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Published on: January 29, 2018
Childhood mortality due to unintentional injuries in Japan, 2000–2009
Hideaki Sekii1, Tadahiro Ohtsu, Takako Shirasawa
1Department of Public Health, Showa University School of Medicine, 1-5-8 Hatanodai, Shinagawa-ku, Tokyo 142-8555, Japan. hideaki.sekii@nifty.ne.jp
Insights
Child injury deaths in Japan decreased significantly between 2000-2009. Transport accidents were the leading cause, with suffocation in infants and drowning in boys requiring targeted interventions.
Area of Science:
- Pediatrics
- Public Health
- Epidemiology
Background:
- Unintentional injuries are a major cause of child mortality globally.
- Understanding trends in child injury deaths is crucial for developing effective prevention strategies.
Purpose of the Study:
- To analyze trends in unintentional injury deaths among children (0-14 years) in Japan from 2000-2009.
- To identify high-risk age groups and sexes and common injury types for targeted interventions.
Main Methods:
- Utilized data from Japan's Vital Statistics for the years 2000-2009.
- Defined unintentional injury deaths using ICD-10 codes V01-X59.
- Examined mortality changes by sex, age, and cause of death.
Main Results:
- Overall child injury mortality decreased by 46.2% from 2000 to 2009.
- Mortality rates for children aged 1-4 years were nearly halved.
- Leading causes of death included transport accidents, threats to breathing, and drowning. Specific risks identified for suffocation in infants, drowning in boys, and transport accidents involving pedestrians/cyclists.
Conclusions:
- Significant progress has been made in reducing child injury deaths in Japan.
- Targeted interventions are needed for specific causes and demographics, including suffocation in infants, drowning in boys, and transport-related incidents involving pedestrians and cyclists.
Abstract:
This study examined deaths due to unintentional injuries among children in Japan to identify the age groups and sexes at most risk, and the types of injuries, so that effective forms of targeted intervention can be devised. Among children aged 0-14 years, deaths whose underlying causes had been classified under code V01-X59 of the ICD-10 were defined as deaths of children caused by unintentional injuries. Using data from the Vital Statistics 2000-2009 for analysis, we examined the changes in mortality and trends in terms of sex, age, and cause of death. Mortality decreased by 46.2%, from 933 in 2000 to 502 in 2009. The mortality rate among children aged 1-4 years decreased by almost half. The total number of deaths during this decade was 7,362 (boys: 4,690, girls: 2,672). Among the causes of death, the majority were due to "transport accidents", followed by "other accidental threats to breathing", and "accidental drowning and submersion". The characteristics observed in terms of sex, age, and cause of death--that is, deaths from suffocation among infants aged less than 1 year, drowning deaths among boys, and transport accidents involving pedestrians and cyclists--must be addressed as targets for future intervention.
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