TY - JOUR PY - 2018// TI - How the science of injury prevention contributes to advancing home fire safety in the USA: successes and opportunities JO - Injury prevention A1 - Gielen, Andrea Carlson A1 - Frattaroli, Shannon A1 - Pollack, Keshia M. A1 - Peek-Asa, Corinne L. A1 - Yang, Jingzhen G. SP - i7 EP - i13 VL - 24 IS - Suppl 1 N2 - BACKGROUND: In the decades since the landmark report-America Burning-was published in 1973, the number of home fire deaths has shrunk from >5500 per year to 2650 in 2015. This paper: (1) describes how science and practice in injury prevention and fire and life safety contributed to successful interventions, and (2) identifies emerging strategies and future opportunities to prevent home fire-related deaths.

METHODS: The aims are addressed through the lens of population health research, with a focus on the work of selected Centers for Disease Control and Prevention-funded Injury Control Research Centers.

RESULTS are organised using the Haddon Matrix and an ecological model.

RESULTS: We found evidence to support interventions that address all components of both the matrix and the model, including: reduced ignition propensity cigarettes, stop smoking campaigns, housing codes, residential sprinkler systems, smoke alarms, community risk reduction, school-based educational programmes, and fire and burn response systems. Future reductions are likely to come from enhancing residential sprinkler and smoke alarm technology, and increasing their utilisation; expanding the use of community risk reduction methods; and implementing new technological solutions. Despite the successes, substantial disparities in home fire death rates remain, reflecting underlying social determinants of health.

CONCLUSION: Most of the evidence-supported interventions were focused on changing the policy and community environments to prevent home fires and reduce injury when a fire occurs. Future prevention efforts should give high priority to addressing the continued disparities in home fire deaths.

© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Language: en

LA - en SN - 1353-8047 UR - http://dx.doi.org/10.1136/injuryprev-2017-042356 ID - ref1 ER -