Long-term trends in injury-related mortality among children and adolescents: a 32-year study in a central urban district of Shanghai, 1993-2024.
This study aims to examine trends in injury-related mortality among children and adolescents aged 0-19 years in a central urban district of Shanghai from 1993 to 2024, as well as its epidemiological characteristics.
This study is a retrospective study. From 1993 to 2024, data were obtained from the Shanghai Cause-of-Death Surveillance System. Death records with injury as the underlying cause that were categorized under the International Statistical Classification of Diseases and Related Health Problems (ICD) codes V01-Y89 (external causes of injury and poisoning) were gathered.
For children and adolescents aged from 0 to 19, the standardized injury-related mortality rate was 5.21 per 100,000, and 8.87% of all-cause mortality. The top two causes of injury-related mortality were suicide (1.15 per 100,000) and traffic injuries (1.02 per 100,000). Leading causes of injury-related mortality varied by age group: traffic injuries were the primary cause of injury-related death in the 5-9 age group; accidental poisoning and suicide were most common for the 10-14 age group, traffic injuries and suicide were the most prevalent causes in the 15-19 age group. The crude mortality rate of the 0-4 year old age group has shown a fluctuating low-level trend since 2003. The peak of accidental falls and drowning deaths in the 0-4 age group occurred in 2003. In the 5-19 years group, road traffic injuries exhibited intermittent peaks, while suicide showed a persistent upward trend. From 1993 to 2004, accidental poisoning and traffic injuries were the primary causes, while suicide and traffic injuries ranked first and second between 2005 and 2014. From 2015 to 2024, suicide surpassed traffic injuries as the primary cause of death. During the study period, the overall standardized injury-related mortality among children and adolescents aged 0-19 years in Huangpu District showed fluctuations (APC = -0.875, p = 0.420). However, significant declining trends were observed for traffic injuries, drowning, accidental falls, and accidental poisoning (p < 0.05).
Different types of injuries exhibit gender and age differences, suggesting the need for targeted interventions according to the developmental trends and characteristics of children and adolescents.
This study is a retrospective study. From 1993 to 2024, data were obtained from the Shanghai Cause-of-Death Surveillance System. Death records with injury as the underlying cause that were categorized under the International Statistical Classification of Diseases and Related Health Problems (ICD) codes V01-Y89 (external causes of injury and poisoning) were gathered.
For children and adolescents aged from 0 to 19, the standardized injury-related mortality rate was 5.21 per 100,000, and 8.87% of all-cause mortality. The top two causes of injury-related mortality were suicide (1.15 per 100,000) and traffic injuries (1.02 per 100,000). Leading causes of injury-related mortality varied by age group: traffic injuries were the primary cause of injury-related death in the 5-9 age group; accidental poisoning and suicide were most common for the 10-14 age group, traffic injuries and suicide were the most prevalent causes in the 15-19 age group. The crude mortality rate of the 0-4 year old age group has shown a fluctuating low-level trend since 2003. The peak of accidental falls and drowning deaths in the 0-4 age group occurred in 2003. In the 5-19 years group, road traffic injuries exhibited intermittent peaks, while suicide showed a persistent upward trend. From 1993 to 2004, accidental poisoning and traffic injuries were the primary causes, while suicide and traffic injuries ranked first and second between 2005 and 2014. From 2015 to 2024, suicide surpassed traffic injuries as the primary cause of death. During the study period, the overall standardized injury-related mortality among children and adolescents aged 0-19 years in Huangpu District showed fluctuations (APC = -0.875, p = 0.420). However, significant declining trends were observed for traffic injuries, drowning, accidental falls, and accidental poisoning (p < 0.05).
Different types of injuries exhibit gender and age differences, suggesting the need for targeted interventions according to the developmental trends and characteristics of children and adolescents.
Authors
Zhang Zhang, Huang Huang, Gao Gao, Tang Tang, Wang Wang, Yu Yu, Ling Ling, Li Li
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