Long-term trends in child and youth injury mortality in Taiwan, 1989-2007

Yun-Lin Lu; Wu-Chien Chien; Fu-Huang Lin; Yu-Lung Chiu; Lu Pai; Yu-Tien Chang; Daniel S Villarreal; Chih-Hong Pan; Shuenn-Chin Chang; Ke-Hsin Lin; Chiao-Huang Lin; Chein-Ting Chen; Yu-Ching Lin

doi:10.4103/1011-4564.163822

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ORIGINAL ARTICLE

Year : 2015 | Volume : 35 | Issue : 4 | Page : 147-156

Long-term trends in child and youth injury mortality in Taiwan, 1989-2007

Yun-Lin Lu¹, Wu-Chien Chien², Fu-Huang Lin², Yu-Lung Chiu², Lu Pai³, Yu-Tien Chang⁴, Daniel S Villarreal⁵, Chih-Hong Pan⁶, Shuenn-Chin Chang⁷, Ke-Hsin Lin², Chiao-Huang Lin², Chein-Ting Chen², Yu-Ching Lin⁸
¹ Department of Health Care Administration, Chung Hwa University of Medical Technology, Tainan, Taiwan
² School of Public Health, National Defense Medical Center, Taipei, Taiwan
³ Institute of Injury Prevention and Control, Taipei Medical University, Taipei, Taiwan
⁴ School of Public Health; Graduate Institute of Medical Sciences, National Defense Medical Center, Taipei, Taiwan
⁵ Center for General Education, National Defense Medical Center, Taipei, Taiwan
⁶ School of Public Health, National Defense Medical Center, Taipei; Institute of Labor, Occupational Safety and Health, Ministry of Labor, Taiwan
⁷ School of Public Health, National Defense Medical Center, Taipei; Environmental Protection Administration, Taiwan
⁸ School of Nursing, National Defense Medical Center, Taipei, Republic of China

Correspondence Address:
Yu-Tien Chang
No. 161, Section 6, Min-Quan East Road, Neihu District, Taipei 114, Taiwan
Taiwan

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/1011-4564.163822

Background: Injuries are the leading causes of death and contribute greatly to morbidity in children. Our study examined injuries' age and gender-specific variations over time among children 0-19, from 1989 to 2007. Materials and Methods: Numbers of deaths caused by injury are drawn from Taiwan's official Vital Statistics System. Mortality was age-adjusted to the US 2000 standard population. Temporal trends were analyzed by linear regression. Results: Both genders' annual mortality rates and proportional mortality ratios of unintentional injuries declined significantly during 1989-2007. Conversely, an increasing trend of intentional deaths occurred. In general, during 1992-2007, increasing the rates of suicide deaths in ages 10-19 and of homicide deaths in ages 0-9 occurred. Boys had more suicide deaths than did girls. Conclusions: Unlike unintentional injuries, intentional injuries increased over the 1989-2007 period. Deaths in the subgroups of ages 0-19 and categorized by genders were caused by varying injuries.

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