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Consumer product-related female genital injuries in the USA from 2013 to 2022
  1. Kevin Danis Li1,2,
  2. Sultan Al Azzawi1,
  3. Nizar Hakam3,
  4. Behzad Abbasi1,
  5. Umar Ghaffar1,
  6. Chibuzor Nwachukwu1,
  7. Hiren V Patel1,
  8. Benjamin N Breyer1,2
  1. 1Department of Urology, University of California San Francisco, San Francisco, California, USA
  2. 2Department of Biostatistics and Epidemiology, University of California San Francisco, San Francisco, California, USA
  3. 3Department of Urology, University of California San Francisco, Berkeley, California, USA
  1. Correspondence to Kevin Danis Li; kevin.d.li{at}ucsf.edu

Abstract

Background Consumer product-related genital injuries in females across all age groups are understudied. Existing research focuses primarily on paediatric populations. We aimed to determine characteristics, trends and predictors of hospitalisation.

Methods The National Electronic Injury Surveillance System database was queried for female genital injuries from 2013 to 2022. We stratified our population into four age groups (<18, 18–34, 35–54, >54 years). Automated text matching and manual reviews were employed for variable extraction. χ2 tests and logistic regression were conducted, accounting for survey design and weights.

Results 9054 cases representing a national estimate of 252 329 injuries (95% CI 188 059 to 316 599) were identified. Paediatric injuries were most common (61%) and seniors had the highest hospitalisation rates (28%). Falls were common in paediatric (51%) and senior (48%) groups, whereas self-induced and topical application injuries were more frequent among adults aged 18–34 and 35–54. Injuries predominantly involved playground equipment and bicycles in children, razors and massage devices in adults aged 18–34 and 35–54 and household structures in seniors. Hospitalisation increased over the decade from 7% to 9%; significant predictors of hospitalisation were Asian race (OR=3.39, 95% CI 1.83 to 6.30), fractures (OR=7.98, 95% CI 4.85 to 13.1) and urethral injury (OR=3.15, 95% CI 1.30 to 7.63).

Conclusions Our study identifies distinct patterns in female genital injuries across ages. In the paediatric cohort, injuries are often linked to playgrounds and bicycles. For adults, grooming products are frequently implicated. Seniors commonly suffer injuries from household structures such as bathtubs. These patterns may inform discussions on tailored preventive strategies.

  • Product Modification
  • Bicycle
  • Fall
  • Recreation / Sports
  • Epidemiology

Data availability statement

Data are available in a public, open access repository. Data are available on reasonable request.

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Data availability statement

Data are available in a public, open access repository. Data are available on reasonable request.

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Footnotes

  • X @kevndli

  • Contributors KDL acquired and analysed the data, organised the data collection team and drafted the manuscript. HVP and BNB provided supervision, conceived the study and critically revised the manuscript. SAA, NH, BA, UG and CN contributed to data collection and provided revisions. All authors approved the final manuscript. BNB is the guarantor and accepts full responsibility for the work.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.