{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T08:41:26Z","timestamp":1792658486458,"version":"4.5.0"},"reference-count":34,"publisher":"BMJ","issue":"4","license":[{"start":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T00:00:00Z","timestamp":1728432000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Inj Prev"],"accepted":{"date-parts":[[2024,9,14]]},"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study analysed sport and recreation-related fatalities in Qu\u00e9bec, Canada, from January 2006 to December 2019, focusing on the six activities with the highest mortality frequencies. It aimed to identify activity-specific risk factors to inform prevention priorities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this descriptive retrospective study, data extracted from the database of the Bureau du coroner du Qu\u00e9bec were analysed. The characteristics and mechanisms of fatalities in all-terrain vehicles, snowmobiles, cycling, swimming, motorised navigation and non-motorised navigation activities were presented. Incidence rates were calculated using Canadian census data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Male fatalities predominated, ranging from 83% to 91%, in the six activities. Traumatic brain injuries or cranial traumas were reported in 55.7% of land-based activities-related deaths, particularly in 70.1% of cycling fatalities. In 44.2% of cycling-related cases, victims were not wearing a helmet, while in 44.1% of cases involving all-terrain vehicles, victims either wore a helmet improperly or did not wear one at all. Cycling deaths mainly occurred on roads (82.9%), with 63.9% involving collisions with motor vehicles. Alcohol-impaired driving was observed in 29.8% of victims involved in all-terrain vehicle and snowmobile activities combined. Natural water accounted for 67.1% of swimming fatalities. Alcohol consumption was documented in 28.8% of deaths related to water-based activities. Personal flotation devices were not worn in 61.5% of navigation-related fatalities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Activity-specific prevention priorities have been highlighted. A thorough examination of coroners\u2019 recommendations is now necessary to understand their characteristics, as this information can guide both the identification and implementation of preventive measures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/ip-2024-045410","type":"journal-article","created":{"date-parts":[[2024,10,9]],"date-time":"2024-10-09T13:20:41Z","timestamp":1728480041000},"page":"604-614","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Prioritising preventive measures for unintentional sport and recreation-related deaths in Qu\u00e9bec, Canada, based on a 14-year review"],"prefix":"10.1136","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8595-154X","authenticated-orcid":false,"given":"Philippe","family":"Richard","sequence":"first","affiliation":[{"name":"Direction de la s\u00e9curit\u00e9 dans le loisir et le sport, Minist\u00e8re de l'\u00c9ducation du Qu\u00e9bec, Qu\u00e9bec, Qu\u00e9bec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mathieu","family":"Gagne","sequence":"additional","affiliation":[{"name":"Institut national de sante publique du Qu\u00e9bec, Qu\u00e9bec, Qu\u00e9bec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul-Andr\u00e9","family":"Perron","sequence":"additional","affiliation":[{"name":"Bureau du coroner du Qu\u00e9bec, Qu\u00e9bec, Qu\u00e9bec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00e9r\u00e9mie","family":"Sylvain-Morneau","sequence":"additional","affiliation":[{"name":"Institut national de sant\u00e9 publique du Qu\u00e9bec, Qu\u00e9bec, Qu\u00e9bec, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2024,10,9]]},"reference":[{"key":"2026102201100752000_32.4.604.1","doi-asserted-by":"publisher","DOI":"10.1097\/HCO.0000000000000437"},{"key":"2026102201100752000_32.4.604.2","doi-asserted-by":"crossref","unstructured":"Ekegren CL , Beck B , Simpson PM , et al . Ten-Year Incidence of Sport and Recreation Injuries Resulting in Major Trauma or Death in Victoria, Australia, 2005-2015. 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Coroners act. Chapter c-68.01. In: L\u00e9gisQu\u00e9bec. Qu\u00e9bec, 2022: 39."},{"key":"2026102201100752000_32.4.604.9","unstructured":"Population and age and sex structure. 2006. Available: https:\/\/statistique.quebec.ca\/en\/document\/population-and-age-and-sex-structure-administrative-regions"},{"key":"2026102201100752000_32.4.604.10","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0258(19970415)16:7<791::AID-SIM500>3.0.CO;2-#"},{"key":"2026102201100752000_32.4.604.11","unstructured":"Hamel D , Tremblay B . \u00c9tude des blessures subies au cours de la pratique d\u2019activit\u00e9s r\u00e9cr\u00e9atives et sportives au qu\u00e9bec en 2009-2010. Qu\u00e9bec: Institut national de sant\u00e9 publique du Qu\u00e9bec, 2012: 133."},{"key":"2026102201100752000_32.4.604.12","unstructured":"Hamel D , Tremblay B , Nolin B . \u00c9tude des blessures subies au cours de la pratique d\u2019activit\u00e9s r\u00e9cr\u00e9atives et sportives au qu\u00e9bec en 2015-2016. Qu\u00e9bec: Institut national de sant\u00e9 publique du Qu\u00e9bec, 2019: 73."},{"key":"2026102201100752000_32.4.604.13","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-023-35728-x"},{"key":"2026102201100752000_32.4.604.14","doi-asserted-by":"crossref","first-page":"101616","DOI":"10.1016\/j.jth.2023.101616","article-title":"Mass media campaigns to increase the use of bicycle helmets: A systematic review and meta-analysis","volume":"30","author":"Lankarani","year":"2023","journal-title":"J Transp Health"},{"key":"2026102201100752000_32.4.604.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2018.08.001"},{"key":"2026102201100752000_32.4.604.16","article-title":"Cycling infrastructure for reducing cycling injuries in cyclists","volume":"2015","author":"Mulvaney","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"2026102201100752000_32.4.604.17","unstructured":"Reid S , Adams S . 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