Unintentional injury deaths in children and youth, 2010–2019

West, Bethany A.; Rudd, Rose A.; Sauber-Schatz, Erin K.; Ballesteros, Michael F.

doi:10.1016/j.jsr.2021.07.001

Cited by 44 publications

(20 citation statements)

References 13 publications

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“…Although the injury-related mortality rate was higher in children aged 12–59 months than those aged 0–11 months, the number of injury-related deaths decreased with age by year. It is consistent with previous studies 37 . It may be associated with the poor self-protection ability of young children 24 .…”

Section: Discussionsupporting

confidence: 94%

Unintentional injury deaths among children under five in Hunan Province, China, 2015–2020

Zhou

Xie

et al. 2023

Sci Rep

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Injury is the most common cause of preventable morbidity and death among children under five. This study aimed to describe the epidemiological characteristics of injury-related mortality rates in children under five and to provide evidence for future preventive strategies. Data were obtained from the Under Five Child Mortality Surveillance System in Hunan Province, China, 2015–2020. Injury-related mortality rates with 95% confidence intervals (CI) were calculated by year, residence, gender, age, and major injury subtype (drowning, suffocation, traffic injuries, falls, and poisoning). And crude odds ratios (ORs) were calculated to examine the association of epidemiological characteristics with injury-related deaths. The Under Five Child Mortality Surveillance System registered 4,286,087 live births, and a total of 22,686 under-five deaths occurred, including 7586 (which accounted for 33.44% of all under-five deaths) injury-related deaths. The injury-related under-five mortality rate was 1.77‰ (95% CI 1.73–1.81). Injury-related deaths were mainly attributed to drowning (2962 cases, 39.05%), suffocation (2300 cases, 30.32%), traffic injuries (1200 cases, 15.82%), falls (627 cases, 8.27%), and poisoning (156 cases, 2.06%). The mortality rates due to drowning, suffocation, traffic injuries, falls, and poisoning were 0.69‰ (95% CI 0.67,0.72), 0.54‰ (95% CI 0.51,0.56), 0.28‰ (95% CI 0.26,0.30), 0.15‰ (95% CI 0.13,0.16), and 0.04‰ (95% CI 0.03,0.04), respectively. From 2015 and 2020, the injury-related mortality rates were 1.78‰, 1.77‰, 1.60‰, 1.78‰, 1.80‰, and 1.98‰, respectively, and showed an upward trend (χ2trend = 7.08, P = 0.01). The injury-related mortality rates were lower in children aged 0–11 months than in those aged 12–59 months (0.52‰ vs. 1.25‰, OR = 0.41, 95% CI 0.39–0.44), lower in urban than rural areas (1.57‰ vs. 1.88‰, OR = 0.84, 95% CI 0.80–0.88), and higher in males than females (2.05‰ vs . 1.45‰, OR = 1.42, 95% CI 1.35–1.49). The number of injury-related deaths decreased with children’s age. Injury-related deaths happened more frequently in cold weather (around February). Almost half (49.79%) of injury-related deaths occurred at home. Most (69.01%) children did not receive treatment after suffering an injury until they died, and most (60.98%) injury-related deaths did not receive treatment because it was too late to get to the hospital. The injury-related mortality rate was relatively high, and we have described its epidemiological characteristics. Several mechanisms have been proposed to explain these phenomena. Our study is of great significance for under-five child injury intervention programs to reduce injury-related deaths.

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Section: Discussionsupporting

confidence: 94%

Unintentional injury deaths among children under five in Hunan Province, China, 2015–2020

Zhou

Xie

et al. 2023

Sci Rep

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“…The unintentional injury death rates were higher for males than females [5,25,26], which may be caused mainly by differences in biological temperament, cognitive strategies, exposure opportunity, and gender socialization [5]. The number of unintentional injury deaths decreased with age [27], which may be associated with the poor self-protection ability of young children [13]. Most unintentional injuries occur suddenly, leading to children receiving no treatment until they die because it is too late to go to the hospital [28].…”

Section: Discussionmentioning

confidence: 99%

Unintentional injury deaths among children under five in Hunan Province, China, 2015-2020

Zhou

Xie

et al. 2022

Preprint

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Objective In China, unintentional injuries are one of the leading causes of preventable death among children under five. This study aimed to describe the epidemiological characteristics of unintentional injury death rates in children under five and to provide evidence for future preventive strategies. Methods We analyzed 2015–2020 data from the Under-Five Mortality Surveillance Network of Hunan Province to determine the unintentional injury death rate (the number of unintentional injury deaths per 1,000 live births, the unit is ‰) for children under five by year, residence address, sex, and age group. The compositions of unintentional injury types and epidemiological characteristics were calculated by proportion. Results From 2015–2020, the overall unintentional injury death rate was 1.770‰, increased by 11.54%, from 1.776‰ in 2015 to 1.981‰ in 2020, showing an upward trend (P = 0.01). Death rates were higher for children in rural than urban areas (1.883‰ vs. 1.575‰) and higher for males than females (2.055‰ vs. 1.449‰) (P < 0.05). The main fatal injury types for under-five children were unintentional drowning (39.05%), suffocation (30.32%), traffic injury (15.82%), fall (8.27%), and poisoning (2.06%). Among children aged 0–11 months, suffocation was the leading cause of unintentional injury death (82.91%), and among children aged 12–59 months, drowning was the leading cause of unintentional injury death (54.17%). Death rates of unintentional drowning, suffocation, and traffic injury were higher in rural than urban areas (P < 0.05). Death rates of unintentional drowning, suffocation, and fall were higher for males than females (P < 0.05). From 2015–2020, death rates of unintentional suffocation, fall, and poisoning showed increasing trends (P < 0.05). The maximum number of unintentional injury deaths was in February, the maximum number of unintentional drowning deaths was in July, and the maximum number of unintentional suffocation deaths was in January. Most unintentional traffic injury deaths occurred on the way to the hospital (41.58%) and in the hospital (34.08%). 49.79% of unintentional injury deaths occurred at home. 69.01% of children did not receive treatment after unintentional injury until they died, and 60.98% of unintentional injury deaths did not receive treatment because it was too late to get to the hospital. Conclusion In this study, the unintentional injury death rate among children under five showed an increasing trend, and we have described its epidemiological characteristics. We should focus on priority target groups and injury types to reduce the unintentional injury death rate. We suggest that preventing unintentional injuries should be priorities, and we should develop safe environments and improve residents' safety literacy and first-aid abilities.

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“…Unintentional injury is an important public-health problem, not only because it is the major cause of death among children, but also because it can result in disability and heavy economic burden (1)(2)(3)(4)(5)(6). West et al (7) reported that children aged 0-4 years show high mortality from unintentional injuries, with the highest mortality being among children under 1 year old. From the perspective of time-data analysis, although a gradual declining trend of mortality in unintentional injuries among children under 5 years of age was reported, however, effective measures remain necessary to further reduce unintentional injuries (8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

Using online social networks to provide a parental health-education intervention for preventing unintentional injuries among children aged 0–3 years: A randomized controlled trial and social network analysis in Shanghai, China

Feng

et al. 2023

Front. Public Health

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IntroductionUnintentional injury among children represents a major public health problem. Online-social-network-based parental-health-education is a potential way to reduce child unintentional injuries. The study aimed to explore the mechanisms by which online-social-network-based health education may reduce the unintentional injuries among children aged 0–3 years.MethodsWe conducted a participant-blinded, randomized controlled, online-social-network-based health-education intervention study from March 2019 to February 2020 in Shanghai. We established four WeChat groups (two intervention groups and two control groups). For the intervention groups, a doctor's assistant regularly delivered information regarding unintentional injuries among children, and community childcare doctors answered parents' questions concerning their children's health, including unintentional injuries. Meanwhile, the control groups did not receive any information from the assistant. The study selected one intervention group and one control group and compared the ego network and whole network indicators to determine the differences between the intervention and control groups.ResultsIn the intervention and control groups, 64.5% and 31.9% of the members, respectively, engaged in communication, and 1,736 and 273 records, respectively, were obtained. Regarding ego network, the doctor showed the largest network in the intervention group, and the size of the intervention group's network was twice that of the control group; the number of ties in the intervention group was nine times that of the control group. Fourteen and four parents in the intervention and control group played an active role, respectively. Regarding centrality, all WeChat groups were loose and multiple centers existed. Regarding subgroup cohesion, the intervention group had 28 cliques with 27 members, and the control group had 4 cliques with 4 members. For structural hole, 23.7% and 7.5% members in the intervention and control group actively participated in interactions, respectively, having strong control and influence over other parents; 69.2% and 59.1% members in the intervention and control group, respectively, had values of < 1.000, showing that they had strong ability to cross-jump structural holes.DiscussionOnline-social-networks-based health education interventions could enhance communication among parents, and between parents and community childcare doctors, and also shorten the social distance between them. Thus, online-social-network-based parental-health-education-intervention can be a feasible and generalizable means of preventing unintentional injuries among children.

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Unintentional injury deaths in children and youth, 2010–2019

Cited by 44 publications

References 13 publications

Unintentional injury deaths among children under five in Hunan Province, China, 2015–2020

Unintentional injury deaths among children under five in Hunan Province, China, 2015–2020

Unintentional injury deaths among children under five in Hunan Province, China, 2015-2020

Using online social networks to provide a parental health-education intervention for preventing unintentional injuries among children aged 0–3 years: A randomized controlled trial and social network analysis in Shanghai, China

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