A social change perspective on injury prevention in China

Ozanne‐Smith, Joan; Li, Qingfeng

doi:10.1136/injuryprev-2017-042712

Cited by 16 publications

(16 citation statements)

References 48 publications

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“…Child injury is a significant global public health problem, and more than 98% of child injury deaths occur in developing countries [1]. Injuries mainly include road traffic injuries, suicide, falls, and drowningdrowning [2]. Life expectancy in developing countries is reduced by 1.19 years due to injury [3].…”

Section: Introductionmentioning

confidence: 99%

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Healthy China 2030: how to control the rising trend of unintentional suffocation death in children under five years old

et al. 2020

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Background: To investigate the occurrence frequency, changing trends, and epidemiological distribution of unintentional suffocation in children under 5 years old. Methods: The data were collected from the Maternal and Child Health Surveillance system from 2009 to 2018. The cause of death was classified by ICD-10. Data on unintentional suffocation death were calculated according to the characteristics of the population, time, space, cause of death and medical treatment, and constituent ratio were calculated. Results: The mortality rate of children under 5 years old showed a downward trend, but the mortality of unintentional suffocation initially decreased and then increased. The death rate of unintentional suffocation in children less than 1-yearold was much higher than that in children aged 1 to 4 years old. The death rate of unintentional suffocation was higher in boys than in girls, and the rate was higher for rural children than for urban children. The number of low-weight and pre-term infants in the group under 1-year-old was significantly higher than that in the group of 1-4 years old. Children under 1-year-old are more likely to die at home than children aged 1 to 4 years old, and a higher proportion of younger children did not receive treatment. More than 80% of children under the age of 5 go untreated because it was too late to go to the hospital. Conclusion: For areas and populations with a high incidence of unintentional suffocation, we suggest that priorities should include prevention, the development of a safe environment, strengthened prevention, the development of safety habits, and the popularization of first aid knowledge.

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Section: Introductionmentioning

confidence: 99%

“…In China [4], the proportion of injury deaths among 0-14 years of children in China rose from 18.69% in 2004 to 21.26% in 2011. Injury is also the leading cause of death among children aged 1 to 4 years old [2]. In China, 14.6% of deaths among children under 5 years of age are due to injuries [5].…”

Section: Introductionmentioning

confidence: 99%

Healthy China 2030: how to control the rising trend of unintentional suffocation death in children under five years old

et al. 2020

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“…No recent and comprehensive studies have been found, leaving a nearly decade-long gap in our understanding of the state of injury prevention in China. The rapid economic changes and increasing relevance of urban-rural disparities in the country highlight the need for a current understanding of injury-related deaths in children 18…”

Section: Introductionmentioning

confidence: 99%

Injury-related mortality among children younger than 5 years in China during 2009–2016: an analysis from national surveillance system

et al. 2018

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BackgroundEpidemiology in injury-related mortality among children younger than 5 years was unreported in China recently.MethodsData were obtained from China’s Under 5 Child Mortality Surveillance System (U5CMSS) in 2009-2016. Injury-related mortality rates were calculated by residence, age-group, gender and major injury type (drowning, traffic injuries, suffocation, poisoning, falls). The average annual decline rate (AADR) was calculated based on the annual mortality rates by Poisson regression and the relative risk (RR) between urban and rural residence was examined based on the rates of two years for each time point by Cochran-Mantel-Haenszel method.ResultsU5CMSS contained 6503 injury-related deaths of children younger than 5 years during the study period, of which 58.6% were male, 86.0% occurred in rural areas, 65.7% were children aged 12–59 months. Deaths were mainly attributed to suffocation (34.3%), drowning (29.6%), traffic injuries (17.7%), falls (7.2%) or poisoning (4.7%). The injury-related mortality rate dropped from 274.7 to 189.2 per 100 000 live births from 2009 to 2016, giving an AADR of 4.53% (95% CI 3.50% to 5.55%). During 2009–2016, the injury-related mortality rate in rural area was higher than that in urban area, the adjusted RRs (aRRs) in infants and children aged 12–59 months were 3.32–6.04 and 4.31–5.49, respectively.ConclusionThe rate of injury-related deaths in children younger than 5 years has decreased in China, but it remains high and strong urban–rural disparities still exist. Public health programmes and policy interventions should focus particularly on suffocation among infants and on drowning and traffic injuries among children aged 12–59 months, especially in rural areas.

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“…Researchers noting the increase in injury deaths in Chinese cities during the latter half of the twentieth Century repeated without evidence the conventional wisdom that they are mainly the result of activities associated with rapid economic growth (Zhou 2012 ). From 2010 to 2015, however, injury death rates in Chinese cities were substantially lower than in the 1980s and 1990s while economic growth remained high (Ozanne-Smith and Li 2018 ).…”

Section: Introductionmentioning

confidence: 99%

Temperature, precipitation, ozone pollution, and daily fatal unintentional injuries in Jiangsu Province, China during 2015–2017

2020

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Background: The correlation of unintentional injury mortality to rising temperatures found in several studies could result from changes in behavior that increases exposure to hazards or risk when exposed. Temperature, precipitation and air pollutants may contribute to symptoms and distractions that increase risk or avoidance behavior that reduces risk. This study examines data that allows estimates of the relation of daily maximum temperature, precipitation and ozone pollution to injury mortality risk, each corrected statistically for the correlation with the others. Methods: Daily data on unintentional injury deaths and exposures to temperature, precipitation and ozone in 9 cities in Jiangsu Province, China during 2015-2017 were analyzed using Poisson regression. The regression estimates were adjusted for weekends, holidays, an anomalous difference in death rates in Nanjing, and population size. Results: Non transport injury death risk increased substantially in relation to higher temperatures when temperatures were in the moderate range and even more so at temperatures 35 degrees (C) and higher. Transport deaths were related to increasing deaths when temperatures were low but the correlation reversed at higher temperatures. Deaths were lower on rainy days when temperatures were cool and moderate with the exception of non-transport injuries when temperatures were moderate. Higher ozone concentrations were associated with more deaths except when temperatures were low. Conclusions: The variations in deaths in relation to temperature, precipitation and ozone suggest that people are behaving differently or are in different environments when specific combinations of the predictor variables are prevalent, putting them at greater or less risk. More study of the behaviors and circumstances that result in injury under those conditions is needed.

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A social change perspective on injury prevention in China

Cited by 16 publications

References 48 publications

Healthy China 2030: how to control the rising trend of unintentional suffocation death in children under five years old

Healthy China 2030: how to control the rising trend of unintentional suffocation death in children under five years old

Injury-related mortality among children younger than 5 years in China during 2009–2016: an analysis from national surveillance system

Temperature, precipitation, ozone pollution, and daily fatal unintentional injuries in Jiangsu Province, China during 2015–2017

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