Death due to motor vehicle collisions (MVCs) remains a leading cause of death in the US and alcohol plays a prominent role in a large proportion of these fatalities nationwide. Rates for these incidents vary widely among states and over time. Here, we explore the extent to which driving volume, alcohol consumption, legislation, political ideology, and geographical factors influence MVC deaths across states and time. We specify structural equation models for extracting associations between the factors and outcomes for MVC deaths and compute correlation functions of states' relative geographic and political positions to elucidate the relative contribution of these factors. We find evidence that state-level variation in MVC deaths is associated with time-varying driving volume, alcohol consumption, and legislation. These relationships are modulated by state spatial proximity, whereby neighboring states are found to share similar MVC death rates over the thirty-year observation period. These results support the hypothesis that neighboring states exhibit similar risk and protective characteristics, despite differences in political ideology.
Download full-text PDF |
Source |
---|---|
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4388442 | PMC |
http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0123339 | PLOS |
BMJ Open
December 2024
Emergency Department, Lausanne University Hospital, Lausanne, Switzerland.
Objectives: To develop and validate a simplified Bleeding Audit Triage Trauma (sBATT) score for use by lay persons, or in areas and environments where physiological monitoring equipment may be unavailable or inappropriate.
Design: The sBATT was derived from the original BATT, which included prehospital systolic blood pressure (SBP), heart rate, respiratory rate, Glasgow Coma Scale (GCS), age and trauma mechanism. Variables suitable for lay interpretation without monitoring equipment were included (age, level of consciousness, absence of radial pulse, tachycardia and trapped status).
J Trauma Acute Care Surg
December 2024
From the Division of Trauma, Critical Care, and Acute Care Surgery, Department of Surgery (G.J.S., C.K.Z., W.R., R.X., S.S., S.K.A., K.L.H.), Duke University Medical Center, Durham, NC; AU/UGA Medical Partnership at the Medical College of Georgia (G.J.S.), Athens, GA; Eastern Virginia Medical School, Norfolk, VA (W.R., M.C.-A.); Division of Trauma, Burn and Surgical Critical Care, Department of Surgery (S.S.), Brigham and Women's Hospital, Boston, MA; and Weill Cornell Medical College (S.S.), New York, NY.
Background: Motor vehicle collisions (MVC) continue to be a leading cause of mortality for youth in the United States. Since 2010, seven states have revoked mandatory laws that suspended licenses for underage alcohol use, also known as use/lose laws. This study analyzed whether each state's policy change was associated with increased youth MVC mortality.
View Article and Find Full Text PDFJAMA Pediatr
December 2024
Department of Research, American Academy of Pediatrics, Itasca, Illinois.
Importance: Injuries from firearms and motor vehicle crashes (MVCs) are the leading causes of death among US children and youths aged 0 to 19 years. Examining the intersections of age group, sex, race, and ethnicity is essential to focus prevention efforts.
Objective: To examine firearm and motor vehicle fatality rates by population subgroups and analyze changes over time.
Injury
November 2024
Department of Surgery, Trauma Surgery, Hamad Medical Corporation, Qatar.
Heliyon
October 2024
University of California, Irvine, Department of Surgery, Division of Trauma, Burns and Surgical Critical Care, Orange, CA, USA.
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!