Child injury surveillance that guides interventions: the Beijing primary healthcare experience

H, Linnan; Jian-hua, Duan; Chen, Xinxin; Yan, Shujuan

doi:10.1136/ip.2010.026443

Cited by 8 publications

(7 citation statements)

References 14 publications

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“…Suffocation due to lack of oxygen can have many causes. Accidental airway obstruction is a frequent cause of death in children <4 years of age [25]. It can be caused by plastic bags, pillows, oronasal obstruction by soft bedding, or respiratory tract obstruction by aspiration of foreign bodies [26].…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of Injury-Related Death in Children under 5 Years of Age in Hunan Province, China, 2009–2014

Xiong

et al. 2017

PLoS ONE

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BackgroundInjury is an important cause of childhood mortality in China. We described the epidemiology and trends of injury-related deaths of children <5 years of age in Hunan province, and discussed several policy implications.MethodsInjury-related deaths of children <5 years of age in 2009–2014 were identified from surveillance data. All specific injury mortality and mortality rates in urban and rural area were calculated from census data; Cochran-armitage trend test was used to assess the time trends.ResultsInjury was the leading cause of death in children <5 years of age. Overall injury mortality was 48.96 per 100,000 persons, gradually declined with the year (Z = -18.75, P<0.001), and accounted for 27.14% of all deaths. Injury mortality in rural areas was 64.66 per 100,000 persons, which was more than 3.73 times higher than the rate in urban areas. The three leading causes of injury-related death were drowning (43.63%), suffocation (27.57%), and traffic accidents (14.34%). Suffocation was the leading cause in children <1 year of age (79.49%). Suffocation has high incidence in the winter and spring, and drowning has high incidence in the summer season. Drowning was the leading cause in children 1–4 years of age (62.80%). Drowning and suffocation accounted for 67.74% and 65.11%, of injury-related deaths that occurred at home; while the traffic injury deaths (54.12%) occurred mainly in transit.ConclusionsInjury-related fatalities in children <5 years of age followed time trends that were different in rural and urban areas. Effective childhood injury prevention may require different prevention policies combination depending on epidemiological characteristics such as development of injury surveillance and public education on injury knowledge. There is a need for evidence-based surveillance of risk factors for development of effective injury prevention programs.

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Section: Discussionmentioning

confidence: 99%

Epidemiology of Injury-Related Death in Children under 5 Years of Age in Hunan Province, China, 2009–2014

Xiong

et al. 2017

PLoS ONE

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“…Roughly 321 million children live in China, injury is the leading cause of pediatric death in that nation, and transportation-related injury is the second-leading cause of Chinese children’s fatal injuries (Institute for Health Metrics and Evaluation 2016; Linnan 2010). About two-thirds of transportation-related deaths to Chinese children ages 5–9, or 3200 deaths per year, are to pedestrians, and the pedestrian injury mortality rate in China is rapidly increasing (Institute for Health Metrics and Evaluation 2016; Ma et al 2013).…”

Section: Discussionmentioning

confidence: 99%

Using smartphone technology to deliver a virtual pedestrian environment: usability and validation

Schwebel

Severson

2016

Virtual Reality

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Various programs effectively teach children to cross streets more safely, but all are labor- and cost-intensive. Recent developments in mobile phone technology offer opportunity to deliver virtual reality pedestrian environments to mobile smartphone platforms. Such an environment may offer a cost- and labor-effective strategy to teach children to cross streets safely. This study evaluated usability, feasibility, and validity of a smartphone-based virtual pedestrian environment. A total of 68 adults completed 12 virtual crossings within each of two virtual pedestrian environments, one delivered by smartphone and the other a semi-immersive kiosk virtual environment. Participants completed self-report measures of perceived realism and simulator sickness experienced in each virtual environment, plus self-reported demographic and personality characteristics. All participants followed system instructions and used the smartphone-based virtual environment without difficulty. No significant simulator sickness was reported or observed. Users rated the smartphone virtual environment as highly realistic. Convergent validity was detected, with many aspects of pedestrian behavior in the smartphone-based virtual environment matching behavior in the kiosk virtual environment. Anticipated correlations between personality and kiosk virtual reality pedestrian behavior emerged for the smartphone-based system. A smartphone-based virtual environment can be usable and valid. Future research should develop and evaluate such a training system.

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“…Both successes and challenges link back to staff, stakeholders, and end-users in relation to the locus of operational management. Early involvement and coordination, physical proximity, and mechanisms to link with end-users are common facilitating factors across diverse operational environments [31-35]. Reasonably, it follows that the locus of operation assumes significance in terms of its capacity to undertake leadership and coordination functions relative to its own structure and organizational mandate.…”

Section: Discussionmentioning

confidence: 99%

The relevance of WHO injury surveillance guidelines for evaluation: learning from the aboriginal community-centered injury surveillance system (ACCISS) and two institution-based systems

et al. 2011

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BackgroundOver the past three decades, the capacity to develop and implement injury surveillance systems (ISS) has grown worldwide and is reflected by the diversity of data gathering environments in which ISS operate. The capacity to evaluate ISS, however, is less advanced and existing evaluation guidelines are ambiguous. Furthermore, the applied relevance of these guidelines to evaluate ISS operating in various settings is unclear. The aim of this paper was to examine how the World Health Organization (WHO) injury surveillance guidelines have been applied to evaluate systems operating in three different contexts.MethodsThe attributes of a good surveillance system as well as instructions for conducting evaluations, outlined in the WHO injury surveillance guidelines, were used to develop an analytical framework. Using this framework, a comparative analysis of the application of the guidelines was conducted using; the Aboriginal Community-Centered Injury Surveillance System (ACCISS) from Canada, the Shantou-Emergency Department Injury Surveillance Project (S-EDISP) from China, and the Yorkhill-Canadian Hospitals Injury Reporting and Prevention Program (Y-CHIRPP) imported from Canada and implemented in Scotland.ResultsThe WHO guidelines provide only a basic platform for evaluation. The guidelines over emphasize epidemiologic attributes and methods and under emphasize public health and injury prevention perspectives requiring adaptation for context-based relevance. Evaluation elements related to the dissemination and use of knowledge, acceptability, and the sustainability of ISS are notably inadequate. From a public health perspective, alternative reference points are required for re-conceptualizing evaluation paradigms. This paper offers an ISS evaluation template that considers how the WHO guidelines could be adapted and applied.ConclusionsFindings suggest that attributes of a good surveillance system, when used as evaluation metrics, cannot be weighted equally across ISS. In addition, the attribute of acceptability likely holds more relevance than previously recognized and should be viewed as a critical underpinning attribute of ISS. Context-oriented evaluations sensitive to distinct operational environments are more likely to address knowledge gaps related to; understanding links between the production of injury data and its use, and the effectiveness, impact, and sustainability of ISS. Current frameworks are predisposed to disassociating epidemiologic approaches from subjective factors and social processes.

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Child injury surveillance that guides interventions: the Beijing primary healthcare experience

Cited by 8 publications

References 14 publications

Epidemiology of Injury-Related Death in Children under 5 Years of Age in Hunan Province, China, 2009–2014

Epidemiology of Injury-Related Death in Children under 5 Years of Age in Hunan Province, China, 2009–2014

Using smartphone technology to deliver a virtual pedestrian environment: usability and validation

The relevance of WHO injury surveillance guidelines for evaluation: learning from the aboriginal community-centered injury surveillance system (ACCISS) and two institution-based systems

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