评估 2014-2017 年期间土耳其与伤害相关的五岁以下儿童死亡

Evaluation of injury-related under-five mortality in Turkey between 2014-2017.

机构信息

Child and Adolescent Health Department, Ministry of Health, General Directorate of Public Health, Ankara.

Department of Pediatrics, Division of Social Pediatrics, Hacettepe University Faculty of Medicine, Ankara, Turkey.

出版信息

Turk J Pediatr. 2021;63(1):37-47. doi: 10.24953/turkjped.2021.01.005.

DOI:10.24953/turkjped.2021.01.005

PMID:33686825

Abstract

BACKGROUND

Injury is the most common cause of preventable morbidity and mortality among children. The aim of this study was to determine the epidemiological characteristics and trends of injury-related mortality in children under five and to provide evidence for future preventive strategies.

METHODS

Our study was designed as a descriptive cross-sectional study. National under-five mortality data from the Death Notification System database, entered between January 1st, 2014, and December 31th, 2017, was included in the study.

RESULTS

Among all under-five deaths registered in the system, 2,560 injury-related death cases were included in the study. Overall, deaths related to injuries accounted for 4.1% of all deaths in children under five years old. Of all injury deaths, 59.9% of cases were male, 52.7% occurred at home or its close vicinity, and 80.3% were children aged 12-59 months. Injury-related under-five deaths were mainly attributed to traffic injuries (36.5%), falls (12.0%), and suffocation (10.2%). Traffic injuries were the most common cause of injury-related deaths both in infants 0-11 months and children 12-59 months old. The second and third most common causes of injury-related deaths among infants 0-11 months were suffocation and falls, while these were falls and drowning in children aged 12-59 months, respectively. The injury-related under-five mortality rate dropped from 11.3 per hundred thousand in 2014 to 9.1 in 2017. Causes of all unintentional injury-related deaths were associated with season except for other unintentional injuries and exposure to mechanical forces (p < 0.001).

CONCLUSIONS

The injury-related mortality rate among children under five years declined from 2014 to 2017, however it is still high. To prevent injuries in children under five, it is important to raise awareness and increase the supervision of children by their caregivers. At the national level, multisectorial cooperation with a holistic approach will be of key importance.

摘要

背景

伤害是导致儿童可预防发病和死亡的最常见原因。本研究旨在确定 5 岁以下儿童与伤害相关的死亡率的流行病学特征和趋势，并为未来的预防策略提供依据。

方法

本研究设计为描述性的横断面研究。我们纳入了 2014 年 1 月 1 日至 2017 年 12 月 31 日期间进入死因登记系统数据库的所有 5 岁以下儿童的死亡数据。

结果

在该系统登记的所有 5 岁以下儿童死亡中，有 2560 例与伤害相关的死亡病例纳入本研究。总体而言，伤害相关死亡占所有 5 岁以下儿童死亡的 4.1%。在所有与伤害相关的死亡中，59.9%为男性，52.7%发生在家中或其附近，80.3%为 12-59 月龄儿童。与伤害相关的 5 岁以下儿童死亡主要归因于交通伤（36.5%）、跌倒（12.0%）和窒息（10.2%）。交通伤是婴儿 0-11 月龄和 12-59 月龄儿童中与伤害相关死亡的最常见原因。婴儿 0-11 月龄中与伤害相关死亡的第二和第三大常见原因分别为窒息和跌倒，而 12-59 月龄儿童则为跌倒和溺水。2014 年至 2017 年期间，与伤害相关的 5 岁以下儿童死亡率从每 10 万人 11.3 例下降至 9.1 例。除其他非故意伤害和机械力暴露外，所有非故意伤害相关死亡的原因都与季节有关（p<0.001）。