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      Characteristics of Injury Diagnosis among Primary and Secondary School Students — China, 2018

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          Abstract

          What is already known about this topic?

          Child injury is a serious public health problem in China. The epidemiological characteristics injuries related to primary and secondary school students were usually reported from school-based population surveys conducted in developed regions of China. Medical and health institution-based data were rarely adopted to explore the typical patterns of injury occurrence among primary and secondary school students in China.

          What is added by this report?

          This study found that among primary and secondary school students with injury diagnosis in the National Injury Surveillance System (NISS), the high-risk group of primary and secondary school students with injury diagnosis was male students. The frequent incidence season was spring and early summer. Noon was the peak incidence time. Falling was the most common cause of injury among students, but other frequent causes of injury differs in students with different education levels. Home and school were the most common places where injury occurs. Students were more likely to suffer injury when they were engaged in leisure and sport activities. Limbs and the head were easily injured with contusions/bruises.

          What are the implications for public health practice?

          Medical and health institution-based data could be an additional data source for student-related injury research. Typical patterns could be summarized to provide data-driven basis for the improved formulation of injury prevention and control strategies and measures towards students. The characteristics of injury events differs in students with different education levels and requires more specific attentions towards students when conducting relevant programs in school and school-related places.

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          Most cited references8

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          The National Injury Surveillance System in China: a six-year review.

          This article aims to describe the National Injury Surveillance System (NISS) in China from its establishment in 2006 to the methods used and some key findings from 2006 to 2011.
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            [Disease burden of injuries in children aged 0-14-year-old in 1990 and 2013, in China].

            Objective: To analyze the disease burden of injuries in Chinese children aged between 0-14-year-old, in 1990 and 2013. Methods: Data derived from the Global Burden of Disease 2013 was used to analyze the disease burden of injuries among children aged between 0-14-year-old in each province of China, using relevant indicators including mortality and the rate on disability-adjusted life years (DALY). Results: In 2013, the number of deaths, rates on mortality and DALY caused by injuries in children aged between 0-14-year-old were 73 766, 29.46 per 100 000 and 2 449.36 per 100 000, respectively. Each indicator of injury burden appeared higher in boys than that in girls. With the increase of age, burden caused by injuries in each age group showed a decreasing trend. Provinces and autonomous regions as Xinjiang, Tibet, Gansu, Qinghai and Ningxia ranked the top 5 regions on both mortality rate and DALY rate among children aged between 0-14-year-old. The top 3 injury-related mortality rates and rate on DALY were drowning, road traffic injury and exposure to mechanic forces, among children. Compared to the disease burden of injuries in the 1990s, all indicators showed decreasing trends in children aged between 0-14-year-old, with girls more than boys, and variations in different age groups. In all areas of China, improvements were seen on intervention programs related to the injury-caused burden among children aged between 0-14-year-old, except for Ningxia, Yunnan and Chongqing. Conclusions: During the last two decades, there had been significant improvements in reducing the injury-caused burden among the Chinese children aged between 0-14-year-old. However, injury is still the most important risk on health of children under 4-year-old, with boys in particular. Drowning and road traffic injury were the two leading causes of death in children aged between 1 and 14-year-old.
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              Mortality of road traffic injury among children aged 0-14 years in China from 1990 to 2015

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                Author and article information

                Contributors
                Journal
                China CDC Wkly
                CCDCW
                China CDC Weekly
                Editorial Office of CCDCW, Chinese Center for Disease Control and Prevention (Beijing, China )
                2096-7071
                27 March 2020
                : 2
                : 13
                : 205-209
                Affiliations
                [1] 1 Division of Injury Prevention and Mental Health, National Center for Chronic and Noncommunicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China
                Author notes
                Article
                ccdcw-2-13-205
                10.46234/ccdcw2020.054
                8430419
                34594624
                abf7a540-4ac3-42f7-a515-4d34a838203f
                Copyright and License information: Editorial Office of CCDCW, Chinese Center for Disease Control and Prevention 2020

                This work is licensed under a Creative Commons Attribution-NonCommercial-Share Alike 4.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/4.0/

                History
                : 4 March 2020
                : 17 March 2020
                Categories
                Preplanned Studies

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