ArticleInjury prevention : journal of the International Society for Child and Adolescent Injury Prevention2019
Injury-related mortality among children younger than 5 years in China during 2009-2016: an analysis from national surveillance system.
Article in Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 30 citations in OpenAlex.
- Trends and urban-rural disparities in infant and cause-specific mortality in Shaanxi Province, China, 2014-2023: a population-based study.Frontiers in public health · 2026Observational
- Maternal knowledge and attitude towards unintentional childhood injury among children under five.African journal of disability · 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
- Assessing the effectiveness of an app-based child unintentional injury prevention intervention for caregivers of rural Chinese preschoolers: protocol for a cluster randomized controlled trial.BMC public health · 2021Article
- Social and environmental risk factors for unintentional suffocation among infants in China: a descriptive analysis.BMC pediatrics · 2021Article
- Accidental death during pregnancy and puerperium from 2009 to 2019 in Hunan, China: a cross-sectional study.BMJ open · 2021Article
- Healthy China 2030: how to control the rising trend of unintentional suffocation death in children under five years old.BMC pediatrics · 2020Article
- Trends and seasonality in cause-specific mortality among children under 15 years in Guangzhou, China, 2008-2018.BMC public health · 2020Article
- Mortality and Disease Burden of Injuries from 2008 to 2017 in Anhui Province, China.BioMed research international · 2020Article
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10 authors at 2 institutions in 1 country.
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Abstract
backgroundEpidemiology in injury-related mortality among children younger than 5 years was unreported in China recently.
methodsData were obtained from China's Under 5 Child Mortality Surveillance System (U5CMSS) in 2009-2016. Injury-related mortality rates were calculated by residence, age-group, gender and major injury type (drowning, traffic injuries, suffocation, poisoning, falls). The average annual decline rate (AADR) was calculated based on the annual mortality rates by Poisson regression and the relative risk (RR) between urban and rural residence was examined based on the rates of two years for each time point by Cochran-Mantel-Haenszel method.
resultsU5CMSS contained 6503 injury-related deaths of children younger than 5 years during the study period, of which 58.6% were male, 86.0% occurred in rural areas, 65.7% were children aged 12-59 months. Deaths were mainly attributed to suffocation (34.3%), drowning (29.6%), traffic injuries (17.7%), falls (7.2%) or poisoning (4.7%). The injury-related mortality rate dropped from 274.7 to 189.2 per 100 000 live births from 2009 to 2016, giving an AADR of 4.53% (95% CI 3.50% to 5.55%). During 2009-2016, the injury-related mortality rate in rural area was higher than that in urban area, the adjusted RRs (aRRs) in infants and children aged 12-59 months were 3.32-6.04 and 4.31-5.49, respectively.
conclusionThe rate of injury-related deaths in children younger than 5 years has decreased in China, but it remains high and strong urban-rural disparities still exist. Public health programmes and policy interventions should focus particularly on suffocation among infants and on drowning and traffic injuries among children aged 12-59 months, especially in rural areas.
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