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The burden of injuries in Iranian children in 2005
Mohsen Naghavi1, Farshad Pourmalek, Saeid Shahraz
1Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA. nagham@u.washington.edu.
Insights
Child injuries are a major health concern in Iran, with road transport injuries being the leading cause of death. Urgent social policies are required to improve child survival rates and reduce injury burden.
Area of Science:
- Public Health
- Epidemiology
- Child Health
Background:
- Child injury represents a significant global health issue.
- In Iran, injuries contributed substantially to the overall disease burden in 2003.
- This study focuses on the 0- to 14-year-old population in Iran.
Purpose of the Study:
- To estimate the morbidity and mortality associated with child injuries in Iran for the year 2005.
- To quantify the disease burden attributable to child injuries in the specified age group.
- To identify the primary types and causes of child injuries in Iran.
Main Methods:
- Utilized Iran's death registration data (2001-2006) to calculate age- and sex-specific mortality rates for various injury types.
- Estimated incidence rates for nonfatal child injuries in 2005 through a targeted hospital registry study.
- Applied World Health Organization methodologies for calculating Years of Life Lost (YLL) and Years Lived with Disability (YLD).
Main Results:
- Injuries were the foremost cause of death in children aged 1-14, with rates ranging from 22.9 to 35 per 100,000.
- Road transport injuries exhibited the highest mortality rate across all pediatric age groups.
- Falls and burns were identified as leading causes for injury-related hospitalizations and outpatient visits.
Conclusions:
- Child injuries, especially those from road transport, constituted the primary health challenge for Iranian children in 2003 and 2005.
- Emphasizes the critical need for robust social policies to enhance child survival.
- Highlights the significant impact of injuries on child morbidity and mortality in Iran.
Background:
Child injury is recognized as a global health problem. Injuries caused the highest burden of disease among the total population of Iran in 2003. We aimed to estimate the morbidity, mortality, and disease burden caused by child injuries in the 0- to 14-year-old population of Iran in 2005.
Methods:
We estimated average age- and sex-specific mortality rates for different types of child injuries from 2001 to 2006 using Iran's death registration data. Incidence rates for nonfatal outcomes of child injuries in 2005 were estimated through a time- and place-limited sample hospital registry study for injuries. We used the World Health Organization's methods for estimation of years of life lost due to premature mortality and years lived with disability in 2005.
Results:
Injuries were the most important cause of death in children ages 1 to 14, with 35, 33.4, 24.9, and 22.9 deaths per 100,000 in the 0-14, 1-4, 5-9, and 10-14 age groups respectively. Road transport injuries were responsible for the highest death rate per 100,000 population among all types of injuries in children, with 15.5 for ages 0-14, 16.1 for ages 1-4, 16.3 for ages 5-9, and 13.1 for ages 10-14. Incidence rates of injuries leading to hospitalization were 459, 530, and 439 per 100,000 in the 0-14, 1-4, and 5-14 age groups respectively. Incidence rates of injuries leading to outpatient care were 1,812, 2,390, and 1,650 per 100,000 in the same age groups respectively. Among injury types, falls and burns had the highest hospitalization and outpatient care incidence rates.
Conclusions:
Injuries, particularly road transport injuries, were the most important health problem of children in Iran in 2003 and 2005. Strong social policy is needed to ensure child survival.
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