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INTRODUCTION: The relationship between romantic involvement, dating violence, other victimizations, and mental health among adolescents in the context of the COVID-19 pandemic is understudied. METHODS: This study analyzed 2021 survey data collected from a representative sample of 9th-12th grade students (n = 10,792) from 24 high schools in a US Midwestern state. Most respondents identified as White, heterosexual, and US-born, with more than three-quarters aged 15-17 years. Guided by the poly-victimization framework, this study explored: (a) How do youth victimizations and mental health concerns differ by their experience of dating and dating violence? (b) What are the associations between youth mental health concerns, victimizations, and dating? RESULTS: Youths reported mental health concerns and victimizations at considerable rates during the COVID-19 pandemic when in-person interactions were limited. Those who experienced dating violence were at a higher risk of reporting other victimizations (i.e., unwanted sexual comments, unwanted sexual contact, sexual photos/videos, sex trading for compensation, discrimination, and bullying). The number of victimizations demonstrated a cumulative effect on teen mental health. Most individual victimizations showed significant net associations with mental health concerns, even when controlling for other differing victimizations. CONCLUSIONS: Dating violence plays a critical role in the interconnectedness of victimizations, and the number of victimizations has a cumulative effect on teen mental health. The high prevalence of youth victimizations during the time when in-person interactions were limited suggests that victimizations may transfer from in-person forms to virtual forms and occur offline. Implications for individual and community prevention and interventions are discussed.
Subject(s)
Sleep , Humans , Infant , Sleep/physiology , Infant, Newborn , Sudden Infant Death/prevention & control , Sudden Infant Death/etiologyABSTRACT
OBJECTIVE: To understand university students' experiences with sex trading for financial compensation at a large public, Midwestern university. PARTICIPANTS: 34 university students (26.5% graduate, 70% white, 70% cisgender women, 38% heterosexual). METHOD: We used a community-engaged, directed content analytic approach to analyze semi-structured, in-depth interviews with st udents who were familiar with sex trading. RESULTS: Students perceive sex trading to include (1) selling personal items or fluids for another's sexual pleasure, (2) virtual sex trades, and (3) in-person sex trades. Students were motivated by financial needs and wants, work flexibility and conditions, curiosity and empowerment. Consequences were positive (e.g., supporting themselves, community) and negative (e.g., blackmail, detrimental health effects). While negative consequences had deleterious effects on students' wellbeing, the benefits were viewed as critical. CONCLUSIONS: Findings call for harm reduction approaches that span campus services, university and federal policies. Future research should explore students' experiences in differing academic and regional contexts.
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Exchanging sex for financial compensation is thought to be underreported primarily because extant studies (1) use a single item to capture a complex, stigmatized phenomenon, and (2) do not capture the complex types or reasons why people engage in the sex trades. Few survey studies have explored the sex trades among university students. This study evaluated the psychometric properties of a newly developed measure, the Sexual Services Acts and Materials for Pay (SSAMP), among university students. Surveys were administered to undergraduate (N = 544, time 1; N = 362, time 2) and graduate (N = 331, time 1; N = 187, time 2) students two weeks apart at a predominantly White, public, Midwestern university. Findings suggested that our index had (1) strong convergent validity with the single item used in prior studies, (2) identified more cases of sex trading than the single item, (3) good internal consistency reliability (4) moderate to strong test-retest reliability, and (5) strong discriminant validity. Exploratory factor analysis revealed that items loaded above .59 on a single factor. To our knowledge, this study is the first to evaluate a multi-item sex trades measure in the U.S. Future research should continue to advance the SSAMP and adapt this index to provide credible estimates and nuanced understanding of the sex trades across contexts.
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The large COVID-19 outbreaks in prisons in the Washington (USA) State Department of Corrections (WADOC) system during 2020 highlighted the need for a new public health approach to prevent and control COVID-19 transmission in the system's 12 facilities. WADOC and the Washington State Department of Health (WADOH) responded by strengthening partnerships through dedicated corrections-focused public health staff, improving cross-agency outbreak response coordination, implementing and developing corrections-specific public health guidance, and establishing collaborative data systems. The preexisting partnerships and trust between WADOC and WADOH, strengthened during the COVID-19 response, laid the foundation for a collaborative response during late 2021 to the largest tuberculosis outbreak in Washington State in the past 20 years. We describe challenges of a multiagency collaboration during 2 outbreak responses, as well as approaches to address those challenges, and share lessons learned for future communicable disease outbreak responses in correctional settings.
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COVID-19 , Tuberculosis , Humans , COVID-19/epidemiology , COVID-19/prevention & control , Public Health , Prisons , Washington/epidemiology , Pandemics/prevention & control , Disease Outbreaks/prevention & control , Tuberculosis/epidemiology , Tuberculosis/prevention & controlABSTRACT
Large quantum photonic systems hold promise for surpassing classical computational limits, yet their state preparation remains a challenge. We propose an alternative approach to study multiparticle dynamics by mapping the excitation mode of these systems to physical properties of the Laguerre-Gauss modes. We construct coherent states establishing a direct link between excitation number dynamics and the evolution of the Laguerre-Gauss modes. This highlights the photon transverse spatial degree of freedom as a versatile platform for testing the fundamental aspects of quantum multiparticle systems.
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OBJECTIVES: To understand tension mothers experience when attempting to follow American Academy of Pediatrics safe sleep guidelines and enhancing infant and parental sleep. METHODS: Surveys and focus groups were conducted from November 2022 and March 2023 with United States-based English-speaking mothers of infants <6 months of age recruited via social media and who reported a nonrecommended sleep position and/or location ≥2 times the prior week. RESULTS: Twenty-five mothers participated in focus groups and surveys. A total of 80% reported holding or rocking their infant to sleep; 76% fed their infant to sleep. Almost all were aware of the ABCs (Alone, Back, Crib) of safe sleep and intended to follow them before delivery. Many felt that ABCs were unrealistic and placed their infants in nonrecommended locations or positions because they perceived them as more comfortable and helping their infant fall and stay asleep. Mothers were more likely to use nonrecommended practices when they were awake or sleeping nearby and believed they could closely monitor their infant. Some questioned whether ABCs were the only way to achieve safe sleep. Some prioritized other safety concerns (eg, fall prevention) over sudden infant death syndrome or sudden unexpected infant death prevention. Mothers expressed confidence about getting their baby to sleep in general but were less confident that they could do this while following guidelines. CONCLUSIONS: Despite awareness of the ABCs, mothers regularly engaged in nonrecommended practices with the goal of improving their own and their infant's sleep. Interventions focused on improving infant and parental sleep while maintaining sleep safety are needed.
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Mothers , Sudden Infant Death , Infant , Female , Humans , Child , United States , Infant, Newborn , Supine Position , Parents , Focus Groups , Sudden Infant Death/prevention & control , Sleep , Infant CareABSTRACT
We present a Hamiltonian model describing two pairs of mechanical and optical modes under standard optomechanical interaction. The vibrational modes are mechanically isolated from each other and the optical modes couple evanescently. We recover the ranges for variables of interest, such as mechanical and optical resonant frequencies and naked coupling strengths, using a finite element model for a standard experimental realization. We show that the quantum model, under this parameter range and external optical driving, may be approximated into parametric interaction models for all involved modes. As an example, we study the effect of detuning in the optical resonant frequencies modes and optical driving resolved to mechanical sidebands and show an optical beam splitter with interaction strength dressed by the mechanical excitation number, a mechanical bidirectional coupler, and a two-mode mechanical squeezer where the optical state mediates the interaction strength between the mechanical modes.
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Young people's perspectives on social and healthcare providers' assessments of sex trading for financial compensation are lacking. This is particularly important for LGBTQ+ youth who experience substantial barriers in navigating health and social services. Further, increased internet access (because of COVID-19 and other factors) has changed the landscape of the sex trades in ways that are not fully understood. Our study aimed to understand (1) how young people trade sex, and (2) provider strategies that increase youths' comfort in disclosing sex trading and related risks. This community-based participatory research study surveyed currently or formerly homeless youth (ages 16-29). We co-created a cross sectional survey that explored youths' perceptions of: (1) sex trading type, compensation, and meaning; and (2) practices to increase youths' comfort in disclosing sex trading. Participants (N = 103; Mage = 22.9 [SD = 3.5]; 34% white, 55% ciswomen/21% trans; 51% queer) reported that "sex trading" signified multiple meanings, ranging from sex work/occupation to exploitation/trafficking, and included diverse in-person and virtual forms for varied compensation types. Youth reported being more comfortable disclosing when the provider indicated they would advocate for them if they are victims of discrimination. Compared to cisgender youth, trans youth reported feeling significantly more comfortable disclosing sexual activity when a service provider used gender/sexuality inclusive practices (e.g., pronoun pins). Findings suggest important implications for gender-inclusive practice strategies to ultimately reduce potential harms of sex trading and multi-item measures to assess the complexity of sex trading.
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Mycoplasma spp. are wall-less bacteria able to infect mammals and are classified as hemotropic (hemoplasma) and nonhemotropic. In aquatic mammals, hemoplasma have been reported in California sea lions (Zalophus californianus) and river dolphins (Inia spp.). We investigated Mycoplasma spp. in blood samples of West Indian manatees (Trichechus manatus), pinnipeds (5 species), and marine cetaceans (18 species) that stranded or were undergoing rehabilitation in Brazil during 2002-2022. We detected Mycoplasma in blood of 18/130 (14.8%) cetaceans and 3/18 (16.6%) pinnipeds. All tested manatees were PCR-negative for Mycoplasma. Our findings indicate that >2 different hemoplasma species are circulating in cetaceans. The sequences from pinnipeds were similar to previously described sequences. We also detected a nonhemotropic Mycoplasma in 2 Franciscana dolphins (Pontoporia blainvillei) that might be associated with microscopic lesions. Because certain hemoplasmas can cause disease and death in immunosuppressed mammals, the bacteria could have conservation implications for already endangered aquatic mammals.
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Caniformia , Dolphins , Mycoplasma Infections , Mycoplasma , Animals , Mycoplasma/genetics , Brazil/epidemiology , Mycoplasma Infections/epidemiology , Mycoplasma Infections/veterinary , Mycoplasma Infections/microbiology , Mammals , RNA, Ribosomal, 16SABSTRACT
BACKGROUND: Prior studies demonstrate that eliminating hepatitis C virus (HCV) in the United States (US) heavily depends on treating incarcerated persons. Knowing the scope of the carceral HCV epidemic by state will help guide national elimination efforts. METHODS: Between 2019 and 2023, all state prison systems received surveys requesting data on hepatitis C antibody and viremic prevalence. We supplemented survey information with publicly available HCV data to corroborate responses and fill in data gaps. RESULTS: Weighting HCV prevalence by state prison population size, we estimate that 15.2% of the US prison population is HCV seropositive and 8.7% is viremic; 54.9% of seropositive persons have detectable RNA. Applying prevalence estimates to the total prison population at year-end 2021, 91 090 persons with HCV infection resided in a state prison. CONCLUSIONS: With updated and more complete HCV data from all 50 states, HCV prevalence in state prisons is nearly 9-fold higher than the US general population. The heterogeneity in HCV prevalence by state prison system may reflect variable exposure before arrest and/or differences in treatment availability during incarceration. Elimination of HCV in the country depends on addressing the carceral epidemic, and one of the first steps is understanding the size of the problem.
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Hepacivirus , Hepatitis C , Humans , Prisons , Seroepidemiologic Studies , Viremia/epidemiology , Hepatitis C/epidemiologyABSTRACT
OBJECTIVE: This study investigated the characteristics and trends of children aged 3 to 19 years treated in US emergency departments for dance-related injuries. METHODS: Retrospective analysis of data from the National Electronic Injury Surveillance System from 2000 through 2020 was conducted. RESULTS: An estimated 489,119 children received emergency treatment for a dance-related injury, averaging 23,291 children annually, and the rate of injury increased 68.1% during the 21-year study period. Girls accounted for 80.3% and children aged 15 to 19 years accounted for 46.5% of cases. Sprains/strains were the most frequent diagnosis (44.4%), and lower extremities were the most commonly injured body region (56.4%). Compared with other body regions, patients aged 3 to 10 years were more likely to sustain head/neck injuries (odds ratio, 3.94, 95% confidence interval, 3.42-4.52) than 11- to 19-year-olds. Falls and noncontact mechanisms of injury accounted for 35.6% and 32.1% of injuries, respectively. Unstructured dance activity was associated with 30.8% of dance-related injuries overall and 67.0% among children aged 3 to 5 years. Ballet/pointe dancers frequently sustained lower extremity sprains/strains (39.2%). Compared with other dance types, break dancing was more commonly associated with injuries to an upper extremity than other body regions (odds ratio, 4.76, 95% confidence interval, 3.66-6.19). CONCLUSIONS: The rate of pediatric dance-related injuries treated in US emergency departments is increasing. Unstructured dance activity was an important source of dance-related injury, especially among children aged 3 to 5 years. The injury diagnosis and body region injured varied by child age and type of dance. Additional targeted prevention efforts should be implemented that address the injury characteristics of dancer subgroups.
Subject(s)
Dancing , Sprains and Strains , Female , Child , Humans , United States/epidemiology , Dancing/injuries , Retrospective Studies , Sprains and Strains/epidemiology , Sprains and Strains/therapy , Emergency Service, Hospital , Lower Extremity/injuriesABSTRACT
Quantitative studies in the United States that identify involvement in the sex trades predominantly use a single item to address a complex, stigmatized phenomenon. This item typically does not differentiate between in-person or virtual forms, nor does it assess the associated compensation types, circumstances, and perceived consequences. University students' involvement in the sex trades is also critically understudied. Therefore, we sought to adapt, develop, and refine a multiitem measure from the perspectives of undergraduate and graduate students who were familiar with sex trading. We conducted 34 cognitive interviews with students to understand how they perceived items on our measure. Results indicated that language used in single item studies may not reflect participants' views of the sex trades. Participants suggested the necessity of introducing survey items with inclusive introductory statements that recognize the range of circumstances, benefits, and potential harms. Items that address the circumstances of sex trading (including economic needs, wants, exploitation, empowerment/pleasure) were important in capturing diverse experiences. We make recommendations for multi-item measures to identify involvement in and circumstances of the sex trades. Implications for future research using this measure to broaden the field's understanding of the sex trades are discussed.
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BACKGROUND: Participation in martial arts has been increasing for several years, with millions of children and adolescents engaging in the sport annually. Yet, the most comprehensive examination of martial arts-related injuries was completed almost 2 decades ago. PURPOSE: To describe the epidemiology of martial arts-related injuries presenting to US emergency departments (EDs) among pediatric patients. STUDY DESIGN: Descriptive epidemiological study. METHODS: Data were obtained from the National Electronic Injury Surveillance System for patients aged 3 to 17 years who were treated in US EDs from 2004 through 2021. RESULTS: A total of 5656 cases were included in the analysis. An estimated 176,947 children (95% CI, 128,172-225,722) were treated for martial arts-related injuries in US EDs. The rate of martial arts-related injuries per 10,000 children increased from 1.43 in 2004 to 2.07 in 2013 (slope = 0.07; P = .005) and then decreased to 1.44 in 2021 (slope = -0.10; P = .02). The mean injury rates were 2.22 per 10,000 children aged 12-17 years and 1.15 per 10,000 children aged 3-11 years. The most common injuries occurred in children aged 6 to 11 years (39.3%), were strains/sprains (28.4%), and were associated with falling (26.9%). The mechanism of injury differed by the style of martial arts. Compared with other activity types (formal class, horseplay, and unspecified), competition carried a 2.56 times greater risk of head/neck injuries and a 2.70 times greater risk of traumatic brain injuries. CONCLUSION: Martial arts are a significant source of injuries for children aged 3 to 17 years. To continue decreasing the injury rate, the creation and implementation of standardized risk-mitigation rules and regulations that could be applied to all martial arts styles are recommended.
Subject(s)
Athletic Injuries , Martial Arts , Sprains and Strains , Adolescent , Humans , Child , United States/epidemiology , Martial Arts/injuries , Emergency Service, Hospital , Athletic Injuries/epidemiology , Athletic Injuries/etiologyABSTRACT
BACKGROUND: Existing concussion education programs for preteen athletes typically do not result in sustained improvements in concussion symptom recognition or reporting behaviors. Virtual reality (VR) technology offers an innovative tool that may improve concussion symptom recognition and reporting behaviors among preteen athletes. OBJECTIVE: We aimed to describe the design and development of a VR concussion education app, Make Play Safe (MPS), and present findings on the usability and preliminary efficacy of MPS in improving concussion recognition and reporting intentions among soccer athletes aged 9-12 years. METHODS: A collaborative user-centered design process was implemented to develop and evaluate MPS, a semi-immersive VR concussion education app designed to address two behavioral outcomes in preteen athletes aged 9-12 years: (1) recognizing concussion and (2) reporting concussion. The development of MPS occurred in three phases: (1) design and development, (2) usability testing, and (3) preliminary efficacy testing. During phase 1, consultations were completed with 6 experts. Additionally, 5 interviews with children who had a history of concussion were conducted to collect feedback about the proof of concept of MPS. During phase 2, a participatory workshop with 11 preteen athletes and a small group discussion with 6 parents and 2 coaches were conducted to explore the usefulness and acceptability of MPS from the perspective of end users. Finally, phase 3 included preliminary efficacy testing with 33 soccer athletes aged 9-12 years to examine changes in concussion-related knowledge, attitudes, and reporting intentions from pre- to postintervention. The data generated from each phase of this study informed the development of the final version of the proof of concept of the VR concussion education app, MPS. RESULTS: Experts positively rated the features of MPS and noted that the design and content were innovative and age-appropriate. Preteens with a history of concussion indicated the scenarios and symptoms portrayed in the app represented well what they experienced while concussed. Further, they stated that the app would be an engaging way for children to learn about concussions. The 11 healthy children in the workshop perceived the app positively, noting that the scenarios were informative and engaging. Results from preliminary efficacy testing revealed increases in many athletes' knowledge and reporting intentions from pre- to postintervention. Others demonstrated no significant changes or a decrease in knowledge, attitudes, or reporting intentions from pre- to postintervention. Group-level changes in concussion knowledge and intention to report concussions were statistically significant (P<.05), while changes in attitudes toward reporting concussions were not (P=.08). CONCLUSIONS: Results suggest VR technology may be an effective and efficient tool to equip preteen athletes with the requisite knowledge and skills to recognize and report future concussions. Further research is recommended to examine the use of VR as an effective strategy to improve concussion-reporting behaviors in preteen athletes.
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We present a Lie algebraic approach to a Hamiltonian class covering driven, parametric quantum harmonic oscillators where the parameter set-mass, frequency, driving strength, and parametric pumping-is time-dependent. Our unitary-transformation-based approach provides a solution to our general quadratic time-dependent quantum harmonic model. As an example, we show an analytic solution to the periodically driven quantum harmonic oscillator without the rotating wave approximation; it works for any given detuning and coupling strength regime. For the sake of validation, we provide an analytic solution to the historical Caldirola-Kanai quantum harmonic oscillator and show that there exists a unitary transformation within our framework that takes a generalized version of it onto the Paul trap Hamiltonian. In addition, we show how our approach provides the dynamics of generalized models whose Schrödinger equation becomes numerically unstable in the laboratory frame.
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The extent to which service providers across systems identify and assess potentially sex trafficked youth is understudied. The purpose of this study is to determine whether and how providers observe relevant indicators and assess for sex trafficking risk among minors (ages 12-17), young adults (ages 18-29), and families of minors. A cross-sectional, web-based survey was disseminated to service providers, who represented child welfare, youth justice, and social services (e.g. runaway youth, sexual violence), in a region of a Midwestern state (United States). Participants (N=267) were asked whether they provided direct services to minors (ages 12-17, n=245), adults (ages 18-29, n=148), and/or families/foster families of minors (ages 12-17, n=163), resulting in three respective client groups. Survey items assessed the extent to which providers (1) identified possible sex trafficking indicators across 5 domains; (2) took follow up actions; and (3) asked risk assessment questions. T-tests were conducted to examine differences between those who reported receiving sex trafficking trainings, compared to those who did not. Results suggest that the most commonly identified indicators included depressive symptoms, shame and guilt, lack of social support. Least common indicators included torture, false IDs, hotel involvement. A third of minor-aged providers did not ask sex trafficking risk assessment questions. Providers reported asking fewer clients about online sex trading than in-person forms. There were statistically significant differences among providers who received training. Implications, including provider strategies for assessing online sex trading and organizational protocols to enhance sex trafficking identification, are discussed.
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Quality education can build a sustainable, happier world, but what experiences support student well-being? Numerous laboratory studies suggest that prosocial behavior predicts greater psychological well-being. However, relatively little work has examined whether real-world prosociality programs are associated with greater well-being in primary school-aged children (aged 5-12). In Study 1, we surveyed 24/25 students who completed their 6th Grade curriculum in a long-term care home alongside residents called "Elders," which offered numerous opportunities for planned and spontaneous helping. We found that the meaning that students derived from their prosocial interactions with the Elders was strongly associated with greater psychological well-being. In Study 2, we conducted a pre-registered field experiment with 238 primary school-aged children randomly assigned to package essential items for children who experience homelessness and/or poverty who were either demographically similar or dissimilar in age and/or gender to them as part of a classroom outing. Children self-reported their happiness both pre- and post-intervention. While happiness increased from pre- to post-intervention, this change did not differ for children who helped a similar or dissimilar recipient. These studies offer real-world evidence consistent with the possibility that engaging in prosocial classroom activities-over an afternoon or year-is associated with greater psychological well-being in primary school-aged children.
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Psychological Well-Being , Students , Aged , Child , Humans , Altruism , Schools , Students/psychology , Surveys and QuestionnairesABSTRACT
During 2014-2020, no tuberculosis (TB) cases were reported within the Washington state prison system. However, during July 2021-June 2022, 25 TB cases were reported among persons incarcerated or formerly incarcerated in two Washington state prisons. Phylogenetic analyses of whole genome sequencing data indicated that Mycobacterium tuberculosis isolates from all 11 patients with culture-confirmed TB were closely related, suggesting that these cases represented a single outbreak. The median infectious period for 12 patients who were considered likely contagious was 170 days. As of November 15, 2022, the Washington State Department of Corrections (WADOC) and Washington State Department of Health (WADOH), with technical assistance from CDC, had identified 3,075 contacts among incarcerated residents and staff members at five state prisons, and 244 contacts without a known TB history received a diagnosis of latent TB infection (LTBI). Persons who were evaluated for TB disease were isolated; those receiving a diagnosis of TB then initiated antituberculosis therapy. Persons with LTBI were offered treatment to prevent progression to TB disease. This ongoing TB outbreak is the largest in Washington in 20 years. Suspension of annual TB screening while limited resources were redirected toward the COVID-19 response resulted in delayed case detection that facilitated TB transmission. In addition, fear of isolation might discourage residents and staff members from reporting symptoms, which likely also leads to delayed TB diagnoses. Continued close collaboration between WADOC and WADOH is needed to end this outbreak and prevent future outbreaks.
Subject(s)
COVID-19 , Latent Tuberculosis , Tuberculosis , Humans , Prisons , Washington/epidemiology , Phylogeny , COVID-19/epidemiology , Tuberculosis/prevention & control , Latent Tuberculosis/epidemiology , Disease OutbreaksABSTRACT
OBJECTIVE: To describe the epidemiology of field hockey-related injuries of patients aged 6 to 24 years who were treated in US emergency departments from 2000 to 2020. DESIGN: The researchers conducted a retrospective analysis using data from the National Electronic Injury Surveillance System (NEISS). SETTING: The NEISS collects data on recreational activity-related and consumer product-related injuries treated in US Eds. PATIENTS: Patients aged 6 to 24 years who were treated for field hockey-related injuries in Eds from 2000 to 2020. INDEPENDENT VARIABLES: The researchers analyzed characteristics that included age, body part injured, injury diagnosis, disposition from the ED, injury locale, injury mechanism, contact, and equipment type. MAIN OUTCOME MEASURES: All cases of field hockey-related injuries were identified using the NEISS product code for field hockey (1295). RESULTS: There were an estimated 82 639 (95% CI = 45 536-119 742) field hockey-related injuries for patients aged 6 to 24 years treated in US emergency departments from 2000 to 2020. The rate of field hockey-related injuries per 100 000 population did not significantly change from 7.4 in 2000 to 7.4 in 2011 (slope = 0.048; P = 0.581) but significantly decreased from 7.4 in 2011 to 3.7 in 2019 (slope = -0.40; P = 0.018). As player age increased, the risk of injury due to contact with equipment increased ( 13 years: RR = 0.90; 95% CI = 0.82-0.98, 19-24 years: RR = 1.17; 95% CI = 1.06-1.29). Concussions or traumatic brain injuries accounted for 9.2% of injuries and were most associated with contact with the ball. CONCLUSION: Although there was a decrease in the field hockey-related injuries, field hockey remains an important source of injuries for children and young adults.