The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
David C Schwebel - One of the best experts on this subject based on the ideXlab platform.
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an app based intervention for caregivers to prevent Unintentional Injury among preschoolers cluster randomized controlled trial
Jmir mhealth and uhealth, 2019Co-Authors: Peishan Ning, David C Schwebel, Peixia Cheng, Yang Yang, Jing DengAbstract:Background: App-based interventions have the potential to reduce child Injury in countries with limited prevention resources, but their effectiveness has not been rigorously examined. Objective: This study aimed to assess the effectiveness of an app-based intervention for caregivers of preschoolers to prevent Unintentional Injury among Chinese preschoolers. Methods: A 6-month cluster randomized controlled trial was conducted from December 2017 to June 2018. Recruitment was conducted through preschools, which were randomly allocated to either the control group (ie, app-based parenting education excluding Unintentional Injury prevention) or the intervention group (ie, app-based parenting education including Unintentional Injury prevention). A total of 2920 caregivers of preschoolers aged 3-6 years from 20 preschools in Changsha, China, were recruited offline through the schools. The primary outcome was Unintentional Injury incidences among preschoolers in the past 3 months; this measure was assessed through an online caregiver-report at the baseline visit and at 3-month and 6-month follow-up visits. Secondary outcome measures included caregivers’ self-reported attitudes and behaviors concerning child supervision during the last week. Generalized estimating equations (GEEs) were used to assess the effectiveness of the app-based intervention on responses at 3 and 6 months after adjusting for sociodemographic variables, baseline level of the outcome variable, and engagement with interventions in the assigned group. All analyses were intention-to-treat. A per-protocol sensitivity analysis was also conducted. Results: In total, 1980 of the 2920 caregivers completed the study. The mean age of participants was 32.0 years (SD 5.5) and 68.99% (1366/1980) of them were female. During the 6-month follow-up visit, Unintentional Injury incidence did not change significantly in either group: incidence in the intervention group went from 8.76% (94/1073) to 8.11% (87/1073), P=.59; incidence in the control group went from 9.4% (85/907) to 7.5% (69/907), P=.15. The changes did not differ between the groups (odds ratio [OR] 1.14, 95% CI 0.80-1.62). Changes in the average score in attitude concerning Unintentional Injury prevention were also similar between the groups (B .05, 95% CI -0.03 to 0.13). Changes in Unintentional Injury prevention behaviors were greater in the intervention group than in the control group after the intervention (B .87, 95% CI 0.33-1.42). Analyses of individual Injury prevention behaviors showed that the intervention reduced three risky behaviors: unsafe feeding of children (OR 0.73, 95% CI 0.60-0.89); incorrectly placing children in cars (OR 0.73, 95% CI 0.57-0.93); and allowing children to ride bicycles, electric bicycles, or motorcycles unsupervised (OR 0.80, 95% CI 0.64-0.99). The intervention also improved scores on three safety-focused behaviors: testing water temperature before giving children a bath (OR 1.26, 95% CI 1.05-1.52); properly storing sharp objects (OR 1.24, 95% CI 1.01-1.52); and safely storing medicines, detergents, and pesticides (OR 1.24, 95% CI 1.02-1.51). Conclusions: The app-based intervention did not reduce Unintentional Injury incidence among preschoolers but significantly improved caregivers’ safety behaviors. This app-based intervention approach to improve caregiver behaviors surrounding child Injury risk offers promise to be modified and ultimately disseminated broadly. Trial Registration: Chinese Clinical Trial Registry ChiCTR-IOR-17010438; http://www.chictr.org.cn/showproj.aspx?proj=17376 (Archived by WebCite at http://www.webcitation.org/75jt17X84) International Registered Report Identifier (IRRID): RR2-10.1186/s12889-018-5790-1
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needs analysis for a parenting app to prevent Unintentional Injury in newborn babies and toddlers focus group and survey study among chinese caregivers
Jmir mhealth and uhealth, 2019Co-Authors: Peishan Ning, David C Schwebel, Peixia Cheng, Yang Yang, Bo Chen, Deyue Gao, Xiang Wei, Liheng Tan, Wangxin Xiao, Jing DengAbstract:Background: With the growing popularity of mobile health technology, app-based interventions delivered by smartphone have become an increasingly important strategy toward Injury prevention. Objective: This study aimed to develop a framework supporting the design of an app-based intervention to prevent Unintentional Injury, targeted for caregivers of Chinese children aged 0 to 6 years. Methods: A theory-based mixed-method study, including focus groups and Web-based quantitative survey, was performed. Adult caregivers who care for children aged 0 to 6 years and own a smartphone were recruited into 2 sequential stages of research. First, focus groups were conducted among the caregivers at community health care centers and preschools from December 2015 to March 2016. Focus groups (8-10 participants per group) explored awareness, experiences, and opinions of caregivers toward using an app to prevent Unintentional Injury among children. Second, based on the focus groups findings, a Web-based quantitative survey was designed and distributed to caregivers in November 2016; it collected information on specific needs for the app-based intervention. Thematic analysis and quantitative descriptive analyses were performed. Results: In total, 12 focus groups were completed, involving 108 caregivers. Most participants expressed a strong desire to learn knowledge and skills about Unintentional child Injury prevention and held positive attitudes toward app-based interventions. Participants expressed multiple preferences concerning the app-based intervention, including their contents, functions, interactive styles, installation and registration logistics, and privacy protection and information security. Following the focus groups, 1505 caregivers completed a WeChat-based quantitative survey, which generated roughly similar results to those of focus groups and added numerical metrics concerning participants’ preferences on what to learn, when to learn it, and how to learn it. A detailed framework was established involving 5 components: (1) content design, (2) functional design, (3) interactive style, (4) installation and registration logistics, and (5) privacy protection and information security, and 15 specific requirements. Conclusions: We developed a framework that can be used as a guide to design app-based interventions for parents and caregivers, specifically for Unintentional Injury prevention of children aged 0 to 6 years.
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changes in reporting for Unintentional Injury deaths united states of america
Bulletin of The World Health Organization, 2019Co-Authors: Peishan Ning, David C Schwebel, Haitao Chu, Motao ZhuAbstract:Objective To quantify how changes in reporting of specific causes of death and of selecting underlying cause from among multiple causes of death contribute to trends in mortality from Unintentional Injury in Americans aged 65 years or older. Methods We extracted age-standardized Unintentional Injury mortality data in the United States Centers for Disease Control and Prevention online databases from 1999 to 2016. We used an attribution method to calculate two indicators: the proportion of mortality with specific codes out of all mortality; and the proportion of mortality with underlying cause of death selected from multiple causes of death. We conducted a linear regression to examine the changes over time in these proportions and in reported and age-adjusted mortality. Findings From 1999 through 2016, the proportion of cause-specific Unintentional Injury mortality in this age group increased from 74% in 1999 (136.9 out of 185.0 per 100 000 population) to 85% in 2016 (143.0 out of 169.1 per 100 000 population) based on multiple causes of death codes. The proportions of mortality with underlying cause of death selected out of multiple causes of death rose in all specific causes of Unintentional Injury except motor vehicle crash. Age-standardized mortality attributed to reporting changes increased steadily between 1999 and 2016. The increases for overall Unintentional Injury, fall, motor vehicle crash, suffocation, poisoning and fire or hot object were 24.2, 13.5, 2.1, 2.3, 1.6 and 0.4 deaths per 100 000 persons, respectively. Conclusion Changes in data reporting affect trends in overall and specific Unintentional Injury mortality over time for older Americans.
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pw 0148 Unintentional Injury mortality attributed to changes in data reporting for americans aged 65 years and older 1999 2016
Injury Prevention, 2018Co-Authors: Peishan Ning, David C Schwebel, Haitao Chu, Motao ZhuAbstract:Objective To assess reporting change for Unintentional Injury mortality data for Americans aged 65+from 1999 to 2016 and quantify its contribution to reported underlying cause of death (UCD)-based mortality. Methods Using data from the US. Center for Disease Control and Prevention WONDER online databases, we developed a simple model to estimate Injury mortality attributed to data reporting changes in cause specificity and selection of UCD from multiple cause of death (MCD) during 1999–2016. Findings From 1999 through 2016, the proportion of MCD-based cause-specific Unintentional Injury mortality increased from 74% to 85%; proportions of UCD/MCD mortality for overall and cause-specific Unintentional Injury rose substantially in all specific causes except motor vehicle crashes. Age-adjusted UCD-based mortality attributed to data reporting changes increased gradually and distinctly between 1999 and 2016; the increase for overall Unintentional Injury, falls, motor vehicle crashes, suffocation, poisoning, and fire/burn was 24.2, 13.5, 2.1, 2.3, 1.6 and 0.4 per 1 00 000 persons, respectively. Percent change in mortality between 1999 and 2016 differed greatly between reported and adjusted UCD-based mortality – overall Unintentional Injury, 18% vs −10%; falls, 113% vs 63%; motor vehicle crashes, −35% vs −44%; suffocation, −18% vs −48%; poisoning, 134% vs 64%; fire/burn, −32% vs −42%. Conclusion Data reporting changes have affected reported UCD-based overall and cause-specific Unintentional Injury mortality for older Americans and altered their trends from 1999 to 2016. Data reporting changes should be considered in interpreting change in overall and specific Unintentional Injury mortality over time for older Americans.
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effectiveness of an app based intervention for Unintentional Injury among caregivers of preschoolers protocol for a cluster randomized controlled trial
BMC Public Health, 2018Co-Authors: Peishan Ning, David C Schwebel, Peixia Cheng, Yang Yang, Bo Chen, Jing DengAbstract:Each year, over 15,000 preschoolers die from Unintentional injuries in China. Many interventions proven to work in other nations have not been implemented nationwide in China. The rapid popularity of smartphones offers an opportunity to overcome this limitation and disseminate evidence-based interventions to the large population of China. This study aims to assess the effectiveness of an app-based intervention for caregivers of preschoolers to prevent Unintentional Injury among young Chinese children. A single-blinded, 6-month, parallel-group cluster randomized controlled trial with 1:1 allocation ratio will be conducted in Changsha, China. In total, 2626 caregivers of preschoolers ages 3–6 years old who own a smartphone will be recruited from 20 preschools. Clusters will be randomized at the preschool level and allocated to either the control group (routine education plus app-based parenting education excluding Unintentional Injury prevention) or the intervention group (routine education plus app-based parenting education including Unintentional Injury prevention). The app-based Injury prevention program was developed based on the Theory of Planned Behavior, the Haddon Matrix, the Mobile Learning framework, and a needs assessment. Data collection will be conducted at baseline, 3-month, and 6-month follow-up via app-based survey plus printed questionnaire survey. The primary outcome measure is Unintentional Injury incidence among preschoolers in the past 3 months. Secondary outcome measures include economic losses due to Unintentional Injury in the past 3 months, the Incremental Cost-Effectiveness Ratios (ICERs), and parent’s attitudes and behaviors concerning supervision to prevent preschooler Unintentional Injury in the past week. An intention-to-treat approach will be used to evaluate outcome measures. Chi-square tests will examine differences for outcome measures between groups at each time point and generalized estimation equations (GEE) will test the overall effectiveness of the app-based intervention. Missing outcome data will be imputed using the Expectation Maximization algorithm (EM). This trial will examine evidence concerning the effectiveness of an innovative app-based intervention for caregivers of Chinese preschoolers. If effective, the app-based intervention could offer an effective population-based intervention option to cost-effectively promote Unintentional Injury prevention in countries and regions where Injury control is under-supported. ChiCTR-IOR-17010438 . Registered 15 January 2017.
Fazlur Rahman - One of the best experts on this subject based on the ideXlab platform.
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pa 08 2 1720 caregiver supervision practices and risk of childhood Unintentional Injury mortality in bangladesh
Injury Prevention, 2018Co-Authors: Khaula Khatlani, Olakunle Alonge, Aminur Rahman, Dewan Md Emdadul Hoque, Al Amin Bhuiyan, Priyanka Agrawal, Fazlur RahmanAbstract:Background Childhood mortality from Unintentional injuries is disproportionately high in low-and-middle-income-countries (LMICs). Inadequate supervision is often described as contributory to these childhood Unintentional Injury deaths. Objective This paper highlights the relationship between caregiver supervision and Unintentional Injury mortality among children under five in rural Bangladesh. Method A nested, matched, case-control study was conducted within a large-scale drowning prevention cohort study in Bangladesh. From the baseline survey conducted as part of the study in 2013, 126 cases (under-five children that died from Unintentional injuries) and 378 controls (alive, but similarly aged children) were selected at a case-control ratio of 1:3, and individually matched on neighborhood factors. The association between adult caregiver supervision and fatal injuries among under-five children was determined in a multivariable conditional logistic regression analysis, and reported as adjusted matched odds ratio (MOR) with 95% confidence intervals (CIs). Results Overall, 18.4% of the children aged 0–5 years had some form of supervision by an adult caregiver during the peak period for childhood Injury events in Bangladesh, 9 am – 1 pm. Less than 5% of the caregivers had an education above secondary level and 28.6% were involved in agriculture or farming. Under-five children who died from Unintentional Injury deaths, mostly drowning, had three times higher odds of being unsupervised as compared to alive children (MOR=3.3, 95% CI: 1.6–7.0), while adjusting for child’s gender, age, socioeconomic index, and adult caregiver’s age, education, occupation, and marital status. Conclusion Appropriate adult supervision is essential for prevention of childhood Unintentional injuries in Bangladesh and other similar LMICs. Multi-sectoral efforts to facilitate the design and implementation childhood supervision strategies e.g. community-based daycare are needed.
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caregiver supervision practices and risk of childhood Unintentional Injury mortality in bangladesh
International Journal of Environmental Research and Public Health, 2017Co-Authors: Khaula Khatlani, Olakunle Alonge, Aminur Rahman, Dewan Md Emdadul Hoque, Al Amin Bhuiyan, Priyanka Agrawal, Fazlur RahmanAbstract:Unintentional Injury-related mortality rate, including drowning among children under five, is disproportionately higher in low- and middle-income countries. The evidence links lapse of supervision with childhood Unintentional Injury deaths. We determined the relationship between caregiver supervision and Unintentional Injury mortality among children under five in rural Bangladesh. We conducted a nested, matched, case-control study within the cohort of a large-scale drowning prevention project in Bangladesh, “SOLID—Saving of Children’s Lives from Drowning”. From the baseline survey of the project, 126 cases (children under five with Unintentional Injury deaths) and 378 controls (alive children under five) were selected at case-control ratio of 1:3 and individually matched on neighborhood. The association between adult caregiver supervision and fatal injuries among children under five was determined in a multivariable conditional logistic regression analysis, and reported as adjusted matched odds ratio (MOR) with 95% confidence intervals (CIs). Children under five experiencing death due to Unintentional injuries, including drowning, had 3.3 times increased odds of being unsupervised as compared with alive children (MOR = 3.3, 95% CI: 1.6–7.0), while adjusting for children’s sex, age, socioeconomic index, and adult caregivers’ age, education, occupation, and marital status. These findings are concerning and call for concerted, multi-sectoral efforts to design community-level prevention strategies. Public awareness and promotion of appropriate adult supervision strategies are needed.
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global childhood Unintentional Injury surveillance in four cities in developing countries a pilot study
Bulletin of The World Health Organization, 2009Co-Authors: Adnan A Hyder, Fazlur Rahman, David E Sugerman, Prasanthi Puvanachandra, Junaid Abdul Razzak, Hesham Elsayed, Andres Isaza, Margaret M PedenAbstract:OBJECTIVE: To determine the frequency and nature of childhood injuries and to explore the risk factors for such injuries in low-income countries by using emergency department (ED) surveillance data. METHODS: This pilot study represents the initial phase of a multi-country global childhood Unintentional Injury surveillance (GCUIS) project and was based on a sequential sample of children 5 years, 32 (2%) were < 1 year old. Injuries were especially frequent (34%) during the morning hours. They occurred in and around the home in 56% of the cases, outside while children played in 63% and during trips in 11%. Of all the injuries observed, 913 (56%) involved falls; 350 (22%), road traffic injuries; 210 (13%), burns; 66 (4%), poisoning; and 20 (1%), near drowning or drowning. Falls occurred most often from stairs or ladders; road traffic injuries most often involved pedestrians; the majority of burns were from hot liquids; poisonings typically involved medicines, and most drowning occurred in the home. The mean Injury severity score was highest for near drowning or drowning (11), followed closely by road traffic injuries (10). There were 6 deaths, of which 2 resulted from drowning, 2 from falls and 2 from road traffic injuries. CONCLUSION: Hospitals in low-income countries bear a substantial burden of childhood injuries, and systematic surveillance is required to identify the epidemiological distribution of such injuries and understand their risk factors. Methodological standardization for surveillance across countries makes it possible to draw international comparisons and identify common issues.
Peishan Ning - One of the best experts on this subject based on the ideXlab platform.
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an app based intervention for caregivers to prevent Unintentional Injury among preschoolers cluster randomized controlled trial
Jmir mhealth and uhealth, 2019Co-Authors: Peishan Ning, David C Schwebel, Peixia Cheng, Yang Yang, Jing DengAbstract:Background: App-based interventions have the potential to reduce child Injury in countries with limited prevention resources, but their effectiveness has not been rigorously examined. Objective: This study aimed to assess the effectiveness of an app-based intervention for caregivers of preschoolers to prevent Unintentional Injury among Chinese preschoolers. Methods: A 6-month cluster randomized controlled trial was conducted from December 2017 to June 2018. Recruitment was conducted through preschools, which were randomly allocated to either the control group (ie, app-based parenting education excluding Unintentional Injury prevention) or the intervention group (ie, app-based parenting education including Unintentional Injury prevention). A total of 2920 caregivers of preschoolers aged 3-6 years from 20 preschools in Changsha, China, were recruited offline through the schools. The primary outcome was Unintentional Injury incidences among preschoolers in the past 3 months; this measure was assessed through an online caregiver-report at the baseline visit and at 3-month and 6-month follow-up visits. Secondary outcome measures included caregivers’ self-reported attitudes and behaviors concerning child supervision during the last week. Generalized estimating equations (GEEs) were used to assess the effectiveness of the app-based intervention on responses at 3 and 6 months after adjusting for sociodemographic variables, baseline level of the outcome variable, and engagement with interventions in the assigned group. All analyses were intention-to-treat. A per-protocol sensitivity analysis was also conducted. Results: In total, 1980 of the 2920 caregivers completed the study. The mean age of participants was 32.0 years (SD 5.5) and 68.99% (1366/1980) of them were female. During the 6-month follow-up visit, Unintentional Injury incidence did not change significantly in either group: incidence in the intervention group went from 8.76% (94/1073) to 8.11% (87/1073), P=.59; incidence in the control group went from 9.4% (85/907) to 7.5% (69/907), P=.15. The changes did not differ between the groups (odds ratio [OR] 1.14, 95% CI 0.80-1.62). Changes in the average score in attitude concerning Unintentional Injury prevention were also similar between the groups (B .05, 95% CI -0.03 to 0.13). Changes in Unintentional Injury prevention behaviors were greater in the intervention group than in the control group after the intervention (B .87, 95% CI 0.33-1.42). Analyses of individual Injury prevention behaviors showed that the intervention reduced three risky behaviors: unsafe feeding of children (OR 0.73, 95% CI 0.60-0.89); incorrectly placing children in cars (OR 0.73, 95% CI 0.57-0.93); and allowing children to ride bicycles, electric bicycles, or motorcycles unsupervised (OR 0.80, 95% CI 0.64-0.99). The intervention also improved scores on three safety-focused behaviors: testing water temperature before giving children a bath (OR 1.26, 95% CI 1.05-1.52); properly storing sharp objects (OR 1.24, 95% CI 1.01-1.52); and safely storing medicines, detergents, and pesticides (OR 1.24, 95% CI 1.02-1.51). Conclusions: The app-based intervention did not reduce Unintentional Injury incidence among preschoolers but significantly improved caregivers’ safety behaviors. This app-based intervention approach to improve caregiver behaviors surrounding child Injury risk offers promise to be modified and ultimately disseminated broadly. Trial Registration: Chinese Clinical Trial Registry ChiCTR-IOR-17010438; http://www.chictr.org.cn/showproj.aspx?proj=17376 (Archived by WebCite at http://www.webcitation.org/75jt17X84) International Registered Report Identifier (IRRID): RR2-10.1186/s12889-018-5790-1
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needs analysis for a parenting app to prevent Unintentional Injury in newborn babies and toddlers focus group and survey study among chinese caregivers
Jmir mhealth and uhealth, 2019Co-Authors: Peishan Ning, David C Schwebel, Peixia Cheng, Yang Yang, Bo Chen, Deyue Gao, Xiang Wei, Liheng Tan, Wangxin Xiao, Jing DengAbstract:Background: With the growing popularity of mobile health technology, app-based interventions delivered by smartphone have become an increasingly important strategy toward Injury prevention. Objective: This study aimed to develop a framework supporting the design of an app-based intervention to prevent Unintentional Injury, targeted for caregivers of Chinese children aged 0 to 6 years. Methods: A theory-based mixed-method study, including focus groups and Web-based quantitative survey, was performed. Adult caregivers who care for children aged 0 to 6 years and own a smartphone were recruited into 2 sequential stages of research. First, focus groups were conducted among the caregivers at community health care centers and preschools from December 2015 to March 2016. Focus groups (8-10 participants per group) explored awareness, experiences, and opinions of caregivers toward using an app to prevent Unintentional Injury among children. Second, based on the focus groups findings, a Web-based quantitative survey was designed and distributed to caregivers in November 2016; it collected information on specific needs for the app-based intervention. Thematic analysis and quantitative descriptive analyses were performed. Results: In total, 12 focus groups were completed, involving 108 caregivers. Most participants expressed a strong desire to learn knowledge and skills about Unintentional child Injury prevention and held positive attitudes toward app-based interventions. Participants expressed multiple preferences concerning the app-based intervention, including their contents, functions, interactive styles, installation and registration logistics, and privacy protection and information security. Following the focus groups, 1505 caregivers completed a WeChat-based quantitative survey, which generated roughly similar results to those of focus groups and added numerical metrics concerning participants’ preferences on what to learn, when to learn it, and how to learn it. A detailed framework was established involving 5 components: (1) content design, (2) functional design, (3) interactive style, (4) installation and registration logistics, and (5) privacy protection and information security, and 15 specific requirements. Conclusions: We developed a framework that can be used as a guide to design app-based interventions for parents and caregivers, specifically for Unintentional Injury prevention of children aged 0 to 6 years.
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changes in reporting for Unintentional Injury deaths united states of america
Bulletin of The World Health Organization, 2019Co-Authors: Peishan Ning, David C Schwebel, Haitao Chu, Motao ZhuAbstract:Objective To quantify how changes in reporting of specific causes of death and of selecting underlying cause from among multiple causes of death contribute to trends in mortality from Unintentional Injury in Americans aged 65 years or older. Methods We extracted age-standardized Unintentional Injury mortality data in the United States Centers for Disease Control and Prevention online databases from 1999 to 2016. We used an attribution method to calculate two indicators: the proportion of mortality with specific codes out of all mortality; and the proportion of mortality with underlying cause of death selected from multiple causes of death. We conducted a linear regression to examine the changes over time in these proportions and in reported and age-adjusted mortality. Findings From 1999 through 2016, the proportion of cause-specific Unintentional Injury mortality in this age group increased from 74% in 1999 (136.9 out of 185.0 per 100 000 population) to 85% in 2016 (143.0 out of 169.1 per 100 000 population) based on multiple causes of death codes. The proportions of mortality with underlying cause of death selected out of multiple causes of death rose in all specific causes of Unintentional Injury except motor vehicle crash. Age-standardized mortality attributed to reporting changes increased steadily between 1999 and 2016. The increases for overall Unintentional Injury, fall, motor vehicle crash, suffocation, poisoning and fire or hot object were 24.2, 13.5, 2.1, 2.3, 1.6 and 0.4 deaths per 100 000 persons, respectively. Conclusion Changes in data reporting affect trends in overall and specific Unintentional Injury mortality over time for older Americans.
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pw 0148 Unintentional Injury mortality attributed to changes in data reporting for americans aged 65 years and older 1999 2016
Injury Prevention, 2018Co-Authors: Peishan Ning, David C Schwebel, Haitao Chu, Motao ZhuAbstract:Objective To assess reporting change for Unintentional Injury mortality data for Americans aged 65+from 1999 to 2016 and quantify its contribution to reported underlying cause of death (UCD)-based mortality. Methods Using data from the US. Center for Disease Control and Prevention WONDER online databases, we developed a simple model to estimate Injury mortality attributed to data reporting changes in cause specificity and selection of UCD from multiple cause of death (MCD) during 1999–2016. Findings From 1999 through 2016, the proportion of MCD-based cause-specific Unintentional Injury mortality increased from 74% to 85%; proportions of UCD/MCD mortality for overall and cause-specific Unintentional Injury rose substantially in all specific causes except motor vehicle crashes. Age-adjusted UCD-based mortality attributed to data reporting changes increased gradually and distinctly between 1999 and 2016; the increase for overall Unintentional Injury, falls, motor vehicle crashes, suffocation, poisoning, and fire/burn was 24.2, 13.5, 2.1, 2.3, 1.6 and 0.4 per 1 00 000 persons, respectively. Percent change in mortality between 1999 and 2016 differed greatly between reported and adjusted UCD-based mortality – overall Unintentional Injury, 18% vs −10%; falls, 113% vs 63%; motor vehicle crashes, −35% vs −44%; suffocation, −18% vs −48%; poisoning, 134% vs 64%; fire/burn, −32% vs −42%. Conclusion Data reporting changes have affected reported UCD-based overall and cause-specific Unintentional Injury mortality for older Americans and altered their trends from 1999 to 2016. Data reporting changes should be considered in interpreting change in overall and specific Unintentional Injury mortality over time for older Americans.
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effectiveness of an app based intervention for Unintentional Injury among caregivers of preschoolers protocol for a cluster randomized controlled trial
BMC Public Health, 2018Co-Authors: Peishan Ning, David C Schwebel, Peixia Cheng, Yang Yang, Bo Chen, Jing DengAbstract:Each year, over 15,000 preschoolers die from Unintentional injuries in China. Many interventions proven to work in other nations have not been implemented nationwide in China. The rapid popularity of smartphones offers an opportunity to overcome this limitation and disseminate evidence-based interventions to the large population of China. This study aims to assess the effectiveness of an app-based intervention for caregivers of preschoolers to prevent Unintentional Injury among young Chinese children. A single-blinded, 6-month, parallel-group cluster randomized controlled trial with 1:1 allocation ratio will be conducted in Changsha, China. In total, 2626 caregivers of preschoolers ages 3–6 years old who own a smartphone will be recruited from 20 preschools. Clusters will be randomized at the preschool level and allocated to either the control group (routine education plus app-based parenting education excluding Unintentional Injury prevention) or the intervention group (routine education plus app-based parenting education including Unintentional Injury prevention). The app-based Injury prevention program was developed based on the Theory of Planned Behavior, the Haddon Matrix, the Mobile Learning framework, and a needs assessment. Data collection will be conducted at baseline, 3-month, and 6-month follow-up via app-based survey plus printed questionnaire survey. The primary outcome measure is Unintentional Injury incidence among preschoolers in the past 3 months. Secondary outcome measures include economic losses due to Unintentional Injury in the past 3 months, the Incremental Cost-Effectiveness Ratios (ICERs), and parent’s attitudes and behaviors concerning supervision to prevent preschooler Unintentional Injury in the past week. An intention-to-treat approach will be used to evaluate outcome measures. Chi-square tests will examine differences for outcome measures between groups at each time point and generalized estimation equations (GEE) will test the overall effectiveness of the app-based intervention. Missing outcome data will be imputed using the Expectation Maximization algorithm (EM). This trial will examine evidence concerning the effectiveness of an innovative app-based intervention for caregivers of Chinese preschoolers. If effective, the app-based intervention could offer an effective population-based intervention option to cost-effectively promote Unintentional Injury prevention in countries and regions where Injury control is under-supported. ChiCTR-IOR-17010438 . Registered 15 January 2017.
Ralph W Hingson - One of the best experts on this subject based on the ideXlab platform.
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magnitude and trends in heavy episodic drinking alcohol impaired driving and alcohol related mortality and overdose hospitalizations among emerging adults of college ages 18 24 in the united states 1998 2014
Journal of Studies on Alcohol and Drugs, 2017Co-Authors: Ralph W Hingson, Wenxing Zha, Daniel SmythAbstract:Objective:This article estimates percentages of U.S. emerging adults ages 18-24 engaging in past-month heavy episodic drinking and past-year alcohol-impaired driving, and numbers experiencing alcohol-related Unintentional Injury deaths and overdose hospitalizations between 1998 and 2014.Method:We analyzed national Injury mortality data from coroner, census, and college enrollment statistics, the National Survey on Drug Use and Health, and the Nationwide Inpatient Sample.Results:From 1999 to 2005, percentages of emerging adults ages 18-24 reporting past-month heavy episodic drinking rose from 37.1% to 43.1% and then declined to 38.8% in 2014. Alcohol-impaired driving rose from 24% to 25.5% and then declined to 16.0%. Alcohol-related Unintentional Injury deaths increased from 4,807 in 1998 to 5,531 in 2005 and then declined to 4,105 in 2014, a reduction of 29% per 100,000 since 1998. Alcohol-related traffic deaths increased from 3,783 in 1998 to 4,114 in 2005 and then declinedto 2,614 in 2014, down 43% per ...
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magnitude of and trends in alcohol related mortality and morbidity among u s college students ages 18 24 1998 2005
Journal of Studies on Alcohol and Drugs, 2009Co-Authors: Ralph W Hingson, Elissa R WeitzmanAbstract:Objective: The aim of this study was to estimate, among college students ages 18-24, the numbers of alcohol-related Unintentional Injury deaths and other problems over the period from 1998 through 2005. Method: The analysis integrated data on 18- to 24-year-olds and college students from each of the following data sources: the National Highway Traffic Safety Administration Fatality Analysis Reporting System, Centers for Disease Control and Prevention Injury Mortality Data, National Coroner Studies, census and college enrollment data, the National Household Survey on Drug Use and Health, and the College Alcohol Study. Results: Among college students ages 18-24, alcohol-related Unintentional Injury deaths increased 3% per 100,000 from 1,440 in 1998 to 1,825 in 2005. From 1999 to 2005, the proportions of college students ages 18-24 who reported consuming five or more drinks on at least one occasion in the past month increased from 41.7% to 44.7%, and the proportions who drove under the influence of alcohol i...
Elissa R Weitzman - One of the best experts on this subject based on the ideXlab platform.
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magnitude of and trends in alcohol related mortality and morbidity among u s college students ages 18 24 1998 2005
Journal of Studies on Alcohol and Drugs, 2009Co-Authors: Ralph W Hingson, Elissa R WeitzmanAbstract:Objective: The aim of this study was to estimate, among college students ages 18-24, the numbers of alcohol-related Unintentional Injury deaths and other problems over the period from 1998 through 2005. Method: The analysis integrated data on 18- to 24-year-olds and college students from each of the following data sources: the National Highway Traffic Safety Administration Fatality Analysis Reporting System, Centers for Disease Control and Prevention Injury Mortality Data, National Coroner Studies, census and college enrollment data, the National Household Survey on Drug Use and Health, and the College Alcohol Study. Results: Among college students ages 18-24, alcohol-related Unintentional Injury deaths increased 3% per 100,000 from 1,440 in 1998 to 1,825 in 2005. From 1999 to 2005, the proportions of college students ages 18-24 who reported consuming five or more drinks on at least one occasion in the past month increased from 41.7% to 44.7%, and the proportions who drove under the influence of alcohol i...
