People with autism are at heightened risk of specific injuries and injury-related death. As autism prevalence rises, epidemiologic data describing specific injuries, such as suffocation, across the lifespan are essential for prevention efforts. We describe the risk of unintentional suffocation-related events associated with autism and common co-occurring diagnoses among people treated in United States (US) emergency departments (EDs). Using a repeated cross-sectional study design, we analyzed data from the 2016–2021 Nationwide Emergency Department Sample (NEDS), the largest US all-payer ED visit claims database. Using ICD-10-CM codes, children ≥ 1 year and adults diagnosed with autism, intellectual disability (ID), attention-deficit/hyperactivity disorder (ADHD), and Alzheimer’s disease and related dementia (ADRD) were identified and evaluated. Weighted multivariable logistic regression models were used to estimate the adjusted odds ratios (aOR) and 95
Food delivery riders are a rapidly growing workforce in urban China and are exposed to road traffic injury risks during daily work. Multicity evidence on delivery-related road traffic crashes in this population remains limited. We conducted a cross-sectional survey among 2,386 food delivery riders registered on the Meituan or Eleme platforms in six Chinese cities: Hefei, Jinan, Guangzhou, Shenzhen, Shantou, and Nanning. Data were collected on sociodemographic characteristics, work-related conditions, road safety knowledge, attitudes and behaviours, and self-reported delivery-related road traffic crashes in the past year. The overall prevalence of delivery-related road traffic crashes was 13.83
Abstract Background Manufacturers specify that utility task vehicles (UTVs) are designed exclusively for off-road operation and are unsuitable for public roadways. Despite this, a growing number of U.S. legislative bodies are enacting laws permitting or expanding UTV access to public roads, creating a significant misalignment between vehicle design intent and actual use environments. Our study objective was to examine rural adolescents’ use, knowledge and attitudes regarding UTVs on public roads. Methods Iowa FFA (formerly Future Farmers of America) Leadership Conference attendees were anonymously surveyed from April 15–16, 2024. They were questioned about their UTV use and attitudes regarding UTVs on public roadways, both paved and unpaved. Descriptive, bivariate and logistic regression analyses were performed using Stata 15.1. Results 1,029 FFA members (13–18 yrs) participated; 50% from farms, 20% from the country/not farms, and 30% from towns. 53% of respondents’ families owned UTVs and 69% of respondents had driven/ridden one. Among UTV drivers/riders, 94% had been on unpaved roads (51% at least weekly) and 87% had been on paved roads (41% at least weekly). Overall, 64% and 63% stated it was safe to drive UTVs on unpaved and paved public roads, respectively. 63% stated UTVs were designed for unpaved roads and 54% stated UTVs were designed for paved roads. Over half agreed that manufacturers state UTVs are safe for unpaved (54%) and paved (52%) roads. Generally, males, older teens, UTV owners, UTV riders, those who had ridden on public roads and more frequent riders all had greater proportions holding these misconceptions. The vast majority of respondents (82%) incorrectly believed youth < 18 years old could legally drive UTVs on Iowa’s county roads. Conclusions Most study participants reported UTV operation on public roads and perceived the practice as safe on both paved and unpaved roadway surfaces. They also believed the misconceptions that UTVs are designed for roadways and that manufacturers state UTVs are safe on public roads. The powersports industry should do more to publicize the hazards of off-road vehicles on public roads. Targeted education and evidence-based legislation with enforcement prohibiting on-road operation may be critical in decreasing UTV-related deaths and injuries.
Road crashes remain a major public health issue, with low- and middle-income countries bearing a disproportionate burden. WHO road fatality rate estimate for Ghana is ranked among the top 15 countries worldwide. While studies using police-crash data have provided valuable insights into the burden of road fatalities, they rely on crude estimates. Age-standardised rates and their temporal changes over time are limited or lacking. This study estimates age-standardised road fatality rates and examines significant trends, characteristics, and associated factors in Ghana. Data were obtained from the national crash database and annual crash reports. Age-standardised fatality rates (ASFR) were estimated per 100,000 population and case fatality rates per 1,000 casualties. The Joinpoint regression model was used to identify significant changes in trends, and the modified mixed-effects Poisson regression was used to identify associated factors. A total of 45,565 fatalities were recorded, with an average ASFR of 7.88 per 100,000 population. ASFR increased (AAPC = 0.52
Injuries are a significant source of morbidity and mortality among college students.While previous studies identified the most common causes of injuries among college students globally, none have examined electronic health record narratives through a qualitative lens to better understand the circumstances behind these injuries. In this study, we analyzed narrative details of emergency department encounters for injuries by college students to identify factors that can inform injury prevention efforts. We used qualitative content analysis to evaluate narrative details of encounters to capture the setting, mode or mechanism, and the type of injury for 794 emergency department visits for injuries, poisonings, and certain other consequences of external causes (designated as INJ) by college students between August 16, 2021 and May 10, 2022. The majority of INJ visits occurred among males (55.3
