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Nonfatal injuries in Korean children and adolescents, 2007-2018

  • Yeon, Gyu Min (Department of Pediatrics, Kosin University Gospel Hospital, Kosin University College of Medicine) ;
  • Hong, Yoo Rha (Department of Pediatrics, Kosin University Gospel Hospital, Kosin University College of Medicine) ;
  • Kong, Seom Gim (Department of Pediatrics, Kosin University Gospel Hospital, Kosin University College of Medicine)
  • Received : 2021.04.29
  • Accepted : 2021.08.30
  • Published : 2022.04.15

Abstract

Background: Injury is the leading cause of death or disability in children and adolescents. Rates of deaths from injuries have recently declined, but studies of the occurrence of nonfatal injuries are lacking. Purpose: This study aimed to investigate nonfatal injuries in children and adolescents younger than 20 years based on data from the Korean National Health and Nutrition Survey, 2007-2018. Methods: A questionnaire survey was conducted to determine whether children and adolescents had experienced an injury requiring a hospital visit in the previous year. We investigated each injury's risk factors and characteristics. Results: Of a total of 21,598 children and adolescents, 1,748 (weighted percentage, 8.1%) experienced one or more injuries in the previous year. There was no yearly difference in the proportion of injuries experienced. Among the male subjects, 10.0% had an injury experience; among the female participants, 6.1% had an injury experience (P<0.001). The highest rate was 9.0% in children aged 1-4 years. In multivariate logistic regression analysis, male sex; having an urban residence; having restricted activity due to visual, hearing, or developmental impairment; and attention deficit/hyperactivity disorder were significant risk factors for injury experience. The characteristics of up to 3 injuries per patient were investigated, and 1,951 injuries were analyzed. Falls and slips accounted for 34.9%, collisions for 34.1%, and motor vehicle accidents for 11.3% of the total injuries. Ninety-six percent of injuries were unintentional, 20% caused school absences, and 10% required hospitalization. Conclusion: Among Korean children and adolescents, 8.1% experienced injuries at least once a year with no significant differences in incidence over the past 12 years. Greater attention and effort to prevent injuries are needed.

Keywords

References

  1. Global Burden of Disease Pediatrics Collaboration, Kyu HH, Pinho C, Wagner JA, Brown JC, Bertozzi-Villa A, et al. Global and national burden of diseases and injuries among children and adolescents between 1990 and 2013: findings from the global burden of disease 2013 study. JAMA Pediatr 2016;170:267-87. https://doi.org/10.1001/jamapediatrics.2015.4276
  2. Korea Statistical Office. 2019 Cause of death statistics results [Internet]. Daejeon (Korea): Korea Statistical Office; c2020 [cited 2021 Apr 12]. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/1/index.board?bmode=read&aSeq=385219.
  3. Korea Statistical Office. Child death due to injury (1996-2016) [Internet]. Daejeon (Korea): Korea Statistical Office; c2018 [cited 2021 Feb 28]. Available from: http://kostat.go.kr/portal/korea/kor_nw/1/6/1/index.board?bmode=read&bSeq=&aSeq=367573&pageNo=3&rowNum=10&navCount=10&currPg=&searchInfo=&sTarget=title&sTxt=.
  4. Park SH, Min JY, Cha WC, Jo IJ, Kim T. National surveillance of injury in children and adolescents in the republic of Korea: 2011-2017. Int J Environ Res Public Health 2020;17:9132. https://doi.org/10.3390/ijerph17239132
  5. Dorney K, Dodington JM, Rees CA, Farrell CA, Hanson HR, Lyons TW, et al. Preventing injuries must be a priority to prevent disease in the twenty-first century. Pediatr Res 2020;87:282-92. https://doi.org/10.1038/s41390-019-0549-7
  6. Korea Centers for Disease Control and Prevention. The 10th National Injury Fact Book [Internet]. Cheongju (Korea): Korea Centers for Disease Control and Prevention; c2018 [cited 2021 Apr 19]. Available from: http://kdca.go.kr/contents.es?mid=a20601030600.
  7. Jung JH, Kim DK, Jang HY, Kwak YH. Epidemiology and regional distribution of pediatric unintentional emergency injury in Korea from 2010 to 2011. J Korean Med Sci 2015;30:1625-30. https://doi.org/10.3346/jkms.2015.30.11.1625
  8. Korean Statistical Information Service. Fertility rate [Internet]. Daejeon (Korea): Statistics Korea; c2020 [cited 2021 Jul 3]. Available from: http://www.kosis.kr/.
  9. Korean Statistical Information Service. Population by age [Internet]. Daejeon (Korea): Statistics Korea. c2020 [cited 2021 Jul 3]. Available from: http://www.kosis.kr/.
  10. Korea Law Information Center. Child Safety Control Act. [Internet]. Sejong: Korea Law Information Center; c2020 [cited 2021 Jul 3]. Available from: https://www.law.go.kr/.
  11. Borse N, Sleet DA. CDC childhood injury report: patterns of unintentional injuries among 0- to 19-year olds in the United States, 2000-2006. Fam Community Health 2009;32:189. https://doi.org/10.1097/01.FCH.0000347986.44810.59
  12. Gayton WF, Bailey C, Wagner A, Hardesty VA. Relationship between childhood hyperactivity and accident proneness. Percept Mot Skills 1986;63:801-2. https://doi.org/10.2466/pms.1986.63.2.801
  13. Brian DJ, Frederick PR. Injury control. In: Kliegman RM, Stanton BF, St. Geme JW III, Schor NF, Behrman RE, editors. Nelson textbook of pediatrics. 21st ed. Philadelphia (PA): Elsevier Saunders, 2019:80.
  14. Gallagher SS, Finison K, Guyer B, Goodenough S. The incidence of injuries among 87,000 Massachusetts children and adolescents: results of the 1980-81 Statewide Childhood Injury Prevention Program Surveillance System. Am J Public Health 1984;74:1340-7. https://doi.org/10.2105/AJPH.74.12.1340
  15. Tracy ET, Englum BR, Barbas AS, Foley C, Rice HE, Shapiro ML. Pediatric injury patterns by year of age. J Pediatr Surg 2013;48:1384-8. https://doi.org/10.1016/j.jpedsurg.2013.03.041
  16. Agran PF, Anderson C, Winn D, Trent R, Walton-Haynes L, Thayer S. Rates of pediatric injuries by 3-month intervals for children 0 to 3 years of age. Pediatrics 2003;111:e683-92. https://doi.org/10.1542/peds.111.6.e683
  17. Peden M, Oyegbite K, Ozanne-Smith J, Hyder AA, Branche C, Rahman AF, et al. World report on child injury prevention. Geneva (Switzerland): World Health Organization, 2008.
  18. Sleet DA. The global challenge of child injury prevention. Int J Environ Res Pub Health 2018;15:1921. https://doi.org/10.3390/ijerph15091921