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Published on: January 7, 2013
Mortality from external causes among 1-14 years old children in Serbia, 1997-2016
Konstansa Lazarević1, Dragan Bogdanović1, Saša Milićević1
1Department for Biomedical Science, State University of Novi Pazar, Novi Pazar, Serbia.
Insights
Child mortality from external causes in Serbia has declined but remains a concern. Transport accidents and drowning are leading causes, with significant downward trends observed for unintentional injuries in both boys and girls.
Area of Science:
- Public Health
- Epidemiology
- Pediatrics
Background:
- Child mortality from external causes remains a significant global health issue, despite declining trends.
- External causes constitute a substantial proportion of overall child deaths in Serbia.
Purpose of the Study:
- To analyze trends in mortality rates from external causes among children aged 1-14 years in Serbia.
- To identify specific external causes contributing to child mortality in the country.
Main Methods:
- Utilized mortality data from the Statistical Office of Serbia for the period 1997-2016.
- Employed Joinpoint analysis to determine average annual percentage change (APC) in mortality rates.
Main Results:
- External causes accounted for 29.4% of child deaths between 1997 and 2016, decreasing from 34.8% to 21.8%.
- Transport accidents (37.6%) and drowning (18.2%) were the primary causes of death.
- Significant annual declines in mortality rates were observed for unintentional injuries in boys (-5.4%) and girls (-7.1%), and for intentional injuries in boys (-10%).
Conclusions:
- Despite a notable decrease, external causes of death remain a critical issue for children aged 1-14 in Serbia.
- Urgent implementation of nationwide prevention programs is necessary to further reduce child mortality from external causes.
Objectives:
Globally, child mortality from external causes is in decline, but it is still among the leading causes of child deaths. The aim of this first national study was to determine trends of mortality rates from external causes among children aged 1-14 years in Serbia.
Methods:
Mortality data were collected from the database of the Statistical Office of Serbia. Joinpoint analysis was used to assess the average annual percentage change (APC) and the corresponding 95% confidence interval (CI) in mortality from 1997 to 2016.
Results:
In the 1997-2016 period, there were 1,388 child deaths from external causes. They contributed to 29.4% of child mortality in total, from 34.8% in 1997 to 21.8% in 2016. Mortality rate was two times higher among boys (8.1 per 100,000) than girls (4.1 per 100,000). Transport accidents (37.6%), followed by drowning and submersion (18.2%), represented more than half of all deaths due to external causes. Since 1997, mortality rate showed a significant downward trend in boys by -5.4% (95% CI -6.8 to -3.9) yearly for unintentional injuries and significantly by -10% (95% CI -19.0 to 0.1) yearly for intentional injuries. Among girls, death rate for unintentional injuries decreased significantly by -7.1% (95% CI -9.0 to -5.1) yearly and decreased insignificantly for intentional injuries by -2.1% (95% CI -15.3 to 13.1) yearly.
Conclusions:
The external causes of death, despite the substantial decline in mortality, are still present among children aged 1-14 years in Serbia. Therefore, implementation of nationwide programmes for prevention of external causes of death is urgent.
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