Epidemiological characteristics of injury mortality in Guangdong Province, China, 2015

Meng, Ruilin; Xu, Xiaojun; Xu, Yanjun; Luo, Cheng; Xu, Haipeng; Wang, Ye; Song, Xiaofeng; Xia, Liang; Xiao, Ni; Zhou, Shunhua; Lin, Lifeng

doi:10.1186/s12889-019-6437-6

Cited by 12 publications

(14 citation statements)

References 21 publications

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“…The SMR of injury mortality were higher in male than in female groups each year, as well as a 2.65 times increase of PYLL and 2.58 times PYLLR in male than in female groups; this result was consistent with previous studies [20][21][22][23], suggesting the higher injury burden in male. In fact, PYLL, PYLLR, and other indicators focused on the description of premature death, emphasizing the loss of life caused by premature death [22,24].…”

Section: Biomed Research Internationalsupporting

confidence: 91%

“…In our study, we revealed that, from 2008 to 2017, the average crude injury mortality rate of residents was 60.43/100000 (SMR: 59.50/100000) in Anhui province and ranked 5 th of all-cause mortality. As compared with other provinces, there was an increased SMR in Anhui province (59.50/100000) than in Chongqing (55.57/100000), Guangxi Zhuang autonomous region (46.45/100000), Guangdong province (43.11/100000), Wuxi city (38.62/100000), and nationwide (44.98/100000) [16][17][18][19][20]; however, the SMR of Anhui province was similar to that in Taizhou (60.65/100000) [21]. In Anhui province, injury mortality rates displayed a descending trend year by year from 2008 3 BioMed Research International…”

Section: Discussionmentioning

confidence: 99%

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Mortality and Disease Burden of Injuries from 2008 to 2017 in Anhui Province, China

Xing

Wang

et al. 2020

BioMed Research International

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Objective. To investigate the temporal trends in mortality and disease burden of injuries in Anhui province from 2008 to 2017, so as to provide reference for injury control and prevention. Methods. Data of mortality were collected from 9 national surveillance points in Anhui province during 2008-2017 in the Information System for Death Cause Register and Management. The surveillance data were analyzed by using crude mortality, standardized mortality rate (SMR), potential year of life lost (PYLL), PYLL rate (PYLLR), and average of year life lost (AYLL). Results. There were a total of 44855 people died from injury, accounted for 9.44% of the all-cause mortality, ranked as the fifth leading cause of deaths in the whole population, and denoted the first leading cause of deaths in the 0-44 year’s group. The leading causes of injury deaths were road traffic accidents, suicide, accidental falls, drowning, and poisoning. Road traffic accidents was the primary cause of injury deaths among the male population, while suicide was the dominate cause of injury deaths among the female population. Drowning, traffic accidents, and suicide accounted for the most injury deaths among the population aged 0-14 years, 15-64 years, and above 60 years, respectively. The road traffic accidents accounted for the largest proportion of injury PYLL and PYLLR, and drowning caused the highest AYLL among injury deaths. Conclusion. In Anhui province, road traffic accidents, suicide, accidental falls, drowning, and poisoning were the top five causes of injury deaths that harm the health of local residents; corresponding injury prevention strategies should be formulated.

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Section: Biomed Research Internationalsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Mortality and Disease Burden of Injuries from 2008 to 2017 in Anhui Province, China

Xing

Wang

et al. 2020

BioMed Research International

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“…This study found that the prevalence of fatal drowning in children under 5 years old was 16.1/100,000 in Hunan Province, which was lower than previous studies in Hunan Province [9]. But it was higher than the prevalence of fatal drowning in children under 5 years in Guangdong Province (10.1/100,000) [10]. The prevalence of fatal drowning was also higher than the children and adolescents in China determined through meta-analysis (8.98/100,000) [11].…”

Section: Discussionmentioning

confidence: 69%

Epidemiological characteristics and influencing factors of fatal drowning in children under 5 years old in Hunan Province, China: case-control study

et al. 2019

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Background Drowning is still the primary cause of death in children under 5 years old, however, little is known about the drowning of Hunan province children. This study identifies the previously unpublished incidence and characteristics of fatal drowning in children of Hunan Province, and provide a basis for formulating strategies for children’s survival, development and protection. Methods Data were collected through sampling with the multistage stratified cluster. The case group included all fatal frowning children under 5 years old in 13 districts between October 2015 and September 2016. The control group was matched 1:1.The epidemic features and influencing factors of fatal drowning were analyzed retrospectively according to descriptive analysis, conditional univariate and multivariate logistic regression analysis. Results For children aged 0–4 years, the fatal drowning was 16.1/100000 in Hunan Province. Drowning rates were higher for boys than girls. The proportion of rural areas is much higher than that of urban areas. The 1–2 years age-group was the highest of all age groups. Fatal drowning mainly occurred in summer. The three leading drowning locations were pond, ditch and well. Playing close to the water were the leading activities that preceded fatal drowning. Multivariate logistic regression analysis showed that: children with primary caregiver education in high school and above (OR = 0.05) have a lower risk of fatal drowning; children with full-time care (OR = 0.17) have a lower risk; children who received unintentional drowning safety education (OR = 0.23) have a lower risk of fatal drowning. Children who were always swimming or playing near the water in the past 6 months (OR = 3.13) have a higher risk of fatal drowning. Conclusion The fatal drowning among children under 5 years is the result of the interaction of multiple factors. A significant number of child deaths could have been prevented if parents and other close relatives had been more concerned about the safety of their children. We should develop health education plans for villagers to warn them of the dangers of drowning and preventive measures.

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“…The average injury mortality rate of children and adolescents in Zhuhai City from 2013 to 2017 was 10.70/100,000, which was lower than the global population mortality rate (66.90/100,000) [15] higher than the HIC children and adolescents injury mortality rate (7.70/100,000), and lower than the injury mortality rate of LMIC children and adolescents (37.20/100,000) [16] ; while the average injury mortality rate of children and adolescents in Zhuhai City was also lower than the total injury mortality rate of children aged 0-17 in China in 2014 (22.90/100,000) [4], and lower than the injury death rate of the entire population in Guangdong Province in 2015 (43.11/100,000) [17] , injury also ranked first among all causes of death among children and adolescents aged 1-17.…”

Section: Discussionmentioning

confidence: 99%

The injury mechanism spectra and injury pyramids among children and adolescents in Zhuhai City, China

Yin

Dai

et al. 2020

Preprint

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Background: The unclear spectra and severity of injuries in the injury pyramids for Chinese children and adolescents prevent the prioritization interventions. This study aimed to describe the injury mechanism spectra and injury pyramids in this population to provide a priority for injury prevention strategies.Methods: Death, hospitalization, and outpatient/emergency department visit data from patients aged 0~17 years with injuries were obtained from January 1, 2013, to December 31, 2017, in Zhuhai City, China. The injury mechanism ratios were calculated, and the injury pyramids were drawn in proportion by using injury mortality and the incidence of both injury hospitalizations and outpatient/emergency department injury visits.Results: The top three mechanisms for injuries in children and adolescents seen in outpatient/emergency departments were falls (52.02%), animal bites (14.57%), and blunt injuries (10.60%). The top three mechanisms for injury hospitalizations were falls (37.33%), road traffic injuries (17.87%), and fire/burns (14.29%), while the top three mechanisms for injury deaths were drowning (32.91%), road traffic injuries (20.25%) and falls (13.92%). The incidence rate of outpatient/emergency department injury visits for children and adolescents was 11210.87/100,000; the incidence rate of injury hospitalization was 627.09/100,000, and the injury death rate was 10.70/100,000. For each injury death, there were 59 injury hospitalizations and 1,047 outpatient/emergency injury visits.Conclusions: The injury spectra were different for injury-related outpatient/emergency department visits, hospitalizations, and deaths among children and adolescents. The different sexes had different injury spectra at different stages of child development, and interventions should be formulated based on this finding. The size and shape of the injury pyramids varied by age, sex, region, and injury mechanisms; minor nonfatal injuries were more common in children and adolescents. The differences in the severity and extent of the injuries suggested that injury interventions in Chinese children and adolescents still have a long way to go.

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Epidemiological characteristics of injury mortality in Guangdong Province, China, 2015

Cited by 12 publications

References 21 publications

Mortality and Disease Burden of Injuries from 2008 to 2017 in Anhui Province, China

Mortality and Disease Burden of Injuries from 2008 to 2017 in Anhui Province, China

Epidemiological characteristics and influencing factors of fatal drowning in children under 5 years old in Hunan Province, China: case-control study

The injury mechanism spectra and injury pyramids among children and adolescents in Zhuhai City, China

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