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Unintentional injury mortality among children under age five in urban and rural areas in the Sichuan province of west China 2009–2017

机译:2009-2017年中国西部四川省城乡五岁以下儿童意外伤害死亡率

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摘要

This study analysed trends in the unintentional injuries specific mortality rates among children under age five (UI-specific U5MRs) in urban and rural areas in the Sichuan province of western China. Data were obtained from the National Health Statistics Survey System. The Cochran-Armitage trend test was used to analyse the trends in UI-specific U5MRs and the proportion of unintentional injury deaths to total deaths. The Poisson regression model was used to compare the UI-specific U5MRs between rural and urban areas. The overall UI-specific U5MRs decreased from 3.8 to 1.7 per 1,000 live births from 2009 to 2017, with an average annual decline in the rates of 8.78% and 10.05% in urban and rural areas, respectively. The UI risk of death in rural areas was approximately 1.95 times that in urban areas (95% CI: 1.73–2.18; p < 0.01). A total of 49.9% of all the children in the study did not receive any treatment before death caused by UI. The UI-specific U5MRs significantly declined in Sichuan province from 2009 to 2017, but large disparities in UI-specific U5MRs in urban and rural areas still exist. Reducing the U5MRs due to UI should be a major public health concern in western China.
机译:这项研究分析了中国西部四川省城乡地区五岁以下儿童(UI特定的U5MR)的意外伤害特定死亡率的趋势。数据来自国家卫生统计调查系统。 Cochran-Armitage趋势测试用于分析特定于UI的U5MR的趋势以及意外伤害死亡占总死亡的比例。使用Poisson回归模型比较城乡之间的UI特定U5MR。从2009年到2017年,特定于UI的U5MR总数从每千名活产儿中的3.8下降到1.7,城市和农村地区的年均增长率分别为8.78%和10.05%。农村地区的UI死亡风险约为城市地区的1.95倍(95%CI:1.73–2.18; p <0.01)。在研究中,共有49.9%的儿童在因UI死亡之前未接受任何治疗。从2009年到2017年,四川省UI专用U5MRs显着下降,但城乡UI专用U5MRs仍然存在巨大差异。减少因UI引起的U5MRs应该是中国西部地区的主要公共卫生问题。

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