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[Study on traffic induced injuries in children aged 0-17 years in Jiangxi province]
Rui-wei Jing1, Guang Zeng, Ai Li
1Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Insights
Traffic injuries significantly impact children in Jiangxi province, with higher rates in males and rural areas. Urgent prevention strategies are needed to reduce child morbidity and mortality from these injuries.
Area of Science:
- Pediatric injury epidemiology
- Public health surveillance
- Road safety research
Context:
- Traffic injuries represent a significant public health concern for children globally.
- Understanding the specific burden in diverse populations is crucial for targeted interventions.
- Jiangxi province, China, faces a notable challenge with child traffic injuries.
Purpose:
- To investigate the incidence, mortality, and economic burden of traffic injuries among children (0-17 years) in Jiangxi province.
- To identify demographic and geographic disparities in child traffic injury rates.
- To inform the development of effective prevention strategies.
Summary:
- A survey of 100,000 households in Jiangxi province revealed a traffic injury morbidity rate of 7.40 per thousand children.
- Males and children in rural areas experienced higher morbidity rates, particularly for severe injuries.
- Pedestrian and cyclist incidents comprised over 80% of injuries, with substantial medical costs and missed school days.
Impact:
- Findings highlight a heavy disease burden of traffic injuries in Jiangxi's child population.
- The study underscores the urgent need for localized intervention strategies to mitigate child traffic injuries.
- Data can guide policy and resource allocation for child injury prevention programs.
Objective:
To explore the morbidity, mortality, and disease burden of traffic injury in children aged 0-17 years so as to develop a related strategy on prevention.
Methods:
100,000 households were selected by PPS sampling method in Jiangxi province. All children aged 0-17 years in selected households were interviewed by trained interviewers using a standardized 'traffic injury questionnaire'.
Results:
The overall mortality and fatality rates of traffic injury were 10.17/100,000 and 1.36% respectively while the traffic injury morbidity in children of 0-17 years old was 7.40 per thousand. Morbidity in males was 8.29 per thousand compared to 6.26 per thousand in females. Severe cases accounted for 1.79 per thousand of the total but those living in urban area appeared to be 0.93 per thousand compared to 1.88 per thousand in the rural area, with statistical significance. Pedestrian and cyclists related injuries accounted for 80.48% of all the injured children. The average medical cost per case was 1369.57 Yuan with an average of 3.63 days of hospitalization. The average days of missing school/working was 8.79.
Conclusion:
The morbidity and mortality among male children were higher than those among female children. The morbidity of severe traffic injury cases in children living in rural area was higher than that of children living in urban area. The disease burden of traffic injury in Jiangxi province was heavy and the development of relative intervention strategy seemed urgent in Jiangxi province.