Article Text


Burden and trend analysis of injury mortality in China among children aged 0–14 years from 2004 to 2011
  1. Zhaoxue Yin1,
  2. Jing Wu1,
  3. Jiesi Luo1,
  4. Anita WP Pak2,
  5. Bernard CK Choi3,4,
  6. Xiaofeng Liang5
  1. 1Division of Non-communicable Diseases Control and Community Health, Chinese Center for Disease Control and Prevention, Beijing, China
  2. 2Pak Consulting, Ottawa, Ontario, Canada
  3. 3Injury Prevention Research Center, Shantou University Medical College, Shantou, Guangdong, China
  4. 4Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada
  5. 5Chinese Center for Disease Control and Prevention, Beijing, China
  1. Correspondence to Jing Wu, wujingcdc{at}; Xiaofeng Liang, liangxf{at}; Bernard CK Choi, bernard.Choi{at}


Objective To track changes of the burden and trends of childhood injury mortality among children aged 0–14 years in China from 2004 to 2011.

Design National representative data from the Chinese Disease Surveillance Points system and Chinese Maternal and Child Mortality Surveillance system from 2004 to 2011 were used. Rates and 95% CIs of aged-standardised mortality, as well as the proportions of injury death, were estimated.

Setting Urban and rural China.

Participants Children aged 0–14 years from 2004 to 2011.

Results The proportion of injury among all deaths in children increased from 18.69% in 2004 to 21.26% in 2011. A ‘V’ shape change was found in the age-standardised injury mortality rate during the study period among the children aged 0–14 years, with the age-standardised injury mortality rate decreasing from 29.71 per 100 000 per year in 2004 to 24.12 in 2007, and then increasing to 28.12 in 2011. A similar change was observed in the rural area. But the age-standardised mortality rate decreased consistently in the urban area. The rate was higher among boys than among girls. Drowning, road traffic accidents and falls were consistently the top three causes of death among children.

Conclusions Childhood injury is an increasingly serious public health problem in China. The increasing trend of childhood injury mortality is driven by the rural areas rather than urban areas. More effective strategies and measures for injury prevention and control are needed for rural areas, boys, drowning, road traffic accidents and falls.

  • Injury
  • Mortality
  • Child health

This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:

Statistics from

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.