BackgroundThe purpose of this study is to compare mortality due to external causes in Japan and to explore strategies for injury prevention.MethodsMortality caused by external causes provided by the Vital Statistics of Japan and the standard population data were used.ResultsAmong 0–14 year olds, mortality due to external causes declined from 13.1 per 100,000 population in 1984 to 3.6 in 2014. Of the types of external causes, suicide death rate increased, but drowning, motor vehicle crashes and suffocation death rate were reduced.Among 15–14 year olds, mortality due to external causes declined from 36.8 per 100,000 population in 1984 to 26.2 in 2014. Of the types of external causes, suicide death rate increased, but drowning and motor vehicle crashes death rate were reduced.Among 45–64 year olds, mortality due to external causes declined from 63.6 per 100,000 population in 1984 to 42.1 in 2014. Of the types of external causes, suffocation death rate increased, but motor vehicle crashes and suicide death rate were reduced.Among those 65 years or older, mortality due to external causes declined from 135.2 per 100,000 population in 1984 to 105.1 in 2014. Of the types of external causes, suffocation and drowning death rate increased, but suicide, motor vehicle crashes and fall death rate were reduced.ConclusionsIn Japan, the motor vehicle crashes death rate among all ages decreased significantly. The drowning and suffocation death rate among children decreased, but among those 65 years or older those rates increased.Laws requiring seat belts from 1985 and child seat under 6 year old from 2000 have prevented many traffic fatalities.Development of such legal systems would be useful for a decline of the death rate mortality due to external causes.
Purpose The purpose of this study is to analyse trends of childhood unintentional injury death, hospitalisations and practice visits rate among aged 0-14 year olds in Japan. Method Mortality data of unintentional injuries and the patient survey provided by vital statistics of Japan was used. Results Under 1 year old, the mortality of unintentional injury death changed from 44.9 per 100 000 populations in 1984 to 13.2 in 2008. The rate for hospitalisations changed from 404 per 100 000 in 1984 to 441 in 2008. The rate for practice visits changed from 27000 per 100 000 in 1984 to 26800 in 2008. Among 1-4 year olds, injury death changed from 20.3 to 3.8. Hospitalisations rate changed from 552 to 423. Practice visits rate changed from 44 400 to 42 850. Among 5-9 year olds, unintentional injury death changed from 9.3 to 2.2. Hospitalisations rate changed from 642 to 397. Practice visits rate changed from 30 700 to 35 600. Among 10-14 year olds, unintentional injury death changed from 5.4 to 1.9. Hospitalisations rate changed from 662 to 505. Practice visits rate changed from 35 500 to 48 000. Conclusions Mortality of unintentional injury rate decreased over 25 years from 1984 to 2008, but practice visits rate was remained high under 1 and 1-4 year olds, and increased among 5-9 and 10-14 year olds.
Background It is true that Japan is one of the lowest infant mortality countries in the world. However unintentional injury is the leading cause of death, as in other developed countries. This trend has been true for more than 30 years, so unintentional injury death has received much attention in Japan recently. Purpose The purpose of this study is to examine Japanese mortality data for all causes and unintentional injury among developed countries. Methods Compare Japanese mortality data for all causes and unintentional injuries with 13 developed countries, Australia, Austria, Belgium, Canada, France, Germany, Italy, Netherlands, Spain, Sweden, Switzerland, UK and USA. These mortality data are available from World Health Statistics Annual. Results As a consequence of comparison, mortality rate for all causes of death among under 1-year-old, 5–14 year olds, 55–64-year-olds, 65–74-year-olds and over 75-year-olds in Japan are almost lowest in these developed countries. However, unintentional injury death rates for these age groups are not so low. Also, mortality rate for all causes of 1–4-year-olds and unintentional Injury death of under 1-year-old, 55–64-year-olds and 65–74-year-olds in Japan are higher than the average mortality rate of 13 advanced countries. Significance These maybe caused by Japanese insufficient emergency care system and structure, and lack of injury prevention materials. Also, it is necessary for Japanese to spread the knowledge of first aid for injury.
Purpose The purpose of this study is to identify the unique features of Japanese unintentional injury and to consider strategies for injury prevention. Method Mortality data for unintentional injuries available from Vital Statistics of Japan and the patient survey in 2008 was used, and the rate of hospitalisations and practice visits for unintentional injury was calculated. Results In 2008, the mortality for unintentional injury was 13.2, the rate for hospitalisations was 441, and the rate for practice visits was 26 838 per 100 000 populations under 1 year old.
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