Unintentional injury mortality among children under age five in urban and rural areas in the Sichuan province of west China, 2009–2017

Yao, Minghong; Wu, Guanghui; Zhao, Ziling; Luo, Min; Zhang, Juying

doi:10.1038/s41598-019-38936-6

Cited by 18 publications

(27 citation statements)

References 19 publications

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“…Young mothers are less experienced in child care than older ones and their children may be more vulnerable to unintentional injuries. Such injuries, the third leading cause of underfive mortality in the world, include drowning, traffic accidents, accidental asphyxia, poisoning and falls [39]. In the US maternal age between 15 to 24 years was associated with a significantly higher risk of sudden unexpected infant death than maternal age > 30 years [40].…”

Section: Country Fixed Effects Yes Time-fixed Effects Yesmentioning

confidence: 99%

Impact of high-risk fertility behaviours on underfive mortality in Asia and Africa: evidence from Demographic and Health Surveys

Amir-ud-Din

Naz

Rubi

et al. 2021

BMC Pregnancy Childbirth

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Background Maternal age < 18 or > 34 years, short inter-pregnancy birth interval, and higher birth order are considered to be high-risk fertility behaviours (HRFB). Underfive mortality being disproportionately concentrated in Asia and Africa, this study analyses the association between HRFB and underfive mortality in selected Asian and African countries. Methods This study used Integrated Public Microdata Series-Demographic and Health Surveys (IPUMS-DHS) data from 32 countries in sub-Saharan Africa, Middle East, North Africa and South Asia from 1986 to 2017 (N = 1,467,728). Previous evidence hints at four markers of HRFB: women’s age at birth of index child < 18 or > 34 years, preceding birth interval < 24 months and child’s birth order > 3. Using logistic regression, we analysed change in the odds of underfive mortality as a result of i) exposure to HRFB individually, ii) exposure to any single HRFB risk factor, iii) exposure to multiple HRFB risk factors, and iv) exposure to specific combinations of HRFB risk factors. Results Mother’s age at birth of index child < 18 years and preceding birth interval (PBI) < 24 months were significant risk factors of underfive mortality, while a child’s birth order > 3 was a protective factor. Presence of any single HRFB was associated with 7% higher risk of underfive mortality (OR 1.07; 95% CI 1.04–1.09). Presence of multiple HRFBs was associated with 39% higher risk of underfive mortality (OR 1.39; 95% CI 1.36–1.43). Some specific combinations of HRFB such as maternal age < 18 years and preceding birth interval < 24 month significantly increased the odds of underfive mortality (OR 2.07; 95% CI 1.88–2.28). Conclusion Maternal age < 18 years and short preceding birth interval significantly increase the risk of underfive mortality. This highlights the need for an effective legislation to curb child marriages and increased public investment in reproductive healthcare with a focus on higher contraceptive use for optimal birth spacing.

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Section: Country Fixed Effects Yes Time-fixed Effects Yesmentioning

confidence: 99%

Impact of high-risk fertility behaviours on underfive mortality in Asia and Africa: evidence from Demographic and Health Surveys

Amir-ud-Din

Naz

Rubi

et al. 2021

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

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“…Limited published evidence reported under-five unintentional injury mortality trends in China were from single provincial-level administrative divisions (PLADs) or for single types, such as one conducted in Sichuan Province ( 2 ) and another for unintentional suffocation ( 3 ).…”

mentioning

confidence: 99%

Unintentional Injury Mortality Among Children Under Five Years — China, 2006−2017

Chen

Tang

et al. 2020

China CDC Weekly

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What is already known about this topic? Unintentional injuries among children aged under five years is still a serious public health problem in China. Epidemiological characteristics of under-five unintentional injury are reported in single provinces and cities for China but not nationally based on the Disease Surveillance Points (DSPs) dataset. What is added by this report? Unintentional injury mortality rates for under-five decreased substantially between 2006 and 2017 in China, with the decrease occurring primarily for males and rural children. Children living in rural areas and males had higher unintentional injury mortality rates than children in urban areas and females. The major fatal types of under-five unintentional injury were drowning and road injury. What are the implications for public health practice? Further interventions need to be taken in accordance with the main types of unintentional injuries, especially effective prevention strategies used in other countries or recommended by the World Health Organization (WHO). Even with equal access to injury prevention and control services for different sexes, policy efforts should focus on higher-risk populations, especially children aged under five years who are males or reside in rural areas.

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“…The list of minority counties can be obtained from the website of the Ethnic and Religious Affairs Commission of Sichuan Province (http://www.scmzw.gov.cn/zwgk/tzgg/201409/t20140926_1427.html). The methods to calculate the U5MR, NMR, and IMR are reported in previous studies 29 . The U5MR, NMR and IMR were adjusted based on the 2010 Population Census.…”

Section: Methodsmentioning

confidence: 99%

All-cause child mortality in minority and non-minority areas in Sichuan Province in Western China, 2008–2017

Zhao¹,

Yao²,

Zhang³

et al. 2019

Sci Rep

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This study aimed to evaluate the disparity in the under-five mortality rate (U5MR) between minority and non-minority areas in Sichuan Province in Western China. Data for this study was obtained from the National Health Statistics Survey System. The Cochran-Armitage trend test was used to analyze the time trend of the U5MR. We conducted Poisson regression model to compare the differences of U5MRs between minority and non-minority areas. The U5MR in Sichuan province was reduced by 62.19% from 2008 to 2017, with the minority and non-minority areas reduced by 60.48% and 65.39%, respectively. The under-five mortality risk in minority areas was approximately 1.791 times (95% CI: 1.790–1.793; P < 0.01) that in non-minority areas. The primary cause of death of children under-five years old in minority areas was the respiratory disease, which was significantly higher than that in non-minority areas (P all < 0.01). The U5MR significantly declined both in minority and non-minority areas in Sichuan Province in Western China from 2008 to 2017. However, disparities still existed between minority and non-minority areas. Respiratory diseases were the main causes of death in minority areas and corresponding rates were higher than those in non-minority areas.

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Unintentional injury mortality among children under age five in urban and rural areas in the Sichuan province of west China, 2009–2017

Cited by 18 publications

References 19 publications

Impact of high-risk fertility behaviours on underfive mortality in Asia and Africa: evidence from Demographic and Health Surveys

Impact of high-risk fertility behaviours on underfive mortality in Asia and Africa: evidence from Demographic and Health Surveys

Unintentional Injury Mortality Among Children Under Five Years — China, 2006−2017

All-cause child mortality in minority and non-minority areas in Sichuan Province in Western China, 2008–2017

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