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Childhood injuries in the United States. Mortality, Morbidity, and cost
1Department of Maternal and Child Health, Johns Hopkins School of Hygiene, Baltimore, MD 21205.
Insights
Childhood injuries, particularly from motor vehicles, homicide, and suicide, are a major cause of death and significant financial burden. Prevention efforts require greater federal and state commitment.
Area of Science:
- Public Health
- Pediatric Injury Prevention
- Health Economics
Background:
- Childhood injuries represent a significant public health issue with substantial mortality, morbidity, and economic costs.
- Existing data often lacks comprehensive national estimates broken down by specific injury causes.
- Adolescents (15-19 years) face the highest risk of injury-related fatalities.
Purpose of the Study:
- To present national estimates of childhood injury mortality, morbidity, and associated costs.
- To identify leading causes of childhood injury deaths, hospitalizations, and emergency department visits.
- To analyze the direct and indirect economic costs of unintentional childhood injuries.
Main Methods:
- Analysis of national data to estimate mortality, morbidity, and costs associated with various childhood injury causes.
- Categorization of injuries by specific mechanisms (e.g., motor vehicle, falls, homicide, suicide, sports).
Main Results:
- Motor vehicle-related injuries, homicide, and suicide are leading causes of childhood injury deaths.
- Falls and sports-related injuries are primary causes for hospitalizations and emergency department visits.
- Unintentional childhood injuries incurred an estimated $7.5 billion cost in 1982, with falls, sports, and motor vehicle occupant injuries having the highest direct costs.
Conclusions:
- Childhood injuries impose a substantial burden on public health and the economy.
- Targeted prevention strategies are crucial for leading causes like motor vehicle injuries, falls, and sports-related incidents.
- Enhanced federal and state commitment is essential for effective childhood injury prevention initiatives.
Abstract:
National estimates of the mortality, morbidity, and cost of childhood injuries are presented by specific causes. Motor vehicle-related injuries, homicide, and suicide are the leading causes of childhood injury deaths. Falls and sports-related injuries are the leading causes of hospitalizations and emergency department visits. We estimate that unintentional childhood injuries cost the nation $7.5 billion in 1982. The highest direct costs per year for unintentional injuries are attributable to falls, sports, and motor vehicle occupant injuries, while the highest indirect costs are related to motor vehicle occupant injuries, pedestrian injuries, and drowning. Injury accounts for 78% of the total fatalities among late adolescents (age 15 to 19 years), the pediatric age group at highest risk for injury mortality. A stronger federal and state commitment is needed to prevent childhood injury.
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