Evidence map›Paper›PMID 37041562›Full record

ArticleBMC public health2023

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.

Xue Yu, Yanping Wang, Chunhua He, Leni Kang, Lei Miao, Yan Wu, Shirong Yang, Jun Zhu, Juan Liang, Qi Li and 4 more

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 1 country.

Xue YuWest China Second University Hospital, National Office for Maternal and Child Health Surveillance of China, Sichuan University, Chengdu, Sichuan, China.
Yanping WangWest China Second University Hospital, National Office for Maternal and Child Health Surveillance of China, Sichuan University, Chengdu, Sichuan, China.
Chunhua HeWest China Second University Hospital, National Office for Maternal and Child Health Surveillance of China, Sichuan University, Chengdu, Sichuan, China.
Leni KangWest China Second University Hospital, National Office for Maternal and Child Health Surveillance of China, Sichuan University, Chengdu, Sichuan, China.
Lei MiaoWest China Second University Hospital, National Office for Maternal and Child Health Surveillance of China, Sichuan University, Chengdu, Sichuan, China.
Yan WuDepartment of pediatrics, Sichuan Zhongjiang County People's Hospital, Deyang, Sichuan, China.
Shirong YangMianyang Youxian maternal and child health care hospital, Mianyang, Sichuan, China.
Jun ZhuWest China Second University Hospital, National Office for Maternal and Child Health Surveillance of China, Sichuan University, Chengdu, Sichuan, China.
Juan LiangWest China Second University Hospital, National Office for Maternal and Child Health Surveillance of China, Sichuan University, Chengdu, Sichuan, China.
Qi LiWest China Second University Hospital, National Office for Maternal and Child Health Surveillance of China, Sichuan University, Chengdu, Sichuan, China.
Li DaiWest China Second University Hospital, National Office for Maternal and Child Health Surveillance of China, Sichuan University, Chengdu, Sichuan, China.
Xiaohong LiWest China Second University Hospital, National Office for Maternal and Child Health Surveillance of China, Sichuan University, Chengdu, Sichuan, China.
Kui Deng *West China Second University Hospital, National Office for Maternal and Child Health Surveillance of China, Sichuan University, Chengdu, Sichuan, China. dengkbdpc@163.com.
Jing Tao *West China Second University Hospital, National Office for Maternal and Child Health Surveillance of China, Sichuan University, Chengdu, Sichuan, China. taotao20081988@126.com.
Sichuan University · CNWest China Second University Hospital of Sichuan University · CNFourth People's Hospital of Sichuan Province · CNSichuan Mianyang 404 Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn this study, we estimated the trend of unintentional injury mortality among children aged under-five years in China during 2010-2020.

methodsData were obtained from China's Under 5 Child Mortality Surveillance System (U5CMSS). The total unintentional injury mortality and all specific-causes unintentional injury mortality was calculated, annual numbers of deaths and live births were adjusted by a 3-year moving average under-reporting rate. The Poisson regression model and the Cochran-Mantel-Haenszel method were used to calculate the average annual decline rate (AADR) and the adjusted relative risk (aRR) of the unintentional injury mortality.

resultsIn 2010-2020, a total of 7,925 unintentional injury-related deaths were reported in U5CMSS, accounting for 18.7% of all reported deaths. The overall proportion of unintentional injury-related deaths to total under-five children deaths has increased from 15.2% to 2010 to 23.8% in 2020 (χ2 = 227.0, p < 0.001), the unintentional injury mortality significantly decreased from 249.3 deaths per 100,000 live births in 2010 to 178.8 deaths per 100,000 live births in 2020, with an AADR 3.7% (95%CI 3.1-4.4). The unintentional injury mortality rate decreased from 2010 to 2020 in both urban (from 68.1 to 59.7 per 100,000 live births) and rural (from 323.1 to 230.0 per 100,000 live births) areas (urban: χ2 = 3.1, p < 0.08; rural: χ2 = 113.5, p < 0.001). The annual rates of decline in rural areas and urban areas were 4.2% (95%CI 3.4-4.9) and 1.5% (95%CI 0.1-3.3), respectively. The leading causes of unintentional injury mortality were suffocation (2,611, 32.9%), drowning (2,398, 30.3%), and traffic injury (1,428, 12.8%) in 2010-2020. The cause-specific of unintentional injury mortality rates decreased with varying AADRs in 2010-2020, except for traffic injury. The composition of unintentional injury-related deaths also varied by age group. Suffocation was the leading cause in infants, drowning and traffic injury were the leading causes in children aged 1-4 years. Suffocation and poisoning has high incidence in October to March and drowning has high in June to August.

conclusionThe unintentional injury mortality rate of children aged under-five years decreased significantly from 2010 to 2020 in China, but great inequity exists in unintentional injury mortality in urban and rural areas. Unintentional injuries are still an important public health problem affecting the health of Chinese children. Effective strategies should be strengthened to reduce unintentional injury in children and these policies and programmes should be targeted to more specific populations, such as rural areas and males.

Indexed as

DrowningAsphyxiaChildChinaHumansInfantMaleRetrospective StudiesUrban PopulationTrend and epidemiologyUnintentional injury mortality

Identifiers

PMID37041562
PMCPMC10088152
OpenAlexW4364359632

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.