International Journal of Injury Control and Safety Promotion最新文献_第2页

A profile of deaths in children at the Diepkloof Forensic Pathology Services mortuary in Gauteng, South Africa from 1 January 2019 to 31 December 2020. 2019年1月1日至2020年12月31日，南非豪登省Diepkloof法医病理学服务太平间的儿童死亡概况。

IF 2.7 4区医学

International Journal of Injury Control and Safety Promotion Pub Date : 2026-09-01 Epub Date: 2026-07-10 DOI: 10.1080/17457300.2026.2690595

M Ramela, I J Wainer, S Holland

{"title":"A profile of deaths in children at the Diepkloof Forensic Pathology Services mortuary in Gauteng, South Africa from 1 January 2019 to 31 December 2020.","authors":"M Ramela, I J Wainer, S Holland","doi":"10.1080/17457300.2026.2690595","DOIUrl":"10.1080/17457300.2026.2690595","url":null,"abstract":"This retrospective study was conducted to address the scarcity of knowledge regarding unnatural child deaths in South Africa. This was done by analysing cases admitted to the Diepkloof Forensic Pathology Services mortuary between 1 January 2019 and 31 December 2020. Data from FPS death registers and FPS case files were used to profile: (1) the incidence, causes and manner of death, circumstances of death, and ancillary investigations performed at autopsy; and (2) to assess the impact of the COVID-19 pandemic on trauma-related child deaths. Of 4 704 decedents, 535 (11.4%) were children, predominantly male (55.5%) and Black (94.8%). Accidental deaths were the most common manner of death (42.6%), primarily due to road traffic accidents, burns, and aspiration. Homicides accounted for 6.5% of all deaths in children, most frequently involving sharp force or gunshot injuries. Cranio-cerebral injuries predominated in trauma-related deaths. In 2020, compared to preceding years, with the implementation of the COVID-19 restrictions, there was a decrease in trauma-related child fatalities. These findings suggest that many child deaths are potentially preventable through government implementation of improved safety interventions and community education.","PeriodicalId":47014,"journal":{"name":"International Journal of Injury Control and Safety Promotion","volume":" ","pages":"471-479"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425323","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

A profile of firearm-related fatalities admitted to the Diepkloof Forensic Pathology Service Soweto medico-legal mortuary during the COVID-19 and post COVID-19 periods. Diepkloof法医病理学服务索韦托法医停尸房在2019冠状病毒病期间和后疫情期间收治的与枪支有关的死亡病例概况。

IF 2.7 4区医学

International Journal of Injury Control and Safety Promotion Pub Date : 2026-09-01 Epub Date: 2026-08-01 DOI: 10.1080/17457300.2026.2690597

I J Wainer, N Mphaphuli, S Holland

{"title":"A profile of firearm-related fatalities admitted to the Diepkloof Forensic Pathology Service Soweto medico-legal mortuary during the COVID-19 and post COVID-19 periods.","authors":"I J Wainer, N Mphaphuli, S Holland","doi":"10.1080/17457300.2026.2690597","DOIUrl":"10.1080/17457300.2026.2690597","url":null,"abstract":"This retrospective descriptive study examined firearm-related fatalities during (April-December 2020; n = 241) and after (April-December 2023; n = 299) COVID-19 lockdowns using 540 cases from the Diepkloof Forensic Pathology Service, Soweto, South Africa. Data was obtained from autopsy reports, forensic records, police statements, and death scene documentation. Firearm violence affected young adult Black males (22-43 years), with only minor demographic shifts post-pandemic. The overall burden and core patterns of violence remained stable, with criminal activity - primarily robbery and interpersonal violence - persisting as the leading contexts, and homicide the dominant manner of death. Post-COVID-19 findings demonstrated contextual shifts, including increased incidents in public and social environments, reflecting greater mobility and resumption of social activity. A significant rise in mean blood alcohol concentration (0.09 g/100 mL vs 0.14 g/100 mL; p < 0.0001) suggests increased alcohol involvement following easing of restrictions. Unfortunately, persistent information gaps, noted particularly in circumstantial history, incident location, firearm type, highlighting the need for improved data provision and capture systems. While the epidemiology of firearm-related fatalities remained unchanged, the post-COVID-19 period was characterised by increased alcohol involvement, shifts toward public-space violence, and fewer gunshot wounds per victim, suggesting changes in situational and behavioural dynamics rather than underlying drivers of violence.","PeriodicalId":47014,"journal":{"name":"International Journal of Injury Control and Safety Promotion","volume":" ","pages":"526-536"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

A comparative assessment of road traffic injury patterns in KwaZulu-Natal and the Western Cape before, during and after COVID-19 (2019-2023). 夸祖鲁-纳塔尔省和西开普省在2019-2023年2019冠状病毒病之前、期间和之后的道路交通伤害模式比较评估

IF 2.7 4区医学

International Journal of Injury Control and Safety Promotion Pub Date : 2026-09-01 Epub Date: 2026-06-28 DOI: 10.1080/17457300.2026.2691909

Nthabiseng Ralethoko, Keneuoe Letumanyane

{"title":"A comparative assessment of road traffic injury patterns in KwaZulu-Natal and the Western Cape before, during and after COVID-19 (2019-2023).","authors":"Nthabiseng Ralethoko, Keneuoe Letumanyane","doi":"10.1080/17457300.2026.2691909","DOIUrl":"10.1080/17457300.2026.2691909","url":null,"abstract":"Road traffic injuries (RTIs) are a significant cause of death in South Africa; however, the effects of the COVID-19 pandemic on provincial RTI patterns remain insufficiently explored. This systematic review compared RTI patterns in KwaZulu-Natal and the Western Cape across pre-COVID-19 (2019), during-COVID-19 (2020-2021), and post-COVID-19 (2022-2023) periods. A systematic search of five electronic databases and grey literature sources was conducted, with 90 sources included following an adapted PRISMA 2020 framework. Findings were analysed using a descriptive comparative approach and synthesised through narrative synthesis guided by the framework proposed by Popay et al. (2006). In KwaZulu-Natal, fatalities declined from 2,331 in 2019 to 2,031 in 2020 before returning to slightly below baseline levels (2,229) in 2023. In contrast, fatalities in the Western Cape increased from 1,013 in 2019 to 1,158 in 2020, declined slightly in 2021, and increased further to 1,371 in 2023. Males aged 25-39 years and pedestrians remained the most affected groups across all study periods. The findings suggest that both pandemic-related behavioural changes and persistent structural and system-level factors may have contributed to the observed provincial differences in RTI patterns.","PeriodicalId":47014,"journal":{"name":"International Journal of Injury Control and Safety Promotion","volume":" ","pages":"429-444"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

The impact of alcohol sale restrictions on unnatural deaths during the COVID-19 pandemic in Johannesburg, South Africa. 在南非约翰内斯堡COVID-19大流行期间，酒精销售限制对非自然死亡的影响。

IF 2.7 4区医学

International Journal of Injury Control and Safety Promotion Pub Date : 2026-09-01 Epub Date: 2026-07-11 DOI: 10.1080/17457300.2026.2690600

Craig Adam Keyes, Shayleigh Murray, Jessica Gavin

{"title":"The impact of alcohol sale restrictions on unnatural deaths during the COVID-19 pandemic in Johannesburg, South Africa.","authors":"Craig Adam Keyes, Shayleigh Murray, Jessica Gavin","doi":"10.1080/17457300.2026.2690600","DOIUrl":"10.1080/17457300.2026.2690600","url":null,"abstract":"The COVID-19-related restrictions on the sale of alcohol in South Africa presented a unique opportunity to examine the association between alcohol availability and the prevalence of unnatural deaths. The study sample included all unnatural deaths investigated by the Johannesburg Forensic Pathology Services Medico-Legal Laboratory during the four COVID-19 alcohol restriction periods compared to the same time periods in the previous year when there were no restrictions. When alcohol sales were initially prohibited, there was a 54.2% decrease in cases of unnatural deaths (p < 0.05), suggesting a link between alcohol use and the occurrence of such deaths. Over all four periods of alcohol sale bans, there was a total reduction of unnatural deaths by 26.4% with declining frequencies in all demographics. There were significant decreases (p < 0.05) in the frequency of deaths in males, Black and Coloured individuals, and the 21-40 years age group. Deaths whose circumstances were a result of motor vehicle accidents, pedestrian vehicle accidents, and firearm discharges decreased significantly (p < 0.05). The cause of death due to blunt forces trauma and gunshot wounds also significantly decreased (p < 0.05). This study highlights the significant impact alcohol consumption has on mortality in South Africa.","PeriodicalId":47014,"journal":{"name":"International Journal of Injury Control and Safety Promotion","volume":" ","pages":"370-383"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425334","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

A profile of abandoned fetal and neonatal remains admitted to the Diepkloof forensic pathology service medico-legal mortuary during the COVID-19 and post-COVID-19 periods. 在2019冠状病毒病期间和后COVID-19时期，Diepkloof法医病理学服务法医-法律停尸房接收的遗弃胎儿和新生儿遗体概况。

IF 2.7 4区医学

International Journal of Injury Control and Safety Promotion Pub Date : 2026-09-01 Epub Date: 2026-07-09 DOI: 10.1080/17457300.2026.2692617

R Gill, R Thornton, S Holland

{"title":"A profile of abandoned fetal and neonatal remains admitted to the Diepkloof forensic pathology service medico-legal mortuary during the COVID-19 and post-COVID-19 periods.","authors":"R Gill, R Thornton, S Holland","doi":"10.1080/17457300.2026.2692617","DOIUrl":"10.1080/17457300.2026.2692617","url":null,"abstract":"The abandonment of neonates is a global concern, with a higher prevalence of cases present in South Africa. This study aimed to review cases admitted to the Diepkloof Forensic Pathology Service during the COVID-19 (2020-2021) and post-COVID-19 (2023) periods. A total of 158 cases were analysed to determine prevalence, demographic characteristics, circumstances and causes of death, with a comparative analysis between the COVID-19 and post-COVID-19 periods. Most cases were classified as natural. However, many were undetermined due to decomposition. Non-viable fetuses (< 26 wk gestation) comprised 47% of the cases. Among the viable births (n = 72), 23 (32%) were classified as stillbirths, while 11 (15%) were live births. A minority of cases were deemed unnatural, with deaths attributed to trauma (8 cases) or abandonment (2 cases). No statistically significant difference was found between the COVID-19 and post-COVID-19 periods. Decedents were most often found in open spaces, roads or streets, or dumping sites, most commonly wrapped in plastic materials. These findings highlight the severity of fetal and neonatal abandonment. They underscore a pressing need for targeted preventative measures, community outreach, and enhanced support systems in maternal healthcare to address this growing concern.","PeriodicalId":47014,"journal":{"name":"International Journal of Injury Control and Safety Promotion","volume":" ","pages":"457-470"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Injury and violence in Africa: impact of COVID-19 and beyond. 非洲的伤害和暴力：2019冠状病毒病及其后续影响。

IF 2.7 4区医学

International Journal of Injury Control and Safety Promotion Pub Date : 2026-09-01 Epub Date: 2026-08-27 DOI: 10.1080/17457300.2026.2707761

Lu-Anne Swart, Shakeera Holland, Craig Keyes

引用次数: 0

Wounds that echo: community perceptions of the socio-structural determinants of community violence in post-apartheid South Africa in the context of COVID-19. 回响的创伤：在2019冠状病毒病背景下，社区对后种族隔离南非社区暴力的社会结构决定因素的看法。

IF 2.7 4区医学

International Journal of Injury Control and Safety Promotion Pub Date : 2026-09-01 Epub Date: 2026-07-05 DOI: 10.1080/17457300.2026.2690592

Naiema Taliep, Ghouwa Ismail

{"title":"Wounds that echo: community perceptions of the socio-structural determinants of community violence in post-apartheid South Africa in the context of COVID-19.","authors":"Naiema Taliep, Ghouwa Ismail","doi":"10.1080/17457300.2026.2690592","DOIUrl":"10.1080/17457300.2026.2690592","url":null,"abstract":"The COVID-19 pandemic and its associated public health measures significantly altered the social, economic, and psychological landscape of communities worldwide. In South Africa, the post-COVID-19 period has been marked by a notable surge in homicide rates and interpersonal and community violence. Using a combined structural and social disorganisation framework, this qualitative study critically explores community members' perceptions of the socio-structural factors contributing to community violence, in the context of COVID-19. Utilising data from in-depth interviews and focus group discussions, this study examines the lived experiences of residents in a marginalised high-risk South African community, unpacking the interplay between structural inequities, social disintegration, and community violence. Community violence emerged not as periodic or individual, but as structurally generated, geographically concentrated, and socially normalised. The findings demonstrate that community violence is perceived as being embedded in cycles of survival, where long-standing systemic inequality, economic precarity, spatial disadvantage, and institutional neglect and inequity generate contexts in which community violence becomes normalised and self-reinforcing. The study findings advocate for interventions that not only address immediate catalysts of violence but also the deeper historical and structural determinants of violence in the post-pandemic era, while ensuring preparedness for effective violence prevention during future pandemics.","PeriodicalId":47014,"journal":{"name":"International Journal of Injury Control and Safety Promotion","volume":" ","pages":"508-525"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148392069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

A profile of suspected female homicide cases at the Johannesburg and Diepkloof Forensic Pathology Service Medico-legal Mortuaries for 2020-2022. 2020-2022年约翰内斯堡和迪普克洛夫法医病理学服务法医停尸房疑似女性杀人案的概况。

IF 2.7 4区医学

International Journal of Injury Control and Safety Promotion Pub Date : 2026-09-01 Epub Date: 2026-08-01 DOI: 10.1080/17457300.2026.2690601

N Tshefu, I J Wainer, S Holland

{"title":"A profile of suspected female homicide cases at the Johannesburg and Diepkloof Forensic Pathology Service Medico-legal Mortuaries for 2020-2022.","authors":"N Tshefu, I J Wainer, S Holland","doi":"10.1080/17457300.2026.2690601","DOIUrl":"10.1080/17457300.2026.2690601","url":null,"abstract":"This study profiles suspected female homicide victims in Johannesburg, South Africa, during the COVID-19 period marked by socio-environmental changes from lockdown restrictions. Guided by the Socio-Ecological Model, a retrospective case series of 369 victims was reviewed using medico-legal mortuary records from Johannesburg and Diepkloof Forensic Pathology Service facilities. Descriptive analyses were conducted, supplemented by a chi-square test to assess whether distributions of causes of death among women differed between COVID-19 and non-COVID-19 periods. No statistically significant association was found, χ2 (6, N = 339) = 6.68, p = 0.35. Key findings highlight that Black, unemployed, unmarried women aged 21-40 were at greatest risk. Cause of death was established in 97.0% (358/369) of cases, with firearm injuries predominating (43.9%), followed by sharp‑force (24.5%) and blunt‑force trauma (13.1%). Approximately 90% of victims were suspected to have been killed by males, with half of deaths attributed to intimate partner violence. Homicide frequency decreased during strict lockdowns but rose as restrictions eased, suggesting that movement and alcohol controls may reduce risk. Despite temporary disturbance caused by COVID‑19 restrictions, the underlying risk profile of female homicide victims remained unchanged. These findings inform multi-level prevention and intervention strategies in South Africa.","PeriodicalId":47014,"journal":{"name":"International Journal of Injury Control and Safety Promotion","volume":" ","pages":"405-417"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Economic and psycho-social stressors associated with unintentional injuries during COVID-19 in South Africa. 与南非2019冠状病毒病期间意外伤害相关的经济和社会心理压力因素

IF 2.7 4区医学

International Journal of Injury Control and Safety Promotion Pub Date : 2026-09-01 Epub Date: 2026-04-27 DOI: 10.1080/17457300.2026.2660926

Lu-Anne Swart, Simone Harris, Ashley van Niekerk

{"title":"Economic and psycho-social stressors associated with unintentional injuries during COVID-19 in South Africa.","authors":"Lu-Anne Swart, Simone Harris, Ashley van Niekerk","doi":"10.1080/17457300.2026.2660926","DOIUrl":"10.1080/17457300.2026.2660926","url":null,"abstract":"The COVID-19 pandemic strained global health systems and disrupted daily life. In South Africa, where unintentional injury rates are high, lockdown measures introduced stressors such as confinement, financial hardship and psychological strain that may have increased injury risk. This study examined how adherence to stay-at-home restrictions, financial stress and psychological distress during South Africa's COVID-19 lockdown were associated with reports of household members being injured and requiring medical treatment. Data were drawn from a province-stratified computer-assisted telephone interview survey conducted from December 2020 to March 2021. The study used a cross-sectional design and included 1854 adults. Logistic regression estimated adjusted associations. Overall, 6.3% of respondents reported an injury in the household. In bivariate analyses, reports of injury were more frequent with higher poverty, financial distress and psychological distress and less frequent among household heads and those living in other dwelling types. In the multivariable model, financial distress remained associated with higher odds of reporting a household injury, while household headship and residence in dwellings other than a formal house were associated with lower odds. Injuries requiring medical treatment during lockdown were linked to economic strain, highlighting the need for financial and contextual injury-prevention support during public health emergencies.","PeriodicalId":47014,"journal":{"name":"International Journal of Injury Control and Safety Promotion","volume":" ","pages":"480-488"},"PeriodicalIF":2.7,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Evolution of road safety lead agencies in low- and middle-income countries. 低收入和中等收入国家道路安全领导机构的演变。

IF 2.7 4区医学

International Journal of Injury Control and Safety Promotion Pub Date : 2026-08-28 DOI: 10.1080/17457300.2025.2542906

Meleckidzedeck Khayesi, Evelyn Murphy, Geetam Tiwari, Sln Sarma Sadhu

引用次数: 0