{"title":"Fine particulate matter exposure and risk of scooter collisions among older adults.","authors":"Hsuan-Min Kao, Yi-Ching Lo, Chung-Yi Li, I-Lin Hsu, Yu-Tai Lo, Hon-Ping Ma, Ping-Ling Chen, Pei-Yi Wong, Chih-Da Wu, Muhammad Atoillah Isfandiari, Yun-Kai Wen, Ya-Hui Chang","doi":"10.1186/s40621-025-00620-x","DOIUrl":"10.1186/s40621-025-00620-x","url":null,"abstract":"<p><strong>Background: </strong>With the global rise in the aging population, ensuring safe mobility for older adults is an urgent public health concern. In Taiwan, scooters are widely used by older individuals, yet the impact of air pollution, particularly fine particulate matter (PM<sub>2.5</sub>), on their traffic safety remains poorly understood. This study investigated the short-term association between PM<sub>2.5</sub> exposure and the risk of scooter collisions among older adults.</p><p><strong>Methods: </strong>We conducted a nationwide time-series analysis using Taiwan's Police-Reported Traffic Accident Registry and air quality monitoring data from 2023. The study included 58,181 scooter riders aged ≥ 65 years involved in collisions. Daily PM<sub>2.5</sub> concentrations were derived from over 70 monitoring stations. We applied distributed lag non-linear models (DLNM) with a negative binomial distribution to estimate the association between PM<sub>2.5</sub> exposure and daily scooter collision counts, adjusting for meteorological variables, co-pollutants (NO₂ and SO₂), and temporal variables. The models accounted for both same-day exposure and cumulative effect of exposure across lag periods of up to 14 days.</p><p><strong>Results: </strong>We found that 159 older adults were involved in scooter collisions per day on average, with a mean PM<sub>2.5</sub> level of 13.4 µg/m³. A non-linear exposure-response relationship was observed, with rate ratios increased at PM<sub>2.5</sub> levels ≥ 20 µg/m³, particularly over longer lag periods. The highest risk estimate was observed for 15-day cumulative exposure at 31 µg/m³ (rate ratio = 2.357; 95% CI: 1.419-3.914). In contrast, same-day exposure showed a limited association with collision risk.</p><p><strong>Conclusions: </strong>These findings suggest that prolonged exposure to elevated PM<sub>2.5</sub> may increase the risk of scooter collisions among older adults, highlighting the need to integrate air quality considerations into traffic safety strategies for aging populations.</p>","PeriodicalId":37379,"journal":{"name":"Injury Epidemiology","volume":"12 1","pages":"65"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208000","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}
Ryann E Yeo, Michael Branion-Calles, Linda Rothman, Meghan Winters, M Anne Harris
{"title":"Measuring inequities in transportation injuries in a Canadian commuter cohort: impacts of individual versus neighbourhood income.","authors":"Ryann E Yeo, Michael Branion-Calles, Linda Rothman, Meghan Winters, M Anne Harris","doi":"10.1186/s40621-025-00615-8","DOIUrl":"10.1186/s40621-025-00615-8","url":null,"abstract":"<p><strong>Background: </strong>Low income has been associated with a higher risk of transportation-related injury however, previous studies have largely relied on area-level income, due to the limited availability of individual-level data.</p><p><strong>Methods: </strong>To examine the independent and combined roles of individual- and area-level income, this prospective cohort study followed ~ 6,557,000 Canadians from the Canadian Census Health and Environment Cohorts (2006, 2011, 2016), for pedestrian, bicycling, or motor vehicle hospitalizations. Income was measured (1) individually by the low-income cut-off and (2) at the area level using neighbourhood income quintiles. Poisson regression estimated the incidence rate ratios (IRR) and 95% confidence intervals (CI) for transportation-related hospitalizations.</p><p><strong>Results: </strong>After adjusting for covariates, low-income individuals had higher risks of hospitalizations for pedestrian (IRR = 1.93, 95%CI (1.62, 2.29)), bicycling (IRR = 1.16, 95%CI (1.01, 1.34)) and motor vehicle injuries (IRR = 1.18, 95%CI (1.06, 1.31)). When both individual and neighbourhood income were assessed together we estimated, that those who lived in the lowest income neighbourhoods (compared to the highest) had a higher risk of pedestrian (IRR = 1.80, 95%CI (1.51, 2.14)) and motor vehicle injury (IRR = 1.33, 95%CI (1.22, 1.42)) but lower risk of bicycling injury (IRR = 0.73, 95%CI (0.65, 0.81)).</p><p><strong>Conclusions: </strong>The interaction between individual and neighbourhood income revealed an increased injury risk for low-income individuals in all neighbourhoods, with large inequities in pedestrian and motor vehicle injury risk persisting even in the highest-income neighbourhoods. These findings demonstrate individual income independently contributes to transportation injury risk, underscoring the importance of considering both individual- and area-level income.</p>","PeriodicalId":37379,"journal":{"name":"Injury Epidemiology","volume":"12 1","pages":"64"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208006","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}
Corina Espelien, Ruyun Jin, Michelle L Oyen, Mary Gallaher, Susan Mostofizadeh, Rachel VanRyzin, Thomas Hartka, Jason Forman, Pavel Chernyavskiy
{"title":"Injury patterns and seat belt effectiveness in pregnant motor vehicle occupants: evidence from US crash data, 1998-2021.","authors":"Corina Espelien, Ruyun Jin, Michelle L Oyen, Mary Gallaher, Susan Mostofizadeh, Rachel VanRyzin, Thomas Hartka, Jason Forman, Pavel Chernyavskiy","doi":"10.1186/s40621-025-00607-8","DOIUrl":"10.1186/s40621-025-00607-8","url":null,"abstract":"<p><p>Motor vehicle collisions (MVCs) are the most common etiology of trauma and non-obstetric fetal death among pregnant individuals. Seat belts prevent MVC-related injuries; however, some pregnant individuals do not wear a seat belt due to discomfort and concerns about belt-related safety for their fetus. Highlighted by stagnating seat belt use rates over time and potential for incorrect usage, seat belt effectiveness among pregnant occupants requires further study. Here, crash data 1998-2021 for pregnant occupants from National Automotive Sampling System - Crashworthiness Data System (NASS-CDS) and the Crash Investigation Sampling System (CISS) were analyzed to: 1) evaluate the effectiveness of seat belts on preventing whole-body injury outcomes; 2) evaluate the effectiveness of seat belts on preventing body region-specific injuries; and 3) investigate vehicle- and occupant-specific factors that modify the risk of injuries. Adjusted for occupant and vehicle factors, seat belts prevented whole-body injuries as well as injuries to critical body regions such as the brain, thorax, and pelvis. Although three-point seat belts are effective in improving injury outcomes for pregnant occupants overall, there is room to improve their effectiveness for specific body regions (e.g., abdomen, uterus/placenta). Importantly, no elevated injury risk to pregnant occupants from wearing a seat belt during an MVC was found.</p>","PeriodicalId":37379,"journal":{"name":"Injury Epidemiology","volume":"12 1","pages":"66"},"PeriodicalIF":2.2,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145207973","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}
Ryan S Garay, Hannah L Hays, Jaahnavi Badeti, Natalie I Rine, Christopher E Gaw, Leah K Middelberg, Gary A Smith
{"title":"Investigation of the toxic dose of ingested delta-8 tetrahydrocannabinol among young children.","authors":"Ryan S Garay, Hannah L Hays, Jaahnavi Badeti, Natalie I Rine, Christopher E Gaw, Leah K Middelberg, Gary A Smith","doi":"10.1186/s40621-025-00617-6","DOIUrl":"10.1186/s40621-025-00617-6","url":null,"abstract":"<p><strong>Background: </strong>Ingestion of delta-8 tetrahydrocannabinol (Δ8THC) by young children is recognized as a public health concern and is commonly encountered by healthcare providers; however, a better understanding of Δ8THC toxicity in this age group is needed. The objective of this study is to investigate the relationship between body weight-based doses of ingested Δ8THC and clinical outcomes among children < 6 years old.</p><p><strong>Methods: </strong>Using data from the National Poison Data System, we analyzed single-substance Δ8THC ingestions reported to United States poison centers to investigate the dose-response relationship between Δ8THC dose and clinical outcomes, including severe and prolonged toxicity, followed by receiver operator characteristic (ROC) curve analyses.</p><p><strong>Results: </strong>There were 232 cases (median age: 3.0 years, 51.7% female) and the median ingested Δ8THC dose was 6.7 mg/kg. CNS depression (75.5%) was the most common related clinical effect. There was a dose-response relationship between dose and CNS depression severity. Children who ingested a dose in the top quartile (> 17.0 mg/kg) had 3.43 times (95% CI: 1.44-8.14) greater odds of experiencing severe toxicity and 5.02 times (95% CI: 2.05-12.29) greater odds of prolonged toxicity than those who ingested a dose in the lowest quartile (< 2.4 mg/kg), with prolonged toxicity demonstrating a similar dose-response relationship. During ROC curve analyses, a dose cutoff of 2.3 mg/kg yielded a sensitivity of 91% with a specificity of 31% for identifying severe toxicity (area under the curve [AUC] = 0.64) and a sensitivity of 91% with a 37% specificity for identifying prolonged toxicity (AUC = 0.62). A dose cutoff of 1.7 mg/kg yielded a sensitivity of 98% with a specificity of 28% for identifying severe toxicity and a sensitivity of 93% with a 30% specificity for identifying prolonged toxicity.</p><p><strong>Conclusions: </strong>Despite limitations of NPDS data and inconsistent quality control and labeling of Δ8THC products, the findings of our study are similar to those previously described for delta-9 tetrahydrocannabinol ingestions among young children. We found that a 1.7 mg/kg dose cutoff value for Δ8THC had a high sensitivity for identifying severe or prolonged toxicity associated with Δ8THC ingestions among children < 6 years old; however, it was associated with a high number of false positives.</p>","PeriodicalId":37379,"journal":{"name":"Injury Epidemiology","volume":"12 1","pages":"63"},"PeriodicalIF":2.2,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486856/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145200859","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":"Can place of death at home be used as a proxy for suicide at home? A record linkage study.","authors":"Joh-Jong Huang, Ying-Chen Chi, Chia-Tse Nee, Ying Ching Lee, Ying-Yeh Chen, Tsung-Hsueh Lu","doi":"10.1186/s40621-025-00609-6","DOIUrl":"10.1186/s40621-025-00609-6","url":null,"abstract":"<p><strong>Background: </strong>Accurate information on where suicides occur; especially in domestic settings, is essential for designing prevention programs. In practice, place of death from death certificates is used as a proxy, though its accuracy is unclear. This study assessed the validity of using death certificate data to determine place of suicide, using linked records from the Suicide Surveillance System in Taiwan.</p><p><strong>Methods: </strong>We linked mortality data with the Suicide Surveillance System in Kaohsiung City, Taiwan, from 2021 to 2023. Using the place of suicide recorded in the surveillance system as the reference standard, we estimated the proportion of suicide deaths in each place-of-death category (home, hospital, and other) that actually occurred at home.</p><p><strong>Results: </strong>Among 1465 suicide deaths, 965 were successfully linked to the Suicide Surveillance System. The positive predictive value for death at home was high: 99.3% for hanging, 97.8% for charcoal burning, and 100.0% for other poisoning. Many suicides recorded as hospital deaths actually occurred at home, including 79.3% of hanging, 66.7% of charcoal burning, 85.5% of other poisoning, and 71.6% of jumping cases. After adjustment, the estimated proportion of suicides occurring at home was 80.4% for hanging, 68.2% for charcoal burning, 77.9% for other poisoning, 75.0% for jumping from a height, and 60.2% for other methods.</p><p><strong>Conclusions: </strong>Using death certificates alone underestimates suicides at home. Improved data integration is needed to support more accurate surveillance and better-targeted suicide prevention efforts.</p>","PeriodicalId":37379,"journal":{"name":"Injury Epidemiology","volume":"12 1","pages":"60"},"PeriodicalIF":2.2,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487454/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145200863","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}
Ignacio Javier Yannone, Marcio Alazraqui, Jordan L Rodriguez Hernandez, Olga Lucia Sarmiento Dueñas, Daniel A Rodriguez, Carolina Pérez Ferrer, Luis A Guzman, Mónica Serena Perner, Andrés Trotta, Ana V Diez Roux, D Alex Quistberg
{"title":"Built and social environment characteristics associated with motorcyclist mortality in Latin American cities from the SALURBAL study.","authors":"Ignacio Javier Yannone, Marcio Alazraqui, Jordan L Rodriguez Hernandez, Olga Lucia Sarmiento Dueñas, Daniel A Rodriguez, Carolina Pérez Ferrer, Luis A Guzman, Mónica Serena Perner, Andrés Trotta, Ana V Diez Roux, D Alex Quistberg","doi":"10.1186/s40621-025-00611-y","DOIUrl":"10.1186/s40621-025-00611-y","url":null,"abstract":"<p><strong>Background: </strong>Motorcyclists are the fastest growing road user group in Latin America, and account for 25% of all road traffic collision deaths. This study examines the relationship between motorcyclist mortality and the built and social urban environment in Latin American cities.</p><p><strong>Methods: </strong>We studied 337 cities with ≥ 100,000 inhabitants in seven Latin American countries. Mortality data from 2010 to 2019 were obtained from civil registries and linked to cities defined by the SALURBAL project. Motorcyclist deaths were identified using ICD-10 codes, with redistribution of ill-defined codes. City-level measures included population, urban development, street design, public transportation, and social environment. Associations were estimated using multilevel negative binomial models. A subanalysis of 300 cities with motorcycle registration data was conducted.</p><p><strong>Results: </strong>The crude city-level motorcyclist mortality rate was 4.16 per 100,000 population. Age-standardized rates varied from 0.51 to 22.60. Males had higher mortality rates, with the highest rates in 20-24-year-olds. After adjustment, cities with higher population density (RR 0.92 [95% CI 0.85-1.00]), intersection density (RR 0.91 [95% CI 0.83-0.99]), and social environment index (RR 0.88 [95% CI 0.83-0.93]) had lower motorcyclist mortality. More curvilinear street layout (RR 0.97 [95% CI 0.90,1.03]) and the presence of public transportation (RR 0.94 [95% CI 0.87,1.03]) showed a non-significant association with mortality. Higher urban development isolation (RR 1.07 [95% CI 1.00-1.14]) was associated with higher mortality, but the association weakened after adjustment. In cities with motorcycle registration data, higher rates of registered motorcycles were associated with higher motorcyclist mortality.</p><p><strong>Conclusion: </strong>Motorcyclist road traffic deaths in Latin American cities are associated with specific city-level characteristics. In fully adjusted models, higher intersection density and a stronger social environment index were linked to lower mortality rates. City-level interventions that improve street connectivity, promote safer and more cohesive urban environments, and address social inequities in infrastructure and services may help reduce motorcycle deaths and enhance road safety in the region.</p>","PeriodicalId":37379,"journal":{"name":"Injury Epidemiology","volume":"12 1","pages":"61"},"PeriodicalIF":2.2,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12487543/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145200609","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}
Oliver Zielinski, Rune Bech, Martin Gehrchen, Benny Dahl
{"title":"Traumatic spinal injury epidemiology in a Danish population: a retrospective review of prospectively collected data.","authors":"Oliver Zielinski, Rune Bech, Martin Gehrchen, Benny Dahl","doi":"10.1186/s40621-025-00618-5","DOIUrl":"10.1186/s40621-025-00618-5","url":null,"abstract":"<p><strong>Background: </strong>Epidemiological data and demographics of spinal injuries are varied; previous studies mainly focus on specific injuries or population subgroups. This study assesses the overall incidence and demographic distribution of traumatic spinal injuries in the Capital Region of Denmark to identify current trends.</p><p><strong>Methods: </strong>We conducted a retrospective, single-center cohort study using prospectively collected electronic health record data. All patients with traumatic spinal injuries referred to Copenhagen University Hospital, Rigshospitalet, were prospectively registered during a two-year period. Gender, age, trauma mechanism, neurological injury, associated injuries and choice of treatment were collected from the patient's electronic health record at time of registration.</p><p><strong>Results: </strong>A total of 950 patients were registered, sustaining 1,553 injuries of the spine. Almost 60% of injuries were sustained due to high-energy trauma, the majority of which were incurred by patients < 65 years of age. The age-standardized incidence rate of spinal cord injury was 1.2 per 100,000 persons per year. Surgical intervention was performed on 28.5% of injuries, with significantly lower rates among older adults (p-value < 0.001). Low-energy falls accounted for approximately one-third of injuries, predominantly affecting patients aged 65 and older, representing a modest increase compared to earlier reports.</p><p><strong>Conclusion: </strong>High-energy trauma remains a leading cause of spinal injuries in individuals under 65. Spinal injuries due to low-energy falls are becoming increasingly prevalent among the elderly, though surgical management of these injuries remains below the rates associated with younger patient groups. The findings underscore evolving demographic trends and may inform future research into treatment strategies and outcomes, particularly in older populations.</p>","PeriodicalId":37379,"journal":{"name":"Injury Epidemiology","volume":"12 1","pages":"62"},"PeriodicalIF":2.2,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12486817/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145201018","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}
Katherine MacWilliams, John Marmion, Dee Blascyk, Sharon Urbina, Rachel Moyers, Gala True
{"title":"Opportunities and barriers to engaging caregivers in firearm suicide prevention: findings from focus groups with caregivers of veterans.","authors":"Katherine MacWilliams, John Marmion, Dee Blascyk, Sharon Urbina, Rachel Moyers, Gala True","doi":"10.1186/s40621-025-00612-x","DOIUrl":"10.1186/s40621-025-00612-x","url":null,"abstract":"<p><strong>Background: </strong>Firearms are involved in more than 70% of U.S. Veteran suicides. Caregivers, defined as family members or concerned significant others, can play an important role in firearm suicide prevention through initiating conversations about secure firearm storage with Veterans. Our objective was to explore caregivers' experiences with lethal means safety (LMS) conversations and identify perceived barriers to caregivers discussing LMS with healthcare providers and with Veterans.</p><p><strong>Methods: </strong>We conducted focus groups with 32 caregivers with experience caring for a Veteran at risk for suicide. Qualitative data were analyzed using thematic analysis.</p><p><strong>Results: </strong>We identified three primary themes: 1) caregivers recognize and endorse the importance of having conversations about secure firearm storage to prevent suicide, 2) despite this, caregivers described barriers to discussing lethal means safety both with healthcare providers and with Veterans, and 3) caregivers suggested strategies to improve their involvement in LMS planning in clinical settings and to support their ability to initiate LMS discussions with Veterans.</p><p><strong>Conclusions: </strong>Providing additional training for healthcare providers and ensuring availability of caregiver-focused LMS resources could be key to increasing caregiver involvement in LMS planning and improving caregivers' role in reducing access to firearms for Veterans at risk of dying by suicide.</p>","PeriodicalId":37379,"journal":{"name":"Injury Epidemiology","volume":"12 1","pages":"59"},"PeriodicalIF":2.2,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179053","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}
Sarah Gard Lazarus, Sofia Chaudhary, Timothy P Moran, Terri Miller, Kiesha Fraser Doh, Carlos A Delgado, Kate Daniels, Chris A Rees
{"title":"Cradle to grave: how social vulnerability correlates with leading causes of injury-related mortality among children and youth.","authors":"Sarah Gard Lazarus, Sofia Chaudhary, Timothy P Moran, Terri Miller, Kiesha Fraser Doh, Carlos A Delgado, Kate Daniels, Chris A Rees","doi":"10.1186/s40621-025-00619-4","DOIUrl":"10.1186/s40621-025-00619-4","url":null,"abstract":"<p><strong>Background: </strong>A higher degree of social vulnerability is associated with greater overall injury risk. However, the overlap of social vulnerability with various injury modalities for mortality has been less explored.</p><p><strong>Methods: </strong>We conducted a cross-sectional study utilizing Georgia death certificates from 2011 to 2021 in youth aged 0-24 years. Mortality rates from firearms, motor vehicle collisions (MVCs), sudden unexpected infant death (SUID), poisonings, and drownings, with census-level social vulnerability index (SVI) categories were evaluated. A negative binomial regression model was created to identify relationships between injury-related cause of death and SVI.</p><p><strong>Results: </strong>There were 26,362 total deaths from 2011 to 2021 among children and youth. Of these, 10,643 (40%) were due to the top five injury mechanisms causing fatalities in ages 0-24 years in Georgia over the study period. Children and youth with the least advantage in the socioeconomic and minority and language SVIs had higher rates of injury-related mortality from firearm-related deaths, MVCs, and SUID. However, poisonings were most common in the most advantaged quartiles. Differences in number of firearm-related deaths per population were largest in the minority and language status SVI theme.</p><p><strong>Conclusions: </strong>Children and youth with greater social vulnerability had higher rates of injury-related mortality, except for those due to poisonings. Tailored resources for injury prevention should be focused on least advantaged communities, while poisoning prevention may be best targeted to children and youth in communities with higher SVI. In addition, the impact of systemic investments in healthcare, education, and neighborhood safety on injury-related mortality across SVIs warrants additional investigation.</p>","PeriodicalId":37379,"journal":{"name":"Injury Epidemiology","volume":"12 Suppl 1","pages":"58"},"PeriodicalIF":2.2,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12455773/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132083","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}
Julia P Schleimer, Ayah Mustafa, Rachel Ross, Andrew Bowen, Amy Gallagher, Deirdre Bowen, Ali Rowhani-Rahbar
{"title":"Correction: Misclassification of firearm-related violent crime in criminal legal system records: challenges and opportunities.","authors":"Julia P Schleimer, Ayah Mustafa, Rachel Ross, Andrew Bowen, Amy Gallagher, Deirdre Bowen, Ali Rowhani-Rahbar","doi":"10.1186/s40621-025-00605-w","DOIUrl":"10.1186/s40621-025-00605-w","url":null,"abstract":"","PeriodicalId":37379,"journal":{"name":"Injury Epidemiology","volume":"12 1","pages":"57"},"PeriodicalIF":2.2,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12447614/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145087605","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}