methods: </strong>10 qualitative interviews with key staff and administrators from intervention schools in the Miami-Dade County School District were conducted between July and December 2020. Using a thematic framework analysis of interview transcripts, we identified major themes related to the SS-ARS.</p><p><strong>Results: </strong>Students used the SS-ARS to report issues related to violence, mental health and substance use. The SS-ARS provided training and safe reporting channels, enabling prompt responses from administrators. Successful anonymous reporting system implementation requires ongoing training for students and personnel, a multidisciplinary response team and integration into a comprehensive school safety effort.</p><p><strong>Conclusion: </strong>Our study highlights key facilitators and barriers to implementing ARS in schools, offering three takeaways for practitioners: (1) include ongoing training for students and personnel, (2) establish a multidisciplinary team to respond to reports and integrate ARS into a comprehensive safety effort and (3) encourage reporting on a range of concerns. Interviews were conducted with school personnel, with findings primarily reflecting their perspectives, thereby limiting the ability to generalise the findings to students. Although conducted in schools within Miami-Dade County, an urban US county, the findings may be relevant for practitioners implementing ARS or similar initiatives in educational settings globally, given the ubiquity of violence and mental health issues among adolescents.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"208-212"},"PeriodicalIF":1.9,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142499682","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":"Protest-related injuries during the Capitol Hill Autonomous Zone protest in Seattle, Washington, USA in 2020.","authors":"Anthony L Bui, Georgia A Sleeth, Jessica E McDade, Herbert C Duber, Frederick P Rivara","doi":"10.1136/ip-2024-045396","DOIUrl":"10.1136/ip-2024-045396","url":null,"abstract":"<p><strong>Introduction: </strong>George Floyd's death in 2020 galvanised large protests around the country, including the emergence of the Capitol Hill Autonomous Zone (CHAZ) in Seattle, Washington, a non-policed, organised protest region that may have differing injury risks than other regions. We sought to quantitatively describe characteristics of injuries related to protests documented at visits to two nearby major emergency departments, including the only Level 1 trauma centre in the state.</p><p><strong>Methods: </strong>Using the International Classification of Diseases, 10th Revision code inclusion criteria, we identified 1938 unique patient visits across the two emergency departments from 29 May 2020 and 1 July 2020. We reviewed provider notes to identify keywords to determine if the visit was related to the CHAZ protest. We quantitatively described demographics and injury characteristics.</p><p><strong>Results: </strong>We identified 48 injury visits related to the protest, with 25 from assault, 11 from crowd-control weapons and 8 from ground-level falls. Crowd-control weapons consisted of five visits from pepper spray, five from tear gas and a smaller number from flash-bang grenades, rubber bullets or other projectiles or a baton. In terms of body region injuries, 23 involved the head, 13 involved the knee and lower leg and 11 involved the thorax. Five patients required transfer to the operating room for surgery and admission and two died.</p><p><strong>Discussion: </strong>The demonstrations during the CHAZ in Seattle in 2020 resulted in several violent injuries. Given the high proportion of assault and head injuries, these injury patterns can help prepare healthcare workers and first responders to plan care needs during protests.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"341-343"},"PeriodicalIF":1.9,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142920835","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":"Non-fatal drug overdose surveillance using hospital discharge data: a comparison between the Drug Overdose Surveillance and Epidemiology (DOSE) system and the Healthcare Cost and Utilisation Project, 18 states, 2018-2020.","authors":"Zerleen S Quader, Joohyun Park, Snehaa D Krishnan, Erin Stokes, Cassandra M Pickens","doi":"10.1136/ip-2024-045446","DOIUrl":"10.1136/ip-2024-045446","url":null,"abstract":"<p><strong>Background: </strong>The Centers for Disease Control and Prevention's Drug Overdose Surveillance and Epidemiology (DOSE) system captures non-fatal overdose data from health departments' emergency department (ED) and inpatient hospitalisation discharge data; however, these data have not been compared with other established state-level surveillance systems, which may lag by several years depending on the state. This analysis compared non-fatal overdose rates from DOSE discharge data with rates from the Healthcare Cost and Utilization Project (HCUP) in order to compare DOSE data against an established dataset.</p><p><strong>Methods: </strong>DOSE discharge data case definitions (ie, International Classification of Diseases, 10th revision, Clinical Modification codes) for non-fatal unintentional/undetermined intent all drug, all opioid-involved, heroin-involved and stimulant-involved overdoses were applied to HCUP's 2018-2020 State Emergency Department Databases (SEDD) and State Inpatient Databases (SID). Quarterly crude rates (per 100 000 population) and rate differences of four overdose categories were calculated for ED and inpatient data sources across 18 states included in DOSE and HCUP datasets for at least 2 consecutive years. Joinpoint regression models examined trends from 2018 through 2020, estimating average quarterly percentage change (AQPC) and 95% CIs.</p><p><strong>Results: </strong>Quarterly crude rate differences between DOSE ED and SEDD data (across 12 states) and DOSE inpatient and SID data (across 16 states) indicated that 82% and 93% of rates, respectively, were within ±0.5 non-fatal overdoses per 100 000 population of each other. AQPC across states and drug categories were similar between the two data sources for both ED and inpatient data.</p><p><strong>Discussion: </strong>Non-fatal overdose surveillance through DOSE discharge data may be a valid and timely source for estimating non-fatal overdoses at the state level.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"335-340"},"PeriodicalIF":1.9,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12915755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142894259","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":"State assault weapons bans are associated with fewer fatalities: analysis of US county mass shooting incidents (2014-2022).","authors":"Charles J DiMaggio, Michael Klein, Claire Young, Marko Bukur, Cherisse Berry, Manish Tandon, Spiros Frangos","doi":"10.1136/ip-2024-045263","DOIUrl":"10.1136/ip-2024-045263","url":null,"abstract":"<p><strong>Background: </strong>The need for evidence to inform interventions to prevent mass shootings (MS) in the USA has never been greater.</p><p><strong>Methods: </strong>Data were abstracted from the Gun Violence Archive, an independent online database of US gun violence incidents. Descriptive analyses consisted of individual-level epidemiology of victims, suspected shooters and weapons involved, trends and county-level choropleths of population-level incident and fatality rates. Counties with and without state-level assault weapons bans (AWB) were compared, and we conducted a multivariable negative binomial model controlling for county-level social fragmentation, median age and number of gun-related homicides for the association of state-level AWB with aggregate county MS fatalities.</p><p><strong>Results: </strong>73.3% (95% CI 72.1 to 74.5) of victims and 97.2% (95% CI 96.3 to 98.3) of shooters were males. When compared with incidents involving weapons labelled 'handguns', those involving a weapon labelled AR-15 or AK-47 were six times more likely to be associated with case-fatality rates greater than the median (OR=6.1, 95% CI 2.3 to 15.8, p<0.00001). MS incidents were significantly more likely to occur on weekends and during summer months. US counties in states without AWB had consistently higher MS rates throughout the study period (p<0.0001), and the slope for increase over time was significantly lower in counties with AWB (beta=-0.11, p=0.01). In a multivariable negative binomial model, counties in states with AWB were associated with a 41% lower incidence of MS fatalities (OR=0.58, 95% CI 0.37 to 0.97, p=0.02).</p><p><strong>Conclusions: </strong>Counties located in states with AWB were associated with fewer MS fatalities between 2014 and 2022.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"317-322"},"PeriodicalIF":1.9,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142046598","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":"Evaluation of a distribution, education and awareness intervention for child passenger safety in Lebanon: a low-income and middle-income country setting.","authors":"Michelle Price, Fadia M Shebbo, Salman Mroueh, Rebeccah L Brown, Samar Al-Hajj","doi":"10.1136/ip-2023-045224","DOIUrl":"10.1136/ip-2023-045224","url":null,"abstract":"<p><strong>Background: </strong>The Eastern Mediterranean Region suffers disproportionately from paediatric traffic-related injuries. Despite governmental laws, Lebanon-an eastern Mediterranean country-has low child restraint (CR) use prevalence. This study examined the impact of using car seat distribution, and child passenger safety education and awareness intervention to improve child passenger safety knowledge and practices among caregivers.</p><p><strong>Methods: </strong>This study recruited Lebanese caregivers with one child or more, using a 4-wheel motor vehicle, and not using a car seat. The intervention comprised an educational session followed by a car seat or booster seat distribution and installation check by a certified child passenger safety technician. A baseline assessment questionnaire was used to identify reasons for prior CR non-use. A child passenger safety knowledge test was administered before, immediately after and 3 months postintervention to assess child passenger safety knowledge retention and compare it to the baseline using the conditional logit model for pre-post interventions.</p><p><strong>Results: </strong>Fifty-eight participants underwent the intervention. Affordability was identified as the primary reason for car seat non-use. Three months after the intervention, compliance with CRs use was reported at 100%, and correct responses on the knowledge test significantly increased (p<0.05) for all items except for harness tightness (p=0.673).</p><p><strong>Conclusion: </strong>Our child passenger safety intervention resulted in improved knowledge and increased self-reported use of CRs in a caregivers' cohort in Lebanon. Further efforts should address sociocultural and economic barriers and the lack of local child passenger safety technicians to mitigate the region's paediatric road traffic injury and death toll.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":"221-227"},"PeriodicalIF":1.9,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12433567/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142464370","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}