The gap in injury mortality rates between urban and rural residents of Hubei province, China

Liu, Qing; Zhang, Lan; Li, Junlin; Zuo, Dan; Kong, Deguang; Shen, Xingfu; Guo, Yuhe; Zhang, Qingjun

doi:10.1186/1471-2458-12-180

Cited by 33 publications

(49 citation statements)

References 33 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In 2009, an urban district was added into the system as a new surveillance site. The urban data from the DSPs system were mainly from a non-agricultural population of large and middle size cities, and the rural data were mainly from an agriculture population, as described by Liu et al [18]. …”

Section: Methodsmentioning

confidence: 99%

Chronic disease mortality in rural and urban residents in Hubei Province, China, 2008–2010

et al. 2013

Self Cite

View full text Add to dashboard Cite

BackgroundChronic non-communicable diseases have become the major cause of death in China. This study describes and compares chronic disease mortality between urban and rural residents in Hubei Province, central China.MethodsDeath records of all individuals aged 15 years and over who died from 2008 through 2010 in Hubei were obtained from the Disease Surveillance Points system maintained by the Hubei Province Centers for Disease Control and Prevention. Average annual mortality, standardized death rates, years of potential life lost (YLL), average years of potential life lost (AYLL) and rates of life lost were calculated for urban and rural residents. Standardized rate ratios (SRR) were calculated to compare the death rates between urban and rural areas.ResultsA total of 86.2% of deaths were attributed to chronic non-communicable diseases in Hubei. Cerebrovascular diseases, ischemic heart disease and neoplasms were the main leading causes in both urban and rural areas, and the mortality rates were higher among rural residents. Lung cancer was the principal cause of mortality from cancer among urban and rural residents, and stomach cancer and liver cancer were more common in rural than urban areas. Breast cancer mortality among women in rural areas was lower than in urban areas (SRR=0.73, 95% CI=0.63–0.85). The standardized mortality for chronic lower respiratory disease among men in rural areas was higher than in urban areas (SRR=4.05, 95% CI=3.82–4.29). Among men, total AYLL from liver cancer and other diseases of liver were remarkably higher than other causes in urban and rural areas. Among women the highest AYLL were due to breast cancer in both urban and rural areas.ConclusionsChronic diseases were the major cause of death in Hubei Province. While circulatory system diseases were the leading causes in both urban and rural areas, our study highlights that attention should also be paid to breast cancer among women and chronic lower respiratory disease among rural residents. It is important that governments focus on this public health issue and develop preventive strategies to reduce morbidity and premature mortality from chronic non-communicable diseases.

show abstract

Section: Methodsmentioning

confidence: 99%

Chronic disease mortality in rural and urban residents in Hubei Province, China, 2008–2010

et al. 2013

Self Cite

View full text Add to dashboard Cite

show abstract

“…As the most populous developing country, China is experiencing an emerging public health problem of injuries, which cause almost 700,000 to 750,000 deaths each year, with a death rate of 65.2/100,000 inhabitants [ 3 ]. The annual number of deaths from injuries in China is estimated to reach 1,400,000 by 2010 and 2,500,000 by 2050 [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of a Multi-Level Education Intervention Model on Knowledge and Attitudes of Accidental Injuries in Rural Children in Zunyi, Southwest China

Cao

Shi

Yonghong

et al. 2015

IJERPH

View full text Add to dashboard Cite

Objective: To explore the effect of a school-family-individual (SFI) multi-level education intervention model on knowledge and attitudes about accidental injuries among school-aged children to improve injury prevention strategies and reduce the incidence of pediatric injuries. Methods: The random sample of rural school-aged children were recruited by using a multistage, stratified, cluster sampling method in Zunyi, Southwest China from 2012 to 2014, and 2342 children were randomly divided into intervention and control groups. Then children answered a baseline survey to collect knowledge and attitude scores (KAS) of accidental injuries. In the intervention group, children, their parents/guardians and the school received a SFI multi-level education intervention, which included a children’s injury-prevention poster at schools, an open letter about security instruction for parents/guardians and multiple-media health education (Microsoft PowerPoint lectures, videos, handbooks, etc.) to children. Children in the control group were given only handbook education. After 16 months, children answered a follow-up survey to collect data on accidental injury types and accidental injury-related KAS for comparing the intervention and control groups and baseline and follow-up data. Results: The distribution of gender was not significantly different while age was different between the baseline and follow-up survey. At baseline, the mean KAS was lower for the intervention than control group (15.37 ± 3.40 and 18.35 ± 5.01; p < 0.001). At follow-up, the mean KAS was higher for the intervention than control group (21.16 ± 3.05 and 20.02 ± 3.40; p < 0.001). The increase in KAS in the intervention and control groups was significant (p < 0.001; KAS: 5.79 vs. 1.67) and suggested that children’s injury-related KAS improved in the intervention group. Moreover, the KAS between the groups differed for most subtypes of incidental injuries (based on International Classification of Diseases 10, ICD-10) (p < 0.05). Before intervention, 350 children had reported their accident injury episodes, while after intervention 237 children had reported their accidental injury episodes in the follow-up survey. Conclusions: SFI multi-level education intervention could significantly increase KAS for accidental injuries, which should improve children’s prevention-related knowledge and attitudes about such injuries. It should help children change their risk behaviors and reduce the incidence of accidental injuries. Our results highlight a new intervention model of injury prevention among school-aged children.

show abstract

“…The top 28 global EM articles for 2012 are listed in Table . The complete database of all 224 global EM articles for 2012, as well as full summaries and critical analyses of the top 28 global EM of articles of 2012, can be found in Data Supplements S1 and S2 (available as supporting information in the online version of this article).…”

Section: Resultsmentioning

confidence: 99%

“…Injury now exceeds communicable illnesses as a leading cause of death in many countries . Liu et al . demonstrated clear urban–rural disparities in the age and sex demographics of injured patients, as well as in the types of injuries and injury mortality rates in China, with higher mortality in the rural areas.…”

Section: Discussionmentioning

confidence: 99%

Global Emergency Medicine: A Review of the Literature From 2012

et al. 2013

View full text Add to dashboard Cite

Objectives: The Global Emergency Medicine Literature Review (GEMLR) conducts an annual search of peer-reviewed and grey literature relevant to global emergency medicine (EM) to identify, review, and disseminate the most important new research in this field to a worldwide audience of academics and clinical practitioners.Methods: This year, our search identified 4,818 articles written in six languages. These articles were distributed among 20 reviewers for initial screening based on their relevance to the field of global EM. Two additional reviewers searched and screened the grey literature. A total of 224 articles were deemed appropriate by at least one reviewer and were approved by their editor for formal scoring of overall quality and importance.Results: Of the 224 articles that met our predetermined inclusion criteria, 56% were categorized as Emergency Care in Resource-limited Settings, 18% as EM development, and 26% as Disaster and Humanitarian Response. A total of 28 articles received scores of 16 or higher and were selected for formal summary and critique. Inter-rater reliability for two reviewers using our scoring system was good, with an intraclass correlation coefficient of 0.625 (95% confidence interval = 0.512 to 0.711). Conclusions:In 2012 there were more disaster and humanitarian response articles than in previous years. As in prior years, the majority of articles addressed the acute management of infectious diseases or the care of vulnerable populations such as children and pregnant women.ACADEMIC EMERGENCY MEDICINE 2013; 20:835-843

show abstract

The gap in injury mortality rates between urban and rural residents of Hubei province, China

Cited by 33 publications

References 33 publications

Chronic disease mortality in rural and urban residents in Hubei Province, China, 2008–2010

Chronic disease mortality in rural and urban residents in Hubei Province, China, 2008–2010

Effect of a Multi-Level Education Intervention Model on Knowledge and Attitudes of Accidental Injuries in Rural Children in Zunyi, Southwest China

Global Emergency Medicine: A Review of the Literature From 2012

Contact Info

Product

Resources

About