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Changes in the global burden of foreign body aspiration among under-5 children from 1990 to 2019

Yuying Wu1, Xin Zhang2, Zaigang Lin3

  • 1Department of Epidemiology and Health Statistics, School of Public Health, Fujian Medical University, Fuzhou, China.

Frontiers in Pediatrics
|September 20, 2023
PubMed

Insights

Foreign body aspiration (FBA) in children under five decreased globally from 1990-2014 but increased from 2014-2019. Incidence and DALYs vary by age and socio-demographic index, requiring targeted interventions.

Area of Science:

  • Pediatrics
  • Global Health
  • Epidemiology

Background:

  • Foreign body aspiration (FBA) poses a significant risk to young children globally.
  • Understanding FBA trends is crucial for public health interventions.

Purpose of the Study:

  • To evaluate the global burden of foreign body aspiration (FBA) in children under 5 years old.
  • To analyze FBA changes across regional, age, sex, and socio-demographic index (SDI) levels between 1990 and 2019.

Main Methods:

  • Utilized data from the Global Burden of Disease (GBD) Study 2019.
  • Calculated incidence and disability-adjusted life-years (DALYs) with 95% uncertainty intervals (UIs).
  • Employed Joinpoint regression to analyze temporal trends using estimated annual percentage change (EAPC).

Main Results:

  • In 2019, global FBA incidence was 109.6/100,000 and DALYs were 317.9/100,000 in children under 5.
  • While many European countries had high incidence, they showed lower DALYs.
  • An increasing incidence trend (P < 0.05) was observed from 2014-2019, particularly in China, Netherlands, and Malta.

Conclusions:

  • FBA burden declined from 1990-2014 but showed an upward trend from 2014-2019.
  • Incidence and DALY rates are correlated with age and SDI.
  • Enhanced monitoring, hazard assessment, and public education are essential.
Abstract

Keywords:
DALYsforeign body aspirationglobal burdensocio-demographic indexunder-5 children

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