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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
Factors that may influence uptake of private party background checks for firearm transfers: a mixed-method descriptive study. 可能影响对枪支转让进行私人背景调查的因素:一项混合方法描述性研究。
IF 2.5 3区 医学
Injury Prevention Pub Date : 2025-03-12 DOI: 10.1136/ip-2024-045417
Rose M C Kagawa, Alexander D McCourt, LeAnn Gajunia, Shannon Hearney, Sydney Sohl, Daniel W Webster
{"title":"Factors that may influence uptake of private party background checks for firearm transfers: a mixed-method descriptive study.","authors":"Rose M C Kagawa, Alexander D McCourt, LeAnn Gajunia, Shannon Hearney, Sydney Sohl, Daniel W Webster","doi":"10.1136/ip-2024-045417","DOIUrl":"https://doi.org/10.1136/ip-2024-045417","url":null,"abstract":"<p><strong>Objective: </strong>To understand how the implementation and enforcement of universal background check (UBC) laws may influence the use of background checks during private party firearm transfers in the USA.</p><p><strong>Methods: </strong>This is a mixed-method, descriptive study. Data included the content of relevant state statutes and sentencing information from the 19 states with UBC laws in 2019, prosecutions and convictions for private party firearm transfer violations from 5 states and New York City, firearm transfer education and promotion efforts, and key informant interviews.</p><p><strong>Results: </strong>Information on conducting safe and legal private-party firearm transfers was widely available, but persuasive language encouraging background checks was rare. The median maximum prison time for violating UBC laws was 12 months and the median of the maximum fines was US$5000. However, the chances of being prosecuted in our sample states were extremely low. Finally, public support for UBC policies is high, but among some firearm owners, the perceived utility of such laws is very low.</p><p><strong>Conclusions: </strong>Available data suggest that enforcement of UBC requirements for private party transfers is rare. Additionally, advocacy efforts to encourage private gun sellers to make sales contingent on buyers passing background checks are few. People may choose to avoid the additional burden of undergoing a background check when they feel neither social nor legal pressure to comply. The results of this research can be used to identify potential avenues for enhancing enforcement of and compliance with private party firearm background check laws.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143624440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Barriers and facilitators in the implementation of a child restraint system discharge programme in Singapore: a qualitative study. 新加坡实施儿童约束系统出院方案的障碍和促进因素:一项定性研究。
IF 2.5 3区 医学
Injury Prevention Pub Date : 2025-03-07 DOI: 10.1136/ip-2024-045507
Alicia May Lim, Yang Yann Foo, Ashley Xue Ting Ko, Shu Xin Oh, Khin Chaw Yu Aung, Shelly-Anne Sherwood, Nirmal Visruthan Kavalloor, Ronald Ming Ren Tan, Jasmine Feng, Arif Tyebally, Shu-Ling Chong
{"title":"Barriers and facilitators in the implementation of a child restraint system discharge programme in Singapore: a qualitative study.","authors":"Alicia May Lim, Yang Yann Foo, Ashley Xue Ting Ko, Shu Xin Oh, Khin Chaw Yu Aung, Shelly-Anne Sherwood, Nirmal Visruthan Kavalloor, Ronald Ming Ren Tan, Jasmine Feng, Arif Tyebally, Shu-Ling Chong","doi":"10.1136/ip-2024-045507","DOIUrl":"https://doi.org/10.1136/ip-2024-045507","url":null,"abstract":"<p><strong>Objective: </strong>Child restraint systems (CRS) are essential in preventing injury during road traffic collisions, yet neonatal CRS discharge programmes are lacking worldwide. Trained healthcare providers have reported a lack of confidence in providing CRS advice during discharge. We aimed to study the barriers and facilitators in implementing a formal neonatal CRS discharge programme through the lens of healthcare providers.</p><p><strong>Methods: </strong>We interviewed 10 allied health and nursing staff who received CRS training to find out the barriers and facilitators they perceived and experienced when engaging parents of newborns with CRS education prior to hospital discharge. Interviews were audio-recorded and transcribed verbatim. Inductive analysis sensitised by Billett's workplace-based learning theory was conducted using Braun and Clarke's thematic analysis.</p><p><strong>Results: </strong>We constructed three themes. At the personal agency level, how participants viewed themselves and directed their cognition to the task affected their involvement in CRS education. At the social agency level, institutional and ward safety culture including the presence of ward CRS champions were powerful motivators for CRS education. Parental receptivity to CRS education was also important. Lastly, at the situational level, barriers to implementing a CRS discharge programme included factors such as competing duties at neonatal discharge.</p><p><strong>Conclusion: </strong>Using a workplace learning theory, our study highlights that healthcare providers' commitment and delivery of CRS education at neonatal discharge is a complex interplay of personal agency, social agency and situational factors. Future efforts must address these factors to optimise the effectiveness of a neonatal CRS discharge programme.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the association between a periodic safe-ride program and urban alcohol-impaired driving crashes in Quebec, Canada: a cross-sectional time-series analysis. 探索定期安全乘坐计划与加拿大魁北克省城市酒驾事故之间的关系:横断面时间序列分析。
IF 2.5 3区 医学
Injury Prevention Pub Date : 2025-02-26 DOI: 10.1136/ip-2024-045532
Asma Mamri, José Ignacio Nazif-Munoz, Thomas Gordon Brown, Marie Claude Ouimet
{"title":"Exploring the association between a periodic safe-ride program and urban alcohol-impaired driving crashes in Quebec, Canada: a cross-sectional time-series analysis.","authors":"Asma Mamri, José Ignacio Nazif-Munoz, Thomas Gordon Brown, Marie Claude Ouimet","doi":"10.1136/ip-2024-045532","DOIUrl":"https://doi.org/10.1136/ip-2024-045532","url":null,"abstract":"<p><strong>Introduction: </strong>In Canada, alcohol-impaired driving is a persistent public health concern in need of effective community-based prevention strategies. This study examined the association between the number of rides offered by a safe-ride program in the province of Quebec every December and alcohol-related injury crashes during the 2000-2019 period.</p><p><strong>Method: </strong>Safe-ride programs in four cities were examined (Montreal, Quebec, Sherbrooke and Trois-Rivières) using an ecological approach. The data set was structured as a balanced cross-sectional time series. Random-effects negative binomial regression modelled the relationship between the number of rides provided by the safe-ride program and night-time alcohol-related crashes involving serious injuries and fatalities, with individual city population as an offset variable.</p><p><strong>Results: </strong>The median number of night-time alcohol-related crashes for the months of December for the 2000-2019 period was 3.0 (IQR=1.5-4.5). The median number of rides offered was 16 894 (IQR=15 586-18 391). The association between the number of rides provided by the safe-ride program and night-time alcohol-related crashes (IRR=1.0002; 95% CI 0.9999, 1.0005) was not significant.</p><p><strong>Conclusion: </strong>The role of the number of rides provided by the safe-ride program in reducing night-time alcohol-related crashes was inconclusive. Specific program features may influence the findings. Future research is needed to understand the specific characteristics of safe-ride programs that could influence their putative benefits.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143515606","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
Explosive Ordnance Risk Education boosts interpersonal discussion to increase safe behavioural intentions in Afghanistan. 爆炸物风险教育促进了人际讨论,以增加阿富汗的安全行为意愿。
IF 2.5 3区 医学
Injury Prevention Pub Date : 2025-02-23 DOI: 10.1136/ip-2024-045316
Benedek Paskuj, Mahdi Zaki, Ágnes Zsila, Nicola Bailey, Gábor Orosz
{"title":"Explosive Ordnance Risk Education boosts interpersonal discussion to increase safe behavioural intentions in Afghanistan.","authors":"Benedek Paskuj, Mahdi Zaki, Ágnes Zsila, Nicola Bailey, Gábor Orosz","doi":"10.1136/ip-2024-045316","DOIUrl":"https://doi.org/10.1136/ip-2024-045316","url":null,"abstract":"<p><strong>Background: </strong>Explosive remnants of war claim more than three lives every day in Afghanistan. This study evaluates the impact of BBC Media Action Afghanistan's Explosive Ordnance Risk Education project in raising public awareness and promoting safe behaviours regarding explosive ordnances in Afghanistan. The project deployed a multimedia approach to reach a mass audience, including a radio discussion show, public service announcements on TV and radio, social media content and playing content on intercity buses.</p><p><strong>Methods: </strong>A panel study with 400 participants from high-risk provinces assessed knowledge, discussion and behavioural intentions related to explosives before and after a mass media intervention. In the broadcast period, the research unobtrusively monitored the dosage of exposure to the media content.</p><p><strong>Results: </strong>Findings from the panel study indicated a significant increase in discussions about explosive risks and safer behavioural interventions (e.g. avoiding and reporting explosive ordnances) post intervention.</p><p><strong>Conclusion: </strong>The results constitute one of the first pieces of systematically collected evidence on media and communication's potential in explosive risk education by facilitating interpersonal discussion and in turn change of behavioural intentions in areas contaminated by explosive ordnances and remnants of war.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143482897","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
Predictors of ATF inspections of FFLs and subsequent violations. 烟酒枪支弹药管理局(ATF)对联邦枪支弹药管理局(FFL)的检查及其后违规行为的预测因素。
IF 2.5 3区 医学
Injury Prevention Pub Date : 2025-02-06 DOI: 10.1136/ip-2024-045360
Paul Reeping, Grace Killian, Ariana N Gobaud, Christina Mehranbod, Sonali Rajan
{"title":"Predictors of ATF inspections of FFLs and subsequent violations.","authors":"Paul Reeping, Grace Killian, Ariana N Gobaud, Christina Mehranbod, Sonali Rajan","doi":"10.1136/ip-2024-045360","DOIUrl":"https://doi.org/10.1136/ip-2024-045360","url":null,"abstract":"<p><strong>Background: </strong>The Bureau of Alcohol, Tobacco, Firearms and Explosives (ATF) conducts inspections of Federal Firearms Licensees (FFLs) to ensure compliance with federal laws in an effort to keep the public safe from firearm violence. However, the criteria for which FFLs are inspected lacks transparency, potentially signalling inefficiencies or biases.</p><p><strong>Methods: </strong>We extracted data on FFL inspections and violations (2016-2017) requiring remedial action from the <i>Gun Store Transparency Project</i> database and the ATF's FFLs listings. Using a generalised linear mixed model with a random effect for states and robust SE, we estimated the census tract and state level predictors of 1) the likelihood of the ATF inspecting an FFL and 2) among those inspected, the likelihood of a violation.</p><p><strong>Results: </strong>Of the 93,420 FFLs, 22 921 were inspected and 2392 had violations requiring remedial action. Increased likelihood of inspection was statistically significantly associated with higher levels of poverty, lower median income, greater non-White population percentages, and older census tract median ages. The sole predictor of an FFL receiving a violation requiring remedial action was the state's firearm law permissiveness.</p><p><strong>Discussion: </strong>ATF inspections disproportionately targeted communities with higher poverty, lower median income, larger non-White populations, and older demographics. This indicates potential racial and socioeconomic biases, diverting attention from jurisdictions with more lenient firearm laws where violations were more likely to occur.</p><p><strong>Conclusion: </strong>The ATF needs to reassess the influence of potential biases on its strategies for selecting FFLs for inspections and instead focus on risk-based assessments in order to promote public safety.</p>","PeriodicalId":13682,"journal":{"name":"Injury Prevention","volume":" ","pages":""},"PeriodicalIF":2.5,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364444","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}
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