Institute for Health Metrics and Evaluation, University of Washington, Seattle, Washington, USA.
Popul Health Metr. 2010 Mar 31;8:5. doi: 10.1186/1478-7954-8-5.
Child injury is recognized as a global health problem. Injuries caused the highest burden of disease among the total population of Iran in 2003. We aimed to estimate the morbidity, mortality, and disease burden caused by child injuries in the 0- to 14-year-old population of Iran in 2005.
We estimated average age- and sex-specific mortality rates for different types of child injuries from 2001 to 2006 using Iran's death registration data. Incidence rates for nonfatal outcomes of child injuries in 2005 were estimated through a time- and place-limited sample hospital registry study for injuries. We used the World Health Organization's methods for estimation of years of life lost due to premature mortality and years lived with disability in 2005.
Injuries were the most important cause of death in children ages 1 to 14, with 35, 33.4, 24.9, and 22.9 deaths per 100,000 in the 0-14, 1-4, 5-9, and 10-14 age groups respectively. Road transport injuries were responsible for the highest death rate per 100,000 population among all types of injuries in children, with 15.5 for ages 0-14, 16.1 for ages 1-4, 16.3 for ages 5-9, and 13.1 for ages 10-14. Incidence rates of injuries leading to hospitalization were 459, 530, and 439 per 100,000 in the 0-14, 1-4, and 5-14 age groups respectively. Incidence rates of injuries leading to outpatient care were 1,812, 2,390, and 1,650 per 100,000 in the same age groups respectively. Among injury types, falls and burns had the highest hospitalization and outpatient care incidence rates.
Injuries, particularly road transport injuries, were the most important health problem of children in Iran in 2003 and 2005. Strong social policy is needed to ensure child survival.
儿童伤害被认为是一个全球性的健康问题。2003 年，在伊朗总人口中，伤害导致的疾病负担最高。我们旨在估计 2005 年伊朗 0-14 岁儿童因伤害导致的发病率、死亡率和疾病负担。
我们利用伊朗死亡登记数据，估计了 2001 年至 2006 年不同类型儿童伤害的平均年龄和性别特异性死亡率。通过时间和地点有限的样本医院登记研究，估计了 2005 年非致命性伤害结果的发病率。我们使用世界卫生组织的方法，估计了 2005 年因过早死亡而丧失的预期寿命年和因残疾而丧失的预期寿命年。
伤害是 1-14 岁儿童最重要的死亡原因，0-14、1-4、5-9 和 10-14 岁年龄组每 10 万人中分别有 35、33.4、24.9 和 22.9 人死亡。在所有类型的儿童伤害中，道路交通伤害导致的每 10 万人死亡率最高，0-14 岁年龄组为 15.5，1-4 岁年龄组为 16.1，5-9 岁年龄组为 16.3，10-14 岁年龄组为 13.1。导致住院的伤害发病率在 0-14、1-4 和 5-14 岁年龄组中分别为每 10 万人 459、530 和 439。导致门诊治疗的伤害发病率在相同年龄组中分别为每 10 万人 1812、2390 和 1650。在伤害类型中，跌倒和烧伤的住院和门诊治疗发病率最高。
伤害，特别是道路交通伤害，是 2003 年和 2005 年伊朗儿童最重要的健康问题。需要强有力的社会政策来确保儿童的生存。
