{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T21:15:46Z","timestamp":1791839746604,"version":"4.3.4"},"reference-count":82,"publisher":"Public Library of Science (PLoS)","issue":"7","license":[{"start":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T00:00:00Z","timestamp":1690329600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS ONE"],"abstract":"<jats:p>Injuries commonly occur on stairs, with high injury rates in young adults, especially young women. High injury rates could result from physiological and\/or behavioral differences; this study focuses on behaviors. The purposes of this observational study were (1) to quantify young adult behaviors during stair descent and (2) to identify differences in stair descent behavior for young adult men versus women. Young adult pedestrians (N = 2,400, 1,470 men and 930 women) were videotaped during descent of two indoor campus staircases, a short staircase (2 steps) and a long staircase (17 steps). Behaviors during stair descent were coded by experimenters. Risky behaviors observed on the short staircase included: No one used the handrail, 16.1% used an electronic device, and 16.4% had in-person conversations. On the long staircase: 64.8% of pedestrians did not use the handrail, 11.9% used an electronic device, and 14.5% had in-person conversations. Risky behaviors observed more in women included: less likely to use the handrail (long staircase), more likely to carry an item in their hands (both staircases), more likely to engage in conversation (both staircases), and more likely to wear sandals or heels (both staircases) (p\u22640.05). Protective behaviors observed more in women included: less likely to skip steps (both staircases), and more likely to look at treads during transition steps (long staircase) (p\u22640.05). The number of co-occurring risky behaviors was higher in women: 1.9 vs 2.3, for men vs women, respectively (p&lt;0.001). Five pedestrians lost balance but did not fall; four of these pedestrians lost balance on the top step and all five had their gaze diverted from the steps at the time balance was lost. The observed behaviors may be related to the high injury rate of stair-related falls in young adults, and young women specifically.<\/jats:p>","DOI":"10.1371\/journal.pone.0288438","type":"journal-article","created":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T17:45:59Z","timestamp":1690393559000},"page":"e0288438","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":9,"title":["Risky behavior during stair descent for young adults: Differences in men versus women"],"prefix":"10.1371","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0722-8206","authenticated-orcid":true,"given":"HyeYoung","family":"Cho","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1863-5253","authenticated-orcid":true,"given":"Amanda J.","family":"Arnold","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chuyi","family":"Cui","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7922-1919","authenticated-orcid":true,"given":"Zihan","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5522-0065","authenticated-orcid":true,"given":"Tim","family":"Becker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashwini","family":"Kulkarni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anvesh","family":"Naik","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4990-3943","authenticated-orcid":true,"given":"Shirley","family":"Rietdyk","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"340","published-online":{"date-parts":[[2023,7,26]]},"reference":[{"issue":"suppl_2","key":"pone.0288438.ref001","doi-asserted-by":"crossref","first-page":"ii37","DOI":"10.1093\/ageing\/afl084","article-title":"Falls in older people: epidemiology, risk factors and strategies for prevention","volume":"35","author":"LZ Rubenstein","year":"2006","journal-title":"Age and ageing"},{"key":"pone.0288438.ref002","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1016\/j.apergo.2015.07.021","article-title":"The science behind codes and standards for safe walkways: changes in level, stairways, stair handrails and slip resistance","volume":"52","author":"K Nemire","year":"2016","journal-title":"Applied ergonomics"},{"issue":"4","key":"pone.0288438.ref003","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/0022-4375(85)90005-2","article-title":"Study of factors associated with risk of work-related stairway falls","volume":"16","author":"J Templer","year":"1985","journal-title":"Journal of Safety Research"},{"key":"pone.0288438.ref004","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.humov.2015.12.007","article-title":"Falls in young adults: Perceived causes and environmental factors assessed with a daily online survey","volume":"46","author":"MJH Heijnen","year":"2016","journal-title":"Human movement science"},{"issue":"4","key":"pone.0288438.ref005","doi-asserted-by":"crossref","first-page":"e0250360","DOI":"10.1371\/journal.pone.0250360","article-title":"Falls in young adults: The effect of sex, physical activity, and prescription medications","volume":"16","author":"H Cho","year":"2021","journal-title":"PloS one"},{"issue":"6","key":"pone.0288438.ref006","doi-asserted-by":"crossref","first-page":"1560","DOI":"10.1016\/j.humov.2012.05.003","article-title":"Dynamic stability control in younger and older adults during stair descent","volume":"31","author":"I Bosse","year":"2012","journal-title":"Human movement science"},{"issue":"4","key":"pone.0288438.ref007","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1016\/0022-4375(85)90004-0","article-title":"An analysis of occupational stair accident patterns","volume":"16","author":"HH Cohen","year":"1985","journal-title":"Journal of safety research"},{"issue":"2","key":"pone.0288438.ref008","doi-asserted-by":"crossref","first-page":"135","DOI":"10.1016\/S0003-6870(00)00049-1","article-title":"Serious stair injuries can be prevented by improved stair design","volume":"32","author":"MS Roys","year":"2001","journal-title":"Applied ergonomics"},{"key":"pone.0288438.ref009","volume-title":"The staircase: studies of hazards, falls, and safer design","author":"J. 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