ArticlePloS one2017
Epidemiology of Injury-Related Death in Children under 5 Years of Age in Hunan Province, China, 2009-2014.
Article in PloS one, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Global and regional child deaths due to injuries: an assessment of the evidence.Journal of global health · 2018Pooled it
- Social, physical and economic drivers of unintentional injuries among children under-5 in low-resource communities in Jinja City, Uganda: a photovoice exploration.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025Article
- Analysing health conditions and economic influence on healthcare infrastructure: A comparative analysis of India, China, Japan, and South Korea.Journal of family medicine and primary care · 2025Article
- The trend of unintentional injury-related mortality among children aged under-five years in China, 2010-2020: a retrospective analysis from a national surveillance system.BMC public health · 2023Article
- Unintentional injury deaths among children under five in Hunan Province, China, 2015-2020.Scientific reports · 2023Article
- Article
- Epidemiology of unintentional childhood injuries in urban and rural areas of Nepal- A comparative study.PloS one · 2023Article
- Structural Determinants of Child Health in Rural China: The Challenge of Creating Health Equity.International journal of environmental research and public health · 2022Review
- An Analysis of Injury Trends and Disease Burden From Three Surveillance Hospitals in Urumqi From 2006 to 2018.Frontiers in public health · 2022Article
- Social and environmental risk factors for unintentional suffocation among infants in China: a descriptive analysis.BMC pediatrics · 2021Article
- Trend of unintentional suffocation death for infants under 1 year of age from 2009 to 2018 in Hunan, China: a cross-sectional study.BMJ open · 2020Article
- Factors associated with injuries among preschool children in Egypt: demographic and health survey results, 2014.BMC public health · 2020Article
- Epidemiological characteristics and influencing factors of fatal drowning in children under 5 years old in Hunan Province, China: case-control study.BMC public health · 2019Article
- Under-five mortality from unintentional suffocation in China, 2006-2016.Journal of global health · 2019Article
- Unintentional drowning mortality in China, 2006-2013.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2019Article
- Neurological outcomes in adult drowning patients in China.Annals of Saudi medicineArticle
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5 authors.
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Abstract
backgroundInjury is an important cause of childhood mortality in China. We described the epidemiology and trends of injury-related deaths of children <5 years of age in Hunan province, and discussed several policy implications.
methodsInjury-related deaths of children <5 years of age in 2009-2014 were identified from surveillance data. All specific injury mortality and mortality rates in urban and rural area were calculated from census data; Cochran-armitage trend test was used to assess the time trends.
resultsInjury was the leading cause of death in children <5 years of age. Overall injury mortality was 48.96 per 100,000 persons, gradually declined with the year (Z = -18.75, P<0.001), and accounted for 27.14% of all deaths. Injury mortality in rural areas was 64.66 per 100,000 persons, which was more than 3.73 times higher than the rate in urban areas. The three leading causes of injury-related death were drowning (43.63%), suffocation (27.57%), and traffic accidents (14.34%). Suffocation was the leading cause in children <1 year of age (79.49%). Suffocation has high incidence in the winter and spring, and drowning has high incidence in the summer season. Drowning was the leading cause in children 1-4 years of age (62.80%). Drowning and suffocation accounted for 67.74% and 65.11%, of injury-related deaths that occurred at home; while the traffic injury deaths (54.12%) occurred mainly in transit.
conclusionsInjury-related fatalities in children <5 years of age followed time trends that were different in rural and urban areas. Effective childhood injury prevention may require different prevention policies combination depending on epidemiological characteristics such as development of injury surveillance and public education on injury knowledge. There is a need for evidence-based surveillance of risk factors for development of effective injury prevention programs.
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