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[Disease burden of injuries in children aged 0-14-year-old in 1990 and 2013, in China]
1Division of Injury Prevention and Control, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Insights
Injury disease burden in Chinese children significantly decreased between 1990 and 2013, with notable improvements in intervention programs. However, injuries remain a major health risk for young children, particularly boys, with drowning and road traffic accidents being leading causes of death.
Area of Science:
- Public Health
- Epidemiology
- Pediatrics
Background:
- Injuries represent a significant public health concern for children globally and in China.
- Understanding the trends and patterns of injury-related disease burden is crucial for effective prevention strategies.
Purpose of the Study:
- To analyze the disease burden of injuries in Chinese children aged 0-14 years in 1990 and 2013.
- To identify regional disparities and leading causes of injury-related mortality and disability.
Main Methods:
- Utilized data from the Global Burden of Disease 2013 study.
- Analyzed mortality rates and disability-adjusted life years (DALY) rates across Chinese provinces for children aged 0-14.
- Compared injury burden indicators between 1990 and 2013, and by age group and sex.
Main Results:
- In 2013, injury deaths were 73,766, with mortality and DALY rates of 29.46 and 2,449.36 per 100,000 children, respectively.
- Injury burden was higher in boys than girls and decreased with age. Xinjiang, Tibet, Gansu, Qinghai, and Ningxia had the highest rates.
- Drowning, road traffic injuries, and exposure to mechanical forces were the leading causes. Significant decreasing trends in all indicators were observed from 1990 to 2013, with improvements in intervention programs across most regions.
Conclusions:
- Significant progress has been made in reducing the injury burden among Chinese children over two decades.
- Injuries remain a primary health risk for children under 4, especially boys.
- Drowning and road traffic injuries are the leading causes of death in children aged 1-14 years.
Abstract:
Objective: To analyze the disease burden of injuries in Chinese children aged between 0-14-year-old, in 1990 and 2013. Methods: Data derived from the Global Burden of Disease 2013 was used to analyze the disease burden of injuries among children aged between 0-14-year-old in each province of China, using relevant indicators including mortality and the rate on disability-adjusted life years (DALY). Results: In 2013, the number of deaths, rates on mortality and DALY caused by injuries in children aged between 0-14-year-old were 73 766, 29.46 per 100 000 and 2 449.36 per 100 000, respectively. Each indicator of injury burden appeared higher in boys than that in girls. With the increase of age, burden caused by injuries in each age group showed a decreasing trend. Provinces and autonomous regions as Xinjiang, Tibet, Gansu, Qinghai and Ningxia ranked the top 5 regions on both mortality rate and DALY rate among children aged between 0-14-year-old. The top 3 injury-related mortality rates and rate on DALY were drowning, road traffic injury and exposure to mechanic forces, among children. Compared to the disease burden of injuries in the 1990s, all indicators showed decreasing trends in children aged between 0-14-year-old, with girls more than boys, and variations in different age groups. In all areas of China, improvements were seen on intervention programs related to the injury-caused burden among children aged between 0-14-year-old, except for Ningxia, Yunnan and Chongqing. Conclusions: During the last two decades, there had been significant improvements in reducing the injury-caused burden among the Chinese children aged between 0-14-year-old. However, injury is still the most important risk on health of children under 4-year-old, with boys in particular. Drowning and road traffic injury were the two leading causes of death in children aged between 1 and 14-year-old.
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