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Journal of Peking University (Health Sciences) ›› 2022, Vol. 54 ›› Issue (3): 498-504. doi: 10.19723/j.issn.1671-167X.2022.03.015

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Injury mortality among Chinese aged 5 to 24 years from 1990 to 2019

Yun-fei LIU,Jia-jia DANG,Pan-liang ZHONG,Ning MA,Di SHI,Yi SONG*()   

  1. Institute of Child and Adolescent Health, School of Public Health, Peking University, Beijing 100191, China
  • Received:2021-12-23 Online:2022-06-18 Published:2022-06-14
  • Contact: Yi SONG E-mail:songyi@bjmu.edu.cn
  • Supported by:
    the National Statistical Science Research Project(2021LY052)

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Abstract:

Objective: To analyze the mortality of injuries among children and adolescents aged 5 to 24 in China from 1990 to 2019, and to provide the theoretical basis for the formulation of policies related to injury prevention. Methods: The mortality data of children and adolescents aged 5 to 24 years in China between 1990 and 2019 were obtained from Global Burden of Disease (GBD) 2019, and the change in mortality between 1990 and 2019 was described. Age-period-cohort analysis was utilized to determine the age effect, period effect and cohort effect for road injuries, drowning and self-harm. Results: Injury mortality of Chinese children and adolescents aged 5 to 24 years decreased from 46.22 [95% uncertainty interval (UI): 40.88-52.12] per 100 000 to 20.36 (95%UI: 17.58-23.38) per 100 000 between 1990 and 2019. Sub-group analysis revealed a pattern that was basically consistent with the overall trend. From 1990 to 2019, drowning declined from the first leading cause of injury death among children and adolescents aged 5 to 24 years in China to the second while road injuries became the one which caused the most death among them, and self-harm was the third leading cause of injury death. The top three causes of injury death in each subgroup were basically the same as the overall, but the order was different in each subgroup. Age-period-cohort analysis showed that the death risk of road injuries, drowning, and self-harm all decreased with period and cohort. Aside from that, the death risk of road injuries showed a U-shape trend, which decreased at first but increased soon afterwards, with the increase of age, while the death risk of drowning decreased with age and the death risk of self-harm increased with age. Conclusion: In China, the injuries mortality among children and adolescents aged 5 to 24 years has decreased over the last three decades. However, specific cause-related injury deaths, manifested differently in different sub-groups. Targeted policies and intervention should be proposed to reduce the mortality of children and adolescents in accordance with the characteristics of injuries death in different genders and age groups.

Key words: Child, Adolescent, Injuries, Mortality

CLC Number: 

  • R179

Figure 1

The injury mortality rate trends among children and adolescents for different gender and age group"

Figure 2

Mortality trends for specific cause of injury among children and adolescents for each gender"

Figure 3

Mortality trends for specific cause of injury among children and adolescents for each age group"

Figure 4

The age-period-cohort effects for road injuries, drowning, and self-harm among children and adolescents for different gender APC, annual percentage change; AAPC, average annual percentage change."

1 The United Nations. Goal 4: Reduce child mortality[EB/OL]. (2008-05-20)[2021-10-09]. https://www.un.org/millenniumgoals/childhealth.shtml.
2 The United Nations. Goal 3: Ensure healthy lives and promote well-being for all at all ages[EB/OL]. (2015-09-25)[2021-10-12]. https://www.un.org/sustainabledevelopment/health/.
3 World Health Organization. Children: Improving survival and well-being[EB/OL]. (2020-09-08)[2021-10-25]. https://www.who.int/news-room/fact-sheets/detail/children-reducing-mortality.
4 World Health Organization. Adolescent and young adult health[EB/OL]. (2021-01-18)[2021-10-25]. https://www.who.int/news-room/fact-sheets/detail/adolescents-health-risks-and-solutions.
5 Unicef. Mortality among children, adolescents and youth aged 5-24[EB/OL]. (2020-09-17)[2021-10-09]. https://data.unicef.org/topic/child-survival/child-and-youth-mortality-age-5-24/.
6 叶鹏鹏, 金叶, 段蕾蕾. 不同儿童发展纲要时期下中国儿童伤害死亡率变化趋势[J]. 中华流行病学杂志, 2019, 40 (11): 1356- 1362.
doi: 10.3760/cma.j.issn.0254-6450.2019.11.004
7 Vos T , Lim SS , Abbafati C , et al. Global burden of 369 diseases and injuries in 204 countries and territories, 1990-2019: A systematic analysis for the Global Burden of Disease Study 2019[J]. Lancet, 2020, 396 (10258): 1204- 1222.
doi: 10.1016/S0140-6736(20)30925-9
8 Rosenberg PS , Check DP , Anderson WF , et al. A web tool for age-period-cohort analysis of cancer incidence and mortality rates[J]. Cancer Epidemiol Biomarkers Prev, 2014, 23 (11): 2296- 2302.
doi: 10.1158/1055-9965.EPI-14-0300
9 Ward JL , Viner RM . The impact of income inequality and national wealth on child and adolescent mortality in low and middle-income countries[J]. BMC Public Health, 2017, 17 (1): 429.
doi: 10.1186/s12889-017-4310-z
10 Bishai D , Quresh A , James P , et al. National road casualties and economic development[J]. Health Econ, 2006, 15 (1): 65- 81.
doi: 10.1002/hec.1020
11 Miovsky M , Gavurova B , Ivankova V , et al. Fatal injuries and economic development in the population sample of Central and Eastern European Countries: The perspective of adolescents[J]. Int J Public Health, 2020, 65 (8): 1403- 1412.
doi: 10.1007/s00038-020-01449-5
12 Wang L , Ning P , Yin P , et al. Road traffic mortality in China: Analysis of national surveillance data from 2006 to 2016[J]. Lancet Public Health, 2019, 4 (5): e245- e255.
doi: 10.1016/S2468-2667(19)30057-X
13 World Health Organization. Road traffic injuries[EB/OL]. (2021-06-21)[2021-10-28]. https://www.who.int/news-room/fact-sheets/detail/road-traffic-injuries.
14 Simons A , Govender R , Saunders CJ , et al. Childhood vulnerability to drowning in the Western Cape, South Africa: Risk differences across age and sex[J]. Child Care Health Dev, 2020, 46 (5): 607- 616.
doi: 10.1111/cch.12786
15 中华人民共和国中央人民政府. 国务院关于加强道路交通安全工作的意见[EB/OL]. (2012-07-27)[2022-03-20]. http://www.gov.cn/zhengce/zhengceku/2012-07/27/content_4157.htm.
16 Wang L , Cheng X , Yin P , et al. Unintentional drowning mortality in China, 2006-2013[J]. Inj Prev, 2019, 25 (1): 47- 51.
doi: 10.1136/injuryprev-2017-042713
17 World Health Organization. Drowning[EB/OL]. (2021-04-27)[2021-10-28]. https://www.who.int/news-room/fact-sheets/detail/drowning.
18 World Health Organization. Global report on drowning: Preventing a leading killer[EB/OL]. (2014-11-17)[2021-10-28]. https://www.who.int/publications/i/item/global-report-on-drowning-preventing-a-leading-killer.
19 刘辉. 我国儿童伤害主要发生原因及其预防措施的研究进展[J]. 职业与健康, 2021, 37 (8): 1141- 1143.1141-1143, 1148
20 李胜, 刘应焱, 王红英, 等. 2005—2019年中国溺水死亡现状及趋势分析[J]. 现代预防医学, 2021, 48 (15): 2705- 2709.2705-2709, 2715
21 World Health Organization. Suicide[EB/OL]. (2021-06-17)[2021-10-28]. https://www.who.int/news-room/fact-sheets/detail/suicide.
22 Ho TC , Gifuni AJ , Gotlib IH . Psychobiological risk factors for suicidal thoughts and behaviors in adolescence: A consideration of the role of puberty[J]. Mol Psychiatry, 2022, 27 (1): 606- 623.
doi: 10.1038/s41380-021-01171-5
23 中华人民共和国中央人民政府. 关于印发健康中国行动: 儿童青少年心理健康行动方案(2019—2022年)的通知[EB/OL]. (2019-12-27)[2022-03-21]. http://www.gov.cn/xinwen/2019-12/27/content_5464437.htm.
24 徐荣彬, 温勃, 宋逸, 等. 1990—2016年中国青少年死亡率及主要死因变化[J]. 中华预防医学杂志, 2018, 52 (8): 802- 808.
doi: 10.3760/cma.j.issn.0253-9624.2018.08.006
25 Alonge O , Hyder AA . Reducing the global burden of childhood unintentional injuries[J]. Arch Dis Child, 2014, 99 (1): 62- 69.
doi: 10.1136/archdischild-2013-304177
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