Volume 43 Issue 2
Feb.  2022
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DAI Mengna, XI Yan, YIN Wenqiang, CHEN Zhongming, FENG Zhiqiang, TANG Changhai. Incidence, mortality and trends of drowning among children aged 0-14 years in China, 1990-2019[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(2): 256-259, 264. doi: 10.16835/j.cnki.1000-9817.2022.02.022
Citation: DAI Mengna, XI Yan, YIN Wenqiang, CHEN Zhongming, FENG Zhiqiang, TANG Changhai. Incidence, mortality and trends of drowning among children aged 0-14 years in China, 1990-2019[J]. CHINESE JOURNAL OF SCHOOL HEALTH, 2022, 43(2): 256-259, 264. doi: 10.16835/j.cnki.1000-9817.2022.02.022

Incidence, mortality and trends of drowning among children aged 0-14 years in China, 1990-2019

doi: 10.16835/j.cnki.1000-9817.2022.02.022
  • Received Date: 2021-07-07
  • Rev Recd Date: 2021-10-19
  • Available Online: 2022-02-24
  • Publish Date: 2022-02-25
  •   Objective  To understand the incidence and mortality of drowning and secular trend among children aged 0-14 from 1990 to 2019 in China, so as to provide reference for drowning intervention among children in China.  Methods  Based on data of drowning incidence and death in 0-14 years old children in China in 1990-2019 years Global Burden of Disease (GBD 2019) database, the standardized rate was calculated by the world standard population, and the trend of incidence rate and mortality rate was fitted by Joinpoint regression model respectively.  Results  From 1990 to 2019, the overall incidence of drowning among children aged 0-14 years in China decreased from 37.17/100 000 to 12.54/100 000, a relative decrease of 66.26%; the standardized incidence rate decreased from 21.78/100 000 to 14.98/100 000, a relative decrease of 31.22%. The incidence rate and standardized incidence rate of drowning in children showed an increasing-after-decreasing trend, with decreasing mortality and standardized mortality rate. Joinpoint regression showed that the incidence rate of standardized AAPC for child drowning was -1.3, -2.5 for males and 0 for females. The overall standardized mortality rate of drowning was -3.9, male was -3.6, female was about -4.5, the trend changes were statistically significant (P < 0.05). The incidence rate and mortality rate of male were higher than that of female, and there was significant difference between male and female groups (P < 0.05).  Conclusion  Significant progress has been made in child drowning prevention and control, with substantial decreasing in the incidence rate of child drowning. However, considering recent slight increase in drowning incidence, effective measures should be developmed including risk factors, vulnerable population to further control the incidence and mortality of child drowning.
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  • [1]
    HAAGSMA J A, GRAETZ N, BOLLIGER I, et al. The global burden of injury: incidence, mortality, disability-adjusted life years and time trends from the global burden of disease study 2013[J]. J Int Soc Child Adolesc Injury Prev, 2016, 22(1): 3-18. doi: 10.1136/injuryprev-2015-041616
    [2]
    LILIANE R, ANNA D, ANDREAS M H. Drowning in children: retrospective analysis of incident characteristics, predicting parameters, and long-term outcome[J]. Children, 2020, 7(7): 2-11.
    [3]
    WANG M X, LIU Y X, KANG L, et al. Social and environmental risk factors for the accidental drowning of children under five in China[J]. BMC Public Health, 2020, 20(1): 2-8. doi: 10.1186/s12889-019-8125-y
    [4]
    邓晓, 金叶, 叶鹏鹏, 等. 1990年与2013年中国人群溺水死亡疾病负担分析[J]. 中华流行病学杂志, 2017, 38(10): 1308-1314. doi: 10.3760/cma.j.issn.0254-6450.2017.10.003

    DENG X, JIN Y, YE P P, et al. Analysis of disease burden of drowning death in Chinese population in 1990 and 2013[J]. Chin J Epidemiol, 2017, 38(10): 1308-1314. doi: 10.3760/cma.j.issn.0254-6450.2017.10.003
    [5]
    Global Burden of Disease Collaborative Network. Global Bunden of Di-sease Study 2019 (GBD 2019) results[EB/OL]. (2020-02-04)[2021-07-07]. http://ghdx.healthdata.org/gbd-results-tool.
    [6]
    YANG M, WANG D M, GAN S M, et al. Increasing incidence of asbestosis worldwide, 1990-2017: results from the global burden of disease study 2017[J]. Thorax, 2020, 75(9): 798-800. doi: 10.1136/thoraxjnl-2020-214822
    [7]
    HYUNE J K, MICHAEL P F, ERIC J F, et al. Permutation tests for joinpoint regression with applications to cancer rates[J]. Statist Med, 2000, 19(3): 335-351. doi: 10.1002/(SICI)1097-0258(20000215)19:3<335::AID-SIM336>3.0.CO;2-Z
    [8]
    CHEN H S, SARAH Z, ROBERT N A, et al. The joinpoint-jump and joinpoint-comparability ratio model for trend analysis with applications to coding changes in health statistics[J]. J Offic Statist, 2020, 36(1): 49-62. doi: 10.2478/jos-2020-0003
    [9]
    李辉章, 杜灵彬. Joinpoint回归模型在肿瘤流行病学时间趋势分析中的应用[J]. 中华预防医学杂志, 2020, 54(8): 908-912. doi: 10.3760/cma.j.cn112150-20200616-00889

    LI H Z, DU L B. Application of Joinpoint regression model in time trend analysis of tumor epidemiology[J]. Chin J Prev Med, 2020, 54(8): 908-912. doi: 10.3760/cma.j.cn112150-20200616-00889
    [10]
    曾四清. Joinpoint回归模型及其在传染病流行趋势分析中的应用[J]. 中国卫生统计, 2019, 36(5): 787-791. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT201905044.htm

    ZENG S Q. Joinpoint regression model and its application in epidemic trend analysis of infectious diseases[J]. Chin Health Stats, 2019, 36(5): 787-791. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGWT201905044.htm
    [11]
    李志坤, 张茂镕, 杨昭, 等. 昆明市2010—2019年儿童青少年伤害死亡率及变化趋势分析[J]. 中国学校卫生, 2020, 41(11): 1707-1710, 1715. doi: 10.16835/j.cnki.1000-9817.2020.11.029

    LI Z K, ZHANG M R, YANG Z, et al. Analysis of injury mortality and its change trend of children and adolescents in Kunming City from 2010 to 2019[J]. Chin J Sch Health, 2020, 41 (11): 1707-1710, 1715. doi: 10.16835/j.cnki.1000-9817.2020.11.029
    [12]
    刘辉. 我国儿童伤害主要发生原因及其预防措施的研究进展[J]. 职业与健康, 2021, 37(8): 1141-1143, 1148. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK202108035.htm

    LIU H. Research progress on main causes and preventive measures of children's injuries in China[J]. Occup Health, 2021, 37(8): 1141-1143, 1148. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYJK202108035.htm
    [13]
    PEDEN A E, FRANKLIN R C, CLEMENS T. Can child drowning be eradicated?A compelling case for continued investment in prevention[J]. Acta Paediatr, 2021, 110(7): 2126-2133. doi: 10.1111/apa.15618
    [14]
    XIANG L C, WANG K, MIAO L, et al. Injury-related mortality among children younger than 5 years in China during 2009-2016: an analysis from national surveillance system[J]. J Int Soc Child Adolesc Injury Prev, 2019, 25(1): 60-66. doi: 10.1136/injuryprev-2018-042853
    [15]
    FRANKLIN R C, PEDEN A E, HAMILTON E B, et al. The burden of unintentional drowning: global, regional and national estimates of mortality from the Global Burden of Disease 2017 Study[J]. J Int Soc Child Adolesc Injury Prev, 2020, 26(1): 83-95.
    [16]
    JANSON S. Drowning is a complex but preventable cause of child mortality[J]. Acta Paediatr, 2020, 110(7): 1981-1982.
    [17]
    黄锦裕, 佘宇航, 李丽萍, 等. 全球溺水负担: GBD 2017全球疾病负担死亡率的估计研究[J]. 伤害医学(电子版), 2020, 9(4): 61-64. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYD202004010.htm

    HUANG J Y, SHE Y H, LI L P, et al. global drowning burden: GBD 2017 global burden of disease mortality estimation research[J]. Injury Med, 2020, 9(4): 61-64. https://www.cnki.com.cn/Article/CJFDTOTAL-SHYD202004010.htm
    [18]
    CHANG S S M, OZANNE S J. Drowning mortality in children aged 0-14 years in victoria, australia: detailed epidemiological study 2001-2016[J]. J Int Soc Child Adolesc Injury Prev, 2020, 26(6): 593-598. doi: 10.1136/injuryprev-2019-043307
    [19]
    钞多, 谢锦尧, 李衡, 等. 深圳市盐田区中小学生溺水知信行状况及环境影响因素[J]. 中国学校卫生, 2017, 38(7): 994-996. doi: 10.16835/j.cnki.1000-9817.2017.07.010

    CHAO D, XIE J Y, LI H, et al. KAP and environmental factors of drowning among primary and secondary school students in Yantian District, Shenzhen[J]. Chin J Sch Health, 2017, 38(7): 994-996. doi: 10.16835/j.cnki.1000-9817.2017.07.010
    [20]
    李蕾, 张志泉, 郑成中, 等. 儿童溺水的防治方案专家共识[J]. 中国当代儿科杂志, 2021, 23(1): 12-17. https://www.cnki.com.cn/Article/CJFDTOTAL-DDKZ202101003.htm

    LI L, ZHANG Z Q, ZHENG C Z, et al. Expert consensus on prevention and treatment of child drowning[J]. Chin J Cont Ped, 2021, 23(1): 12-17. https://www.cnki.com.cn/Article/CJFDTOTAL-DDKZ202101003.htm
    [21]
    XU X H, DONG H, LI L, et al. Trends and seasonality in cause-specific mortality among children under 15 years in Guangzhou, China, 2008-2018. [J]. BMC Public Health, 2020, 20(1): 2-9. doi: 10.1186/s12889-019-8125-y
    [22]
    朱晓霞, 刘庆敏, 方顺源, 等. 杭州市民工子弟学校学龄儿童伤害流行特征分析[J]. 中国学校卫生, 2011, 32(2): 203-205. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201102038.htm

    ZHU X X, LIU Q M, FANG S Y, et al. Epidemiological characteristics of injuries among school-age children of migrant workers' children in Hangzhou[J]. Chin J Sch Health, 2011, 32(2): 203-205. https://www.cnki.com.cn/Article/CJFDTOTAL-XIWS201102038.htm
    [23]
    RAHMAN F, BOSE S, LINNAN M, et al. Cost-effectiveness of an injury and drowning prevention program in bangladesh[J]. Pediatrics, 2020, 146(4): 1621-1628.
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