Reducing the global burden of childhood unintentional injuries
Reducing the global burden of childhood unintentional injuries
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DOI：
10.1136/archdischild-2013-304177
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发表时间：
2014-01-01
影响因子：
5.2
通讯作者：
Hyder, Adnan A.
中科院分区：
文献类型：
--
作者：
Alonge, Olakunle;Hyder, Adnan A.
2010年，在1-19奥尔兹中，意外伤害占全球510万伤害死亡人数的12%。尽管负担很重，但儿童伤害在全球卫生中并未受到太多关注。本文介绍了儿童意外伤害死亡的主要原因，并提供了一个审查的干预措施，以减少这一负担。2010年，在1-19奥尔兹中，约有627741人死于意外伤害。死亡率随年龄增长而增加，从1-4奥尔兹的12.6%增加到15-19奥尔兹的28.8%。来自撒哈拉以南非洲西部和南亚的死亡人数占所有死亡人数的50%以上。这两个区域的发病率分别为每10万人68.0和36.4，而西欧为6.4。道路交通伤害是最常见的死亡原因，其次是溺水、烧伤和福尔斯跌落。男童更容易受到意外伤害，但烧伤除外，烧伤在低收入和中等收入国家（LMIC）的女性中更常见。有效的解决方案是存在的，包括防止溺水的障碍物;更安全的燃烧炉; RTI的儿童约束系统，但这些措施的有效性需要在中低收入国家进行严格的测试。对儿童意外伤害的负担普遍缺乏协调一致的全球对策，令人关切。国际社会必须建立更强大的联盟，制定国家或地方行动计划。本文的死亡率可能被低估了，需要进行纵向研究以准确衡量伤害对中低收入国家的影响。
Among 1-19-year olds, unintentional injuries accounted for 12% of 5.1 million global deaths from injuries in 2010. Despite this high burden, childhood injuries have not received much attention in global health. This paper describes the major causes of deaths from childhood unintentional injuries and provides a review of interventions for reducing this burden. About 627 741 deaths were due to unintentional injuries in 2010 among 1-19-year olds. The proportionate mortality increased with age-from 12.6% among 1-4-year olds to 28.8% among 15-19-year olds. Deaths from Western sub-Saharan Africa and South Asia accounted for more than 50% of all deaths. Rates in these regions are 68.0 and 36.4 per 100 000 population, respectively, compared to 6.4 in Western Europe. Road traffic injuries (RTI) are the commonest cause of death, followed by deaths from drowning, burns and falls. Male children are more predisposed to unintentional injuries except for burns which occur more frequently among females in low and middle income countries (LMICs). Effective solutions exist-including barriers for preventing drowning; safer stoves for burns; child restraint systems for RTI-but the effectiveness of these measures need to be rigorously tested in LMICs. The general lack of a coordinated global response to the burden of childhood unintentional injuries is of concern. The global community must create stronger coalitions and national or local plans for action. Death rates for this paper may have been underestimated, and there is need for longitudinal studies to accurately measure the impact of injuries in LMICs.