Trend of unintentional injury deaths among children under 5 years old in China during 2009—2019

ZHAO Qian; LI Xiaohong; YAN Ziqi; XIA Jingwei; CHEN Tianyi; GUO Ying; CHEN Kaiyue

doi:10.11852/zgetbjzz2022-1521

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Chinese Journal of Child Health Care ›› 2023, Vol. 31 ›› Issue (10) : 1136-1141. DOI: 10.11852/zgetbjzz2022-1521

Clinical Research

Trend of unintentional injury deaths among children under 5 years old in China during 2009—2019

ZHAO Qian^1,2, LI Xiaohong^1,2, YAN Ziqi¹, XIA Jingwei³, CHEN Tianyi^1,2, GUO Ying⁴, CHEN Kaiyue^1,2

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Abstract

Objective To understand and analyze the trends of unintentional injury deaths of children under 5 years old in different regions during 2009－2019, so as to provide scientific basis for clarifying priorities for reducing the mortality of children under 5 years of age and formulating child unintentional injury prevention strategies. Method Data on childhood deaths due to unintentional injuries from 2009－2019 were collected and analyzed by log-linear regression using the Joinpoint Regression procedure for childhood unintentional injury mortality. Results During 2009－2019, the mortality rate of unintentional injuries among children < 1 year old and aged 1 to ＜5 years in China decreased less than the overall mortality rate. The decrease of unintentional injury mortality among children aged 1 to ＜5 years in urban areas (AAPC= -4.3%, P<0.05) was less than that in rural areas (AAPC=- 7.4%, P<0.001). The proportion of unintentional injury death in the total cause of death of children < 1 year old in urban and rural areas was on the rise, although it was small. The rate of death from unintentional injuries among children aged 1 to <5 years in eastern cities (AAPC=-4.1%, P<0.05) decreased less than that in western cities (AAPC=-5.7%, P<0.05). The composition ratio of unintentional injuries to total causes of death for children in the <1 year old group and children in the 1 to <5 years old group in the eastern cities both tended to increase after 2013. The fall mortality rate among children aged 1 to <5 years in eastern cities increased from 0.200/10⁵ in 2009 to 1.313/10⁵ in 2019 (AAPC = 23.7%, P < 0.001). Conclusions While continuing to do a good job of preventing unintentional injuries among rural children, there is a need to strengthen the prevention of unintentional injuries among urban children. The attention to the prevention of unintentional injuries among children in eastern cities needs to be increased, especially road traffic injuries among children under 1 year old and fall injuries among children aged 1 to <5 years.

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children under 5 years old / unintentional injuries / mortality

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ZHAO Qian, LI Xiaohong, YAN Ziqi, XIA Jingwei, CHEN Tianyi, GUO Ying, CHEN Kaiyue. Trend of unintentional injury deaths among children under 5 years old in China during 2009—2019[J]. Chinese Journal of Child Health Care. 2023, 31(10): 1136-1141 https://doi.org/10.11852/zgetbjzz2022-1521

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