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Global trends and regional differences in non-transport unintentional injuries mortality among children and adolescents, 1990 to 2019: results from the Global Burden of Disease 2019 study

引用

Chinese Medical Journal 2022年第17期135卷 2056-2065页

作者： Yunfei Liu Yanhui Dong Xiaojin Yan Ning Ma Jiajia Dang Jingshu Zhang Panliang Zhong Luo Li Zhiyong Zou Yi Song Jun Ma Institute of Child and Adolescent Health School of Public HealthPeking UniversityBeijing 100191China The University of Melbourne Melbourne School of Population and Global HealthParkvileVIC 3010Australia

Background::non-transport unintentional injuries(NTUIs)are major public concerns,especially among children and adolescents in low-and middle-income *** environmental and cognitive changes,a recent systematic description of global trends and regional differences concerning NTUIs is urgently needed for the global agenda of relevant policy-making and intervention target ***::We used mortality,population,and socio-demographic-index(SDI)data from Global Burden of Disease 2019 to analyze the trends of NTUIs *** applied the slope index of inequality(SII)and relative index of inequality(RII)to measure the absolute and relative inequality between countries and *** concentration curve and concentration index(CI)were also used to measure the *** conducted a sensitivity analysis to make our findings ***::In 2019,there were 205,000 deaths due to NTUIs among children and adolescents aged 5 to 24 years,which decreased from 375,000 in *** 2019,the age-standardized mortality rate(ASMR)was 8.13 per 100,000,ranging from the lowest in the Netherlands(0.90 per 100,000)to the highest in the Solomon Islands(29.34 per 100,000).The low-middle SDI group had the highest ASMR of NTUIs,while the low SDI group had the slowest *** excluding the death caused by"exposure to forces of nature"and"other unintentional injuries",drowning accounted for the most deaths in almost every SDI group,gender,and age group,but the major causes of death varied in different *** example,animal contact was a major cause in low and low-middle SDI groups but less in high SDI groups,while high and high-middle SDI groups had a higher proportion of deaths for foreign body and *** SII showed a declining trend,but the RII and CI did not,which might indicate that inequality was *** results were found in the sensitivity ***::Despite the declining trend of the mortality rate and the narrowing

关键词： Children and adolescents non-transport unintentional injuries Socio-demographic-index Inequality analysis Foreign body Poisoning Global Burden of Disease Cause of death Developing countries Drowning

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