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Epidemiological characteristics and risk factors for severity of product-related injuries in children during

Jie Chen1, Yanqi Lan1, Zhuoping Zhang2

  • 1Xiamen Center for Disease Control and Prevention, Xiamen, Fujian, China.

Frontiers in Public Health
|March 9, 2026
PubMed

Insights

The COVID-19 pandemic

Area of Science:

  • Pediatrics
  • Public Health
  • Epidemiology

Background:

  • The COVID-19 pandemic created a natural experiment to study the impact of non-pharmaceutical interventions (NPIs) on childhood injuries.
  • Understanding how NPIs affect injury patterns and severity is crucial for public health strategies during emergencies.

Purpose of the Study:

  • To assess the impact of NPIs on the epidemiological characteristics of product-related injuries in children.
  • To determine the factors influencing the severity of these injuries during different pandemic phases.

Main Methods:

  • Analysis of 39,245 product-related injury cases in children (1-17 years) from 2016-2024 using the Xiamen Injury Surveillance System.
  • Categorization of the study period into pre-pandemic, during NPIs, and post-NPIs phases.
  • Multivariable logistic regression models with interaction terms to analyze injury severity and effect modification by NPIs.

Main Results:

  • During NPIs, home injuries increased to 56.38%, with rises in foreign body injuries and burns/scalds.
  • NPIs significantly increased severe injury risk for products like agro-forestry-fishery items, household appliances, and toys.
  • Conversely, injury severity at schools/public places decreased in the post-NPIs period compared to pre-pandemic.

Conclusions:

  • Non-pharmaceutical interventions altered childhood injury risks, particularly increasing the severity of injuries from home-related products.
  • Targeted product safety interventions within homes are essential during public health emergencies.
Abstract

Keywords:
COVID-19childreninjury severityinteraction analysisnon-pharmacological interventionsproduct injury

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