Zhou Jingtao, Zhao Min, Huang Hao, Schwebel David C, Ning Peishan, Rao Zhenzhen, Cheng Peixia, Li Li, Hu Guoqing
Department of Epidemiology and Health Statistics, Hunan Provincial Key Laboratory of Clinical Epidemiology, Xiangya School of Public Health, Central South University, Changsha City, Hunan Province, China.
Department of Psychology, University of Alabama at Birmingham, Birmingham, AL, USA.
China CDC Wkly. 2024 Apr 5;6(14):294-299. doi: 10.46234/ccdcw2024.057.
To examine the recent trends in child injury mortality in China.
Injury mortality data of 2010-2021 for children and adolescents aged 0-19 years were from the China Health Statistics Yearbook. Injury mortality disparities across urban vs. rural locations, gender, and age groups were scrutinized. Annual percent change (APC), average annual percent change (AAPC), and their 95% confidence intervals (95% ) were estiamted usimg Joinpoint regression models.
The age-standardized injury mortality significantly dropped from 21.87 to 9.41 per 100,000 population among children and youth aged 0-19 years during 2010-2021, with an AAPC of -6.7% (95% : -8.2%, -5.2%). The urban-rural disparity and gender gap in injury mortality reduced gradually. In 2021, drowning and road traffic crashes were the top two causes of child injury deaths, explaing 31.1% and 27.9% of total injury deaths, respectively. Suffocation accounted for 62.3% of injury deaths among infants younger than a year. Alarmingly, the suicide mortality rate rose from 2.16 to 3.42 per 100,000 population between 2010 and 2021 among teenagers aged 15-19 years. Subgroup analyses yielded similar results.
During 2010-2021, the injury mortality decreased significantly among Chinese children and adolescents, and the responding urban-rural disparities narrowed.
探讨中国儿童伤害死亡率的近期趋势。
2010 - 2021年0 - 19岁儿童和青少年的伤害死亡率数据来自《中国卫生统计年鉴》。对城乡地区、性别和年龄组之间的伤害死亡率差异进行了仔细研究。使用Joinpoint回归模型估计年度百分比变化（APC）、平均年度百分比变化（AAPC）及其95%置信区间（95%）。
2010 - 2021年期间，0 - 19岁儿童和青少年的年龄标准化伤害死亡率从每10万人21.87例显著降至9.41例，AAPC为 - 6.7%（95%： - 8.2%， - 5.2%）。伤害死亡率的城乡差距和性别差距逐渐缩小。2021年，溺水和道路交通事故是儿童伤害死亡的前两大原因，分别占总伤害死亡人数的31.1%和27.9%。窒息占1岁以下婴儿伤害死亡人数的62.3%。令人担忧的是，2010年至2021年期间，15 - 19岁青少年的自杀死亡率从每10万人2.16例升至3.42例。亚组分析得出了类似的结果。
2010 - 2021年期间，中国儿童和青少年的伤害死亡率显著下降，相应的城乡差距也在缩小。
