Ye P P, Jin Y, Er Y L, Deng X, Wang Y, Gao X, Duan L L, Wang L H
Division of Injury Prevention and Control, National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
National Center for Chronic and Non-communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 100050, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2017 Oct 10;38(10):1335-1341. doi: 10.3760/cma.j.issn.0254-6450.2017.10.008.
To analyze the disease burden of injuries in Chinese children aged between 0-14-year-old, in 1990 and 2013. Data derived from the Global Burden of Disease 2013 was used to analyze the disease burden of injuries among children aged between 0-14-year-old in each province of China, using relevant indicators including mortality and the rate on disability-adjusted life years (DALY). In 2013, the number of deaths, rates on mortality and DALY caused by injuries in children aged between 0-14-year-old were 73 766, 29.46 per 100 000 and 2 449.36 per 100 000, respectively. Each indicator of injury burden appeared higher in boys than that in girls. With the increase of age, burden caused by injuries in each age group showed a decreasing trend. Provinces and autonomous regions as Xinjiang, Tibet, Gansu, Qinghai and Ningxia ranked the top 5 regions on both mortality rate and DALY rate among children aged between 0-14-year-old. The top 3 injury-related mortality rates and rate on DALY were drowning, road traffic injury and exposure to mechanic forces, among children. Compared to the disease burden of injuries in the 1990s, all indicators showed decreasing trends in children aged between 0-14-year-old, with girls more than boys, and variations in different age groups. In all areas of China, improvements were seen on intervention programs related to the injury-caused burden among children aged between 0-14-year-old, except for Ningxia, Yunnan and Chongqing. During the last two decades, there had been significant improvements in reducing the injury-caused burden among the Chinese children aged between 0-14-year-old. However, injury is still the most important risk on health of children under 4-year-old, with boys in particular. Drowning and road traffic injury were the two leading causes of death in children aged between 1 and 14-year-old.
分析1990年和2013年中国0至14岁儿童的伤害疾病负担。利用全球疾病负担研究2013年的数据，采用死亡率和伤残调整生命年率（DALY）等相关指标，分析中国各省0至14岁儿童的伤害疾病负担。2013年，0至14岁儿童伤害导致的死亡人数、死亡率和DALY率分别为73766人、每10万人29.46人和每10万人2449.36人。各伤害负担指标均显示男孩高于女孩。随着年龄增长，各年龄组的伤害负担呈下降趋势。新疆、西藏、甘肃、青海和宁夏等省区在0至14岁儿童死亡率和DALY率方面位列前五。儿童中与伤害相关的死亡率和DALY率最高的前三位是溺水、道路交通伤害和机械力暴露。与20世纪90年代的伤害疾病负担相比，0至14岁儿童的所有指标均呈下降趋势，女孩下降幅度大于男孩，且不同年龄组存在差异。在中国所有地区，除宁夏、云南和重庆外，0至14岁儿童伤害所致负担的干预项目均有改善。在过去二十年中，中国0至14岁儿童的伤害所致负担有显著改善。然而，伤害仍是4岁以下儿童尤其是男孩健康的最重要风险。溺水和道路交通伤害是1至14岁儿童的两大主要死因。
