Injury and Poisoning Mortality Trends in Urban and Rural China from 2006 to 2020 Based on Age-Period-Cohort Analysis

Bibliographic Data

ID15501225
AuthorsXin Yuan (0000-0001-6997-9227, Jilin University), Changgui Kou (0000-0001-9544-4066, Jilin University), Min Zhang (0000-0003-4273-6836, Jilin University), Wenyuan Ma (0000-0002-2003-4123, Jilin University), Zhitao Tang (Jilin University), Haiyan Sun (0000-0002-6344-9724, Jilin University), Sun Haiyan (Jilin University), Wenjun Li (0000-0002-5612-8543, Jilin University, corresponding author)
Year2022
Volume19
Issue12
Pages7172-7172
Publication date2022-06-11
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19127172
PMID35742421
OpenAlexW4282830217
LanguageEN
Citations received3
References cited16

Injury and poisoning, common public health problems, currently rank fifth among the causes of death in China. In this study, we aimed to analyze the trends and influencing factors of injury and poisoning mortality in urban and rural China using an age-period-cohort model. Crude mortality data for injury and poisoning by sex, age group, and region were obtained from the China Health Statistical Yearbook (2006-2020). Age-standardized mortality rates for injury and poisoning in urban and rural areas were estimated using the Seventh Census of China 2020 population. The trends of injury and poisoning mortality were assessed using Joinpoint analysis. Age-period-cohort models were used to explore the age, period, and birth cohort effects affecting mortality risk. Over a 15-year period, age-standardized mortality rates decreased from 28.81/100,000 in 2006 to 24.78/100,000 in 2020 in urban areas and from 45.49/100,000 to 44.39/100,000 in rural areas. In the male population, the annual change in mortality was -0.4% (95% CI = -1.8%, 1.0%) in urban areas and -1.0% (95% CI = -1.9%, 0.0%) in rural areas. In the female population, the annual change in mortality was -1.2% (95% CI = -2.3%, -0.1%) in urban areas compared with -1.6% (95% CI = -3.1%, -0.1%) in rural areas. The age-period-cohort model showed a significant increase in urban and rural mortality rates starting at ages 49 and 39 years. Both showed a decline followed by an increase in the period. The cohort from 1929 to 2013 showed an overall trend of increasing and then decreasing. From 2006 to 2020, the overall injury and poisoning mortality rates in China showed a decreasing trend, and the mortality rates decreased faster in women than in men and in rural areas than in urban areas. Age effects were the most important risk factors for changes in injury and poisoning mortality. The results of this study will help researchers explore the possible causes of mortality changes in urban and rural areas and provide a scientific basis for injury and poisoning prevention and control priorities and policy formulation in China

China · Cohort · Cohort effect · Cohort study · Environmental health · Geography · Injury prevention · Medical emergency · Occupational safety and health · Period (music · Poison control · Population · Suicide prevention · Climate Change and Health Impacts · Demography · Health disparities and outcomes · Human Factors and Ergonomics · Injury Epidemiology and Prevention · Medicine · Internal Medicine

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