Evidence map›Paper›PMID 42763397›Full record

ArticleBMC public health2026

Urban-rural disparities in injury mortality in China, 2002-2021.

Youyou Wu, Ruobing Zhang, David C Schwebel, Li Li, Guoqing Hu

Abstract read
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Article in BMC public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Youyou Wu *Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, 410013, China.
Ruobing Zhang *Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, 410013, China.
David C SchwebelOffice of the Vice President for Research, University of Iowa, Iowa City, IA, United States of America.
Li LiDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, 410013, China. lili1009@csu.edu.cn.
Guoqing HuDepartment of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, Changsha, 410013, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInjury represents a major public health concern both globally and in China, with persistent urban-rural disparities posing a particular challenge for injury prevention. This study examined urban-rural disparities in injury mortality in China using the latest official data (2002-2021), stratified by age, sex, and cause of injury.

methodsData were collected from the most recent available Chinese Health Statistics Yearbooks. Urban and rural injury mortality rates were analyzed by sex, age group, and external cause of injury. Temporal changes in rural-to-urban mortality rate ratios were assessed using annual percent change (APC) and average annual percent change (AAPC) estimated by Joinpoint regressions.

resultsFrom 2002 to 2021, age-standardized injury mortality rates were generally higher in rural areas than in urban areas of China. Rural-to-urban mortality ratios ranged from 1.07 to 2.37, with no significant temporal changes in the overall disparity magnitude. Similar patterns were observed across sex and age groups. The urban-rural disparity was mainly a result of disparities in transport-related injuries, suicide, and falls, although cause-specific urban-rural disparities were most pronounced for suicide and drowning. The urban-rural gap widened significantly over the study period for falls and poisoning.

conclusionsPersistent urban-rural disparities in injury mortality highlight the need for targeted, context-specific injury prevention strategies in rural areas. Strengthening injury prevention efforts nationwide is essential for advancing health equity in China.

Indexed as

Health Status DisparitiesRural PopulationUrban PopulationWounds and InjuriesAdolescentAdultAgedChildChild, PreschoolChinaFemaleHumansInfantMaleMiddle AgedYoung AdultChinaInjuryMortalityUrban-rural disparities

Identifiers

PMID42763397
PMCPMC13589370

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