Mortality of unintentional injuries among children in Taiwan
Tuesday, November 5, 2013
Background Unintentional injury has been one among the leading causes of death among population aged 0-4 years and 15-24 years old in Taiwan. However, the subcategories of injuries remain further investigation. The purpose of this study was to understand the cause-specific mortality of injuries, to explore the differences across age groups and to extract policy relevant information for future injury prevention in Taiwan. Method We used death certificate data managed by the Department of Health and number of population compiled by Ministry of Interior for analysis. Unintentional injury deaths were categorized according to ICD-10 as V01-X59 and Y85-Y86. Contingency table was applied and cause-specific mortality rates of injuries were calculated. Result For those age under 1 year old, accidental threats to breathing was the leading cause of death. For the older age groups, traffic injuries were the leading cause of unintentional injuries death in age group 1-4 year, 10-14 year, 15-19 year and 20-24 year. Further exploration on the death certificates showed detail information of the external causes were not specified and often simply coded as unspecified traffic injuries mortality (V89.2). The proportion of unspecified traffic injuries were 45% among the traffic injured. Conclusion The high proportion of unspecified traffic injuries could be an information gap for strategic planning of injury prevention for the children and adolescent. The prevention of injuries requires teamwork of multi-sectors. Cross-validation of datasets collected by different ministries can be done for assessment of the exiting injury surveillance databases.
Public health or related public policy
Analyze cause-specific mortality of child injuries in Taiwan
Assess data quality and identify the proportion of injury deaths with unspecified external cause codes
Keyword(s): Injury, Children and Adolescents
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I am head of Surveillance and Research Division, Health Promotion Administration, Ministry of Health and Welfare, Taiwan
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines,
and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.