A web-based prospective cohort study of home, leisure, school and sports injuries in France: a descriptive analysis.
Falls
Home accident
Prospective studies
Safety
Wounds and injuries
Journal
Injury epidemiology
ISSN: 2197-1714
Titre abrégé: Inj Epidemiol
Pays: England
ID NLM: 101652639
Informations de publication
Date de publication:
04 Aug 2021
04 Aug 2021
Historique:
received:
26
04
2021
accepted:
25
06
2021
entrez:
5
8
2021
pubmed:
6
8
2021
medline:
6
8
2021
Statut:
epublish
Résumé
Home and leisure injuries (HLIs) are a major public health problem. Cohort studies among general population are needed for targeted preventive actions but remain scarce. We quantify and qualify the HLIs collected prospectively in the MAVIE (Mutualists against Home and Leisure Injuries) observatory, a web-based cohort among volunteers of the French general population. Participants reported HLIs from November 2014 to December 2019. We calculated crude and standardized incidence rates (SIRs) on the entire cohort, for each of the selected socio-demographic variables and each of the injury circumstances (place and activity), mechanisms, and injury severity levels. We also described other HLIs characteristics and consequences. Out of the 29,931 household members enrolled in the cohort, 12,419 participants completed the questionnaires. Among them, 8640 participants provided follow-up data, leading to a follow-up of 6302 persons for 5.2 years and 2483 HLIs were reported. We obtained a SIR of 85.0 HLIs per 1000 persons-years. Most reported injuries did not require emergency department attendance or hospitalization (64%). SIRs were higher in children (< 15 years of age) (109.1 HLIs per 1000 persons-years; 95% CI, 78.2-140.1) and adults aged 70 years and older (123.7 HLIs per 1000 persons-years; 95% CI, 79.2-168.3). Struck or hit by fall was the most frequent injury mechanism (52%) and also among the most severe injuries (73% of Struck or hit by fall HLIs ending with hospitalization). Sport (without contact with nature), and leisure and play activities were the injury circumstances with higher SIRs, 15.2 HLIs per 1000 persons-years (95% CI, 14.6-15.8) and 11.2 HLIs per 1000 persons-years (95% CI, 10.7-11.6), respectively. Outdoor sport activity (in contact with nature) was the circumstance with the highest proportion of hospitalizations (18% of outdoor sports HLIs ending with hospitalization). The incidences, causes, and consequences of HLI differ by age group and are mainly related to the performance of certain activities. Although the participants in the MAVIE cohort were not representative of the French population. Our study identified potential sub-populations and specific types of HLIs that should be targeted by future studies concerning risk factors and prevention programs.
Sections du résumé
BACKGROUND
BACKGROUND
Home and leisure injuries (HLIs) are a major public health problem. Cohort studies among general population are needed for targeted preventive actions but remain scarce. We quantify and qualify the HLIs collected prospectively in the MAVIE (Mutualists against Home and Leisure Injuries) observatory, a web-based cohort among volunteers of the French general population.
METHODS
METHODS
Participants reported HLIs from November 2014 to December 2019. We calculated crude and standardized incidence rates (SIRs) on the entire cohort, for each of the selected socio-demographic variables and each of the injury circumstances (place and activity), mechanisms, and injury severity levels. We also described other HLIs characteristics and consequences.
RESULTS
RESULTS
Out of the 29,931 household members enrolled in the cohort, 12,419 participants completed the questionnaires. Among them, 8640 participants provided follow-up data, leading to a follow-up of 6302 persons for 5.2 years and 2483 HLIs were reported. We obtained a SIR of 85.0 HLIs per 1000 persons-years. Most reported injuries did not require emergency department attendance or hospitalization (64%). SIRs were higher in children (< 15 years of age) (109.1 HLIs per 1000 persons-years; 95% CI, 78.2-140.1) and adults aged 70 years and older (123.7 HLIs per 1000 persons-years; 95% CI, 79.2-168.3). Struck or hit by fall was the most frequent injury mechanism (52%) and also among the most severe injuries (73% of Struck or hit by fall HLIs ending with hospitalization). Sport (without contact with nature), and leisure and play activities were the injury circumstances with higher SIRs, 15.2 HLIs per 1000 persons-years (95% CI, 14.6-15.8) and 11.2 HLIs per 1000 persons-years (95% CI, 10.7-11.6), respectively. Outdoor sport activity (in contact with nature) was the circumstance with the highest proportion of hospitalizations (18% of outdoor sports HLIs ending with hospitalization).
CONCLUSION
CONCLUSIONS
The incidences, causes, and consequences of HLI differ by age group and are mainly related to the performance of certain activities. Although the participants in the MAVIE cohort were not representative of the French population. Our study identified potential sub-populations and specific types of HLIs that should be targeted by future studies concerning risk factors and prevention programs.
Identifiants
pubmed: 34348790
doi: 10.1186/s40621-021-00343-9
pii: 10.1186/s40621-021-00343-9
pmc: PMC8336358
doi:
Types de publication
Journal Article
Langues
eng
Pagination
50Subventions
Organisme : Institut de Recherche en Santé Publique
ID : CONV 067-00187II
Organisme : Agence Nationale de Sécurité du Medicament
ID : conv 2014S029
Organisme : Université de Bordeaux
ID : conv 2014-1R30504 -00003101
Organisme : Région Nouvelle Aquitaine
ID : conv 2014-1R30504 -00003101
Organisme : Institut National de la Santé et de la Recherche Médicale
ID : 2017-1R40301 Thèse 00013329
Organisme : PIA3 (Investment for the future)
ID : 17-EURE-0019
Organisme : Decathlon
ID : AD 13339, AD 15404
Informations de copyright
© 2021. The Author(s).
Références
Osteoporos Int. 2019 Oct;30(10):2099-2117
pubmed: 31201482
Public Health. 2002 Sep;116(5):252-6
pubmed: 12209399
Accid Anal Prev. 2007 Nov;39(6):1279-85
pubmed: 17920852
Annu Rev Public Health. 2002;23:349-75
pubmed: 11910067
Int J Epidemiol. 2013 Aug;42(4):1018-22
pubmed: 24062290
Popul Health Metr. 2014 Feb 04;12(1):2
pubmed: 24495484
J Am Geriatr Soc. 2019 Feb;67(2):246-253
pubmed: 30496601
Eur J Epidemiol. 2004;19(8):751-60
pubmed: 15469032
Inj Epidemiol. 2020 Nov 11;7(1):63
pubmed: 33176881
Bull World Health Organ. 2007 Jan;85(1):27-34
pubmed: 17242755
Inj Prev. 1999 Sep;5(3):208-13
pubmed: 10518269
Rev Epidemiol Sante Publique. 2013 Jun;61(3):205-12
pubmed: 23639688
Annu Rev Public Health. 2012 Apr;33:175-91
pubmed: 22224893
JBI Database System Rev Implement Rep. 2019 Mar;17(3):390-413
pubmed: 30870331
PLoS One. 2015 Feb 23;10(2):e0114937
pubmed: 25706955
Stat Med. 1997 Apr 15;16(7):791-801
pubmed: 9131766
Glob Pediatr Health. 2018 May 09;5:2333794X18774219
pubmed: 29761142
Epidemiol Rev. 1991;13:228-66
pubmed: 1765113
PLoS One. 2021 Mar 11;16(3):e0248162
pubmed: 33705466
BMC Med Res Methodol. 2017 Dec 01;17(1):155
pubmed: 29191174
Inj Prev. 2002 Mar;8(1):74-8
pubmed: 11930966
Int J Environ Res Public Health. 2014 Apr 22;11(4):4402-16
pubmed: 24758894