Disparities in Under-Five Child Injury Mortality between Developing and Developed Countries: 1990-2013.
Disparities in Under-Five Child Injury Mortality between Developing and Developed Countries: 1990-2013.
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发展中国家和发达国家五岁以下儿童伤害死亡率的差异：1990-2013 年
DOI：
10.3390/ijerph13070653
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发表时间：
2016-07-07
影响因子：
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通讯作者：
Hu G
中科院分区：
文献类型：
--
作者：
Huang Y;Wu Y;Schwebel DC;Zhou L;Hu G
目标：利用 2013 年全球疾病负担 (GBD) 研究的估计值，我们更新了 1990 年至 2013 年发展中国家和发达国家之间五岁以下儿童伤害死亡率差异的证据。方法：2013 年 GBD 研究小组通过在线可视化工具获取死亡率。我们计算了 1990 年至 2013 年间儿童伤害死亡率的百分比变化。分别对<1 年和 1-4 年进行数据分析，以明确比率变化的年龄差异。结果：1990 年至 2013 年间，研究期间发展中国家和发达国家两个年龄组的死亡率差距超过 3 倍。发达国家和发展中国家的伤害率也有类似的下降（<1 年：分别为 -50% 和 -50%；1-4 年： -56% 和 -58%）。 1990 年至 2013 年发展中国家和发达国家之间伤害死亡率变化的差异因伤害原因而异。在发达国家，因交通伤害、跌倒、中毒、医疗不利影响、自然力量暴露、集体暴力和法律干预而导致的死亡率下降幅度更大，而在发展中国家，因溺水、机械力量暴露和动物接触而导致的死亡率下降幅度更大。针对具体国家的分析显示，1990 年至 2013 年期间，各国的伤害死亡率和伤害死亡率变化存在很大差异。 结论：1990 年至 2013 年期间，发展中国家儿童伤害死亡率持续较高，值得全球伤害预防界关注。伤害死亡率高的国家可以从其他国家的成功中受益。
Objective: Using estimates from the 2013 Global Burden of Disease (GBD) study, we update evidence on disparities in under-five child injury mortality between developing and developed countries from 1990 to 2013. Methods: Mortality rates were accessed through the online visualization tool by the GBD study 2013 group. We calculated percent change in child injury mortality rates between 1990 and 2013. Data analysis was conducted separately for <1 year and 1–4 years to specify age differences in rate changes. Results: Between 1990 and 2013, over 3-fold mortality gaps were observed between developing countries and developed countries for both age groups in the study time period. Similar decreases in injury rates were observed for developed and developing countries (<1 year: −50% vs. −50% respectively; 1–4 years: −56% vs. −58%). Differences in injury mortality changes during 1990–2013 between developing and developed nations varied with injury cause. There were greater reductions in mortality from transport injury, falls, poisoning, adverse effects of medical treatment, exposure to forces of nature, and collective violence and legal intervention in developed countries, whereas there were larger decreases in mortality from drowning, exposure to mechanical forces, and animal contact in developing countries. Country-specific analysis showed large variations across countries for both injury mortality and changes in injury mortality between 1990 and 2013. Conclusions: Sustained higher child injury mortality during 1990–2013 for developing countries merits the attention of the global injury prevention community. Countries that have high injury mortality can benefit from the success of other countries.