Original Article

Disease Burden Evaluation of Injury and Poisoning in China from 2009 to 2019

Abstract

Background: We aimed to analyze the differences and changing trends of mortality of Injury and Poisoning (IP) between urban and rural areas and gender in China to find out the influencing factors and to propose improvement measures.

Methods: IP mortality, population, economy, medical and health information data came from the official website of the National Bureau of Statistics, and basic data on education level came from the Chinese Ministry of Education. Then the differences of the mortality of IP were compared between different areas and gender in China from 2009 to 2019, and the relationships between the mortality changes of IP and education level, GDP per capita, the numbers of practicing physicians, health institutions and urbanization rate were also explored by establishing a ridge regression model.

Results: The mortality of IP in rural areas was significantly higher than that of urban areas, and in male was higher than that of female (both P<0.001). Primary school graduates, GDP per capita, the number of practicing physicians, health institutions and urbanization rate had strong correlations (rmin=-0.622) with the mortality of IP. Ridge regression model showed that there was a quantitative relationship between primary school graduates, GDP per capita, the number of practising physicians, health institutions, urbanization rate and the mortality of IP in China.

Conclusion: As the difference of working nature, economic development imbalance, psychological and gender, the mortality of IP was significantly different, so the state should take more effective measures to develop the urban and rural areas balanced, and reduce the IP risk in some particular occupations.

 

1. Chen Y, Mo F, Yi QL, et al (2013). Uninten-tional injury mortality and external causes in Canada from 2001 to 2007. Chronic Dis Inj Can, 33(2): 95-102.
2. Ryen L, Bonander C, Svensson M (2018). From loss of life to loss of years: a dif-ferent view on the burden of injury fatali-ties in Sweden 1972-2014. Eur J Public Health, 28(5): 853-8.
3. Li Y, Pu M, Wang Y, et al (2020). Analysis of the reduction in injury mortality dis-parity between urban and rural areas in developing China from 2010 to 2016. BMC Public Health, 20(1): 903.
4. Azami-Aghdash S, Sadeghi-Bazargani H, Shabaninejad H, et al (2017). Injury epi-demiology in Iran: a systematic review. J Inj Violence, 9(1): 27-40.
5. Duan L, Ye P, Haagsma JA, et al (2019). The burden of injury in China, 1990–2017: findings from the Global Burden of Dis-ease Study 2017. Lancet Public Health, 4(9): e449-61.
6. Li L, Yang J (2019). Injury Prevention in China: Government-Supported Initiatives on the Leading Causes of Injury-Related Deaths. Am J Public Health, 109(4): 557-8.
7. Zöhre E, Ayrık C, Bozkurt S, et al (2015). Retrospective analysis of poisoning cases admitted to the emergency medicine. Arch Iran Med, 18(2): 117-22.
8. Rajasuriar R, Awang R, Hashim SB, Rahmat HR (2007). Profile of poisoning admis-sions in Malaysia. Hum Exp Toxicol, 26(2): 73-81.
9. Wang L, Wu Y, Yin P, et al (2018). Poison-ing deaths in China, 2006–2016. Bull World Health Organ, 96(5): 314-26A.
10. Barary M, Pirzadeh M, Rezaeian N, et al (2021). An epidemiological study of poi-soning cases in Babol (northern Iran) from 2015 to 2018. Caspian J Intern Med, 12(1): 35-44.
11. Prakash J, Singh PK, Kotwal A, Ramakrish-nan TS (2009). Unknown Poisoning Amongst Serving Personnel. Med J Armed Forces India, 65(1): 41-3.
12. Evans R, Hurrell C (2016). The role of schools in children and young people's self-harm and suicide: systematic review and meta-ethnography of qualitative re-search. BMC Public Health, 16: 401.
13. Orton E, Whitehead J, Mhizha-Murira J, et al (2016). School-based education pro-grammes for the prevention of uninten-tional injuries in children and young peo-ple. Cochrane Database Syst Rev, 12: CD010246.
14. Li M, Katikireddi SV (2019). Urban-rural in-equalities in suicide among elderly people in China: a systematic review and meta-analysis. Int J Equity Health, 18(1): 2.
15. Zhang Y, Yu B, Wang N, Li T (2018). Acute poisoning in Shenyang, China: a retro-spective and descriptive study from 2012 to 2016. BMJ Open, 8(8): e021881.
16. Cao B, Wang Y, Han L, et al (2013). Investi-gation and analysis of influencing factors on the injury condition of rural primary school students. Chin J Sch Health, 34(12): 1448-50. [in Chinese].
17. Zhou Y, Baker TD, Rao K, Li G (2003). Productivity losses from injury in China. Inj Prev, 9(2): 124-7.
18. Cai P, Wu X, Liu Z, et al (2019). Analysis of the burden and trend of injury in Si-chuan, China, from 2006 to 2015: results from the national injury surveillance sys-tem. BMJ Open, 9(11): e031184.
19. Moradi M, Ghaemi K, Mehrpour O (2016). A hospital base epidemiology and pattern of acute adult poisoning across Iran: a systematic review. Electron Physician, 8(9): 2860-70.
20. Ansari-Moghaddam A, Martiniuk AL, Mo-hammadi M, et al (2012). The pattern of injury and poisoning in South East Iran. BMC Int Health Hum Rights, 12: 17.
21. Shin SD, Suh GJ, Rhee JE, Sung J, Kim J (2004). Epidemiologic characteristics of death by poisoning in 1991-2001 in Ko-rea. J Korean Med Sci, 19(2): 186-94.
22. Chien WC, Lin JD, Lai CH, et al (2011). Trends in poisoning hospitalization and mortality in Taiwan, 1999-2008: a retro-spective analysis. BMC Public Health, 11: 703.
23. Hussong AM (2003). Further refining the stress-coping model of alcohol involve-ment. Addict Behav, 28(8): 1515-22.
24. Lam MA, Lee SX, Heng KWJ (2019). A na-tional trauma database analysis of alco-hol- associated injuries. Singapore Med J, 60(4): 202-9.
25. Lu J (2015). Epidemiological features of oc-cupational injuries in Shengli Oil Field,2006-2010. Chin Occup Med, 42(04): 476-80. [In Chinese].
26. Volberg V, Fordyce T, Leonhard M, et al (2017). Injuries among electric power in-dustry workers, 1995–2013. J Safety Res, 60: 9-16.
27. Jiang Y, Yan K, Lian J, et al (2018). Study on Accessibility of Emergency Medical Ser-vices in China. Hosp Manag Forum, 35(10): 5-9. [In Chinese].
28. Jiang Y, Liu Y, Li X, et al (2014). Urban-rural Accessibility of Emergency Medical Services: from the Perspective of Public-welfare. Chin Gen Pract, 17(35): 4230-33. [In Chinese].
Files
IssueVol 52 No 5 (2023) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/ijph.v52i5.12717
Keywords
Mortality Injury and poisoning Gender difference Urban and rural areas

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Hu X, Qi M, Yuan P, Qi G, Li X, Zhou Y, Shi X. Disease Burden Evaluation of Injury and Poisoning in China from 2009 to 2019. Iran J Public Health. 2023;52(5):986-994.