Long-Term Trends in Unintentional Fall Mortality in China: A Population-Based Age-Period-Cohort Study

Background: Unintentional falls seriously threaten the life and health of people in China. This study aimed to assess the long-term trends of mortality from unintentional falls in China and to examine the age-, period-, and cohort-specific effects behind them.Methods: This population-based multiyear...

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Autores principales:	Zhenkun Wang, Youzhen Hu, Fang Peng
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	unintentional falls mortality trend risk age-period-cohort (APC) analysis China injury Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/2535557bc4f04d739f1908feb21feafc
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spelling	oai:doaj.org-article:2535557bc4f04d739f1908feb21feafc2021-11-30T19:16:21ZLong-Term Trends in Unintentional Fall Mortality in China: A Population-Based Age-Period-Cohort Study2296-256510.3389/fpubh.2021.749295https://doaj.org/article/2535557bc4f04d739f1908feb21feafc2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpubh.2021.749295/fullhttps://doaj.org/toc/2296-2565Background: Unintentional falls seriously threaten the life and health of people in China. This study aimed to assess the long-term trends of mortality from unintentional falls in China and to examine the age-, period-, and cohort-specific effects behind them.Methods: This population-based multiyear cross-sectional study of Chinese people aged 0–84 years was a secondary analysis of the mortality data of fall injuries from 1990 to 2019, derived from the Global Burden of Disease Study 2019. Age-standardized mortality rates of unintentional falls by year, sex, and age group were used as the main outcomes and were analyzed within the age-period-cohort framework.Results: Although the crude mortality rates of unintentional falls for men and women showed a significant upward trend, the age-standardized mortality rates for both sexes only increased slightly. The net drift of unintentional fall mortality was 0.13% (95% CI, −0.04 to 0.3%) per year for men and −0.71% (95% CI, −0.96 to −0.46%) per year for women. The local drift values for both sexes increased with age group. Significant age, cohort, and period effects were found behind the mortality trends of the unintentional falls for both sexes in China.Conclusions: Unintentional falls are still a major public health problem that disproportionately threatens the lives of men and women in China. Efforts should be put in place urgently to prevent the growing number of fall-related mortality for men over 40 years old and women over 70 years old. Gains observed in the recent period, relative risks (RRs), and cohort RRs may be related to improved healthcare and better education.Zhenkun WangZhenkun WangYouzhen HuYouzhen HuFang PengFrontiers Media S.A.articleunintentional fallsmortality trend riskage-period-cohort (APC) analysisChinainjuryPublic aspects of medicineRA1-1270ENFrontiers in Public Health, Vol 9 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	unintentional falls mortality trend risk age-period-cohort (APC) analysis China injury Public aspects of medicine RA1-1270
spellingShingle	unintentional falls mortality trend risk age-period-cohort (APC) analysis China injury Public aspects of medicine RA1-1270 Zhenkun Wang Zhenkun Wang Youzhen Hu Youzhen Hu Fang Peng Long-Term Trends in Unintentional Fall Mortality in China: A Population-Based Age-Period-Cohort Study
description	Background: Unintentional falls seriously threaten the life and health of people in China. This study aimed to assess the long-term trends of mortality from unintentional falls in China and to examine the age-, period-, and cohort-specific effects behind them.Methods: This population-based multiyear cross-sectional study of Chinese people aged 0–84 years was a secondary analysis of the mortality data of fall injuries from 1990 to 2019, derived from the Global Burden of Disease Study 2019. Age-standardized mortality rates of unintentional falls by year, sex, and age group were used as the main outcomes and were analyzed within the age-period-cohort framework.Results: Although the crude mortality rates of unintentional falls for men and women showed a significant upward trend, the age-standardized mortality rates for both sexes only increased slightly. The net drift of unintentional fall mortality was 0.13% (95% CI, −0.04 to 0.3%) per year for men and −0.71% (95% CI, −0.96 to −0.46%) per year for women. The local drift values for both sexes increased with age group. Significant age, cohort, and period effects were found behind the mortality trends of the unintentional falls for both sexes in China.Conclusions: Unintentional falls are still a major public health problem that disproportionately threatens the lives of men and women in China. Efforts should be put in place urgently to prevent the growing number of fall-related mortality for men over 40 years old and women over 70 years old. Gains observed in the recent period, relative risks (RRs), and cohort RRs may be related to improved healthcare and better education.
format	article
author	Zhenkun Wang Zhenkun Wang Youzhen Hu Youzhen Hu Fang Peng
author_facet	Zhenkun Wang Zhenkun Wang Youzhen Hu Youzhen Hu Fang Peng
author_sort	Zhenkun Wang
title	Long-Term Trends in Unintentional Fall Mortality in China: A Population-Based Age-Period-Cohort Study
title_short	Long-Term Trends in Unintentional Fall Mortality in China: A Population-Based Age-Period-Cohort Study
title_full	Long-Term Trends in Unintentional Fall Mortality in China: A Population-Based Age-Period-Cohort Study
title_fullStr	Long-Term Trends in Unintentional Fall Mortality in China: A Population-Based Age-Period-Cohort Study
title_full_unstemmed	Long-Term Trends in Unintentional Fall Mortality in China: A Population-Based Age-Period-Cohort Study
title_sort	long-term trends in unintentional fall mortality in china: a population-based age-period-cohort study
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/2535557bc4f04d739f1908feb21feafc
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Long-Term Trends in Unintentional Fall Mortality in China: A Population-Based Age-Period-Cohort Study

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