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The Changes of Trend and Distribution of Childhood Injury Related Mortality in Tianjin, China, 1999-2011

Guohong Jiang, Wei Li,Zhuo Wang, Dezheng Wang, Wenlong Zheng,Zhongliang Xu, Lu Liu and Zibing Wang

Objectives: The aim of the study was to address the trend and distribution of injury related mortality among childhood in order to identify priority issues with childhood injury in Tianjin.

Methods: This retrospective study analyzed the annual all-cause of death records for 1999–2011 provided provincial data of injury mortality including cause, sex, age, and geography. Trend analyses were conducted using Poisson regression.

Results: From 1999–2011, the injury related death was the first leading cause of childhood mortality. The injury mortality rates of children remained around 10-15/100,000 while death rates of male and rural were two- four times more than that in female and urban, also much higher than the total. The unintentional injury was up to over 75% in total. Traffic mortality of age 5-15 had a significant decline trend during the study period.

Conclusions: Traffic mortality decreased in school-age children due to comprehensive traffic safety measures had been implemented and enforced in Tianjin. It is testify that injury death is preventable. More similar efforts will be required to diminish the burden of other injury and the entire population, such as safety education, risk warning, regulation enforcement and facility installation.