Epidemiological characteristics of injury death on children and adolescents in Guangxi, 2014−2020

  Objective   To analyze the mortality rate of injury in children and adolescents in Guangxi Zhuang autonomous region from 2014 to 2020, and provide evidence for injury prevention and behavioral intervention in children and adolescents.

  Methods   The injury death data in children and adolescents aged 0−19 years from 2014 to 2020 were obtained from the national cause of death surveillance system in Guangxi for an analysis according to the International Classification of Diseases, 10^th revision (ICD-10). The injury mortality rate and the annual change percentage in children and adolescents in Guangxi were calculated, and group comparisons was conducted by χ² test.

  Results   The average annual mortality rate of injury was 17.70/100 000 in children and adolescents in Guangxi from 2014 to 2020. Injury deaths accounted for 34.93% of the total deaths and injury was the first leading cause of deaths in local children and adolescent aged 0−19 years old. The injury mortality rate in children and adolescents aged 0−19 years in Guangxi during 2014−2020 declined year by year. The injury mortality rate in boys was 22.44/100 000, significant higher than that in girls (12.04/100 000), the difference was significant (χ²＝283.39, P＜0.001). The first five leading injury related death causes were drowning, traffic accident, accident falls, accident poisoning and asphyxia, which were responsible for 81.90% of injury deaths in local children and adolescent aged 0−19 years old. The first cause of injury death in age group under 1 year was asphyxia, the first cause of injury death in age group 1−14 years was drowning, and the first cause of injury death in age group 15−19 years was traffic accident.

  Conclusion   The mortality rate of child injury in Guangxi decreased year by year. The first five leading injury related death causes were drowning, traffic accident, accident falls, accident poisoning and asphyxia. Injury prevention strategies and measures should be taken in accordance with the characteristics of children and adolescents.