Burden of unintentional drowning in China from 1990 to 2019 and exposure to water: Findings from the Global Burden of Disease 2019 study

Jin, Ye, Ye, Pengpeng, Tian, Maoyi, Duan, Leilei, Peden, Amy, and Franklin, Richard Charles (2024) Burden of unintentional drowning in China from 1990 to 2019 and exposure to water: Findings from the Global Burden of Disease 2019 study. Injury Prevention. (In Press)

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Abstract

Background: Drowning is an important contributor to the burden of deaths in China. Exposure to open water is a risk factor for drowning, but few studies quantify its impact on drowning. The purpose of this study was to provide an up-to-date analysis of unintentional drowning in China, including impact of exposure to open water. Methods: Chinese provincial data from the Global Burden of Disease Study 2019 were used to describe the burden of unintentional drowning in 33 provinces and changes from 1990 to 2019. Provincial outdoor open water resource data were used to explore the relationship between outdoor open water resources and drowning burden using K-median clustering analysis. Results: Between 1990 and 2019, the unintentional drowning incidence, mortality and disability adjusted life years (DALY) rates declined by 31.2%, 68.6% and 74.9%, respectively, with differences by age, sex and province. In 2019, the DALY rate for drowning was relatively higher in children under 20 year, the elderly over 80 years than other age groups and was relatively higher in men. There was no statistical difference in overall incidence rate by sex. Provincial differences in unintentional drowning burden show a positive relationship with the availability and size of outdoor open water. Conclusions: As expected availability of water increases drowning risk. There is a need to address drowning environmental risk especially among children and the elderly. Localised water safety plans which consider drowning burden and environmental risk factors are needed in China to ensure a sustained decline of unintentional drowning.

Item ID: 83275
Item Type: Article (Research - C1)
ISSN: 1475-5785
Keywords: Burden Of Disease, Disability, Drowning, Mortality, Risk/Determinants
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Copyright Information: This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
Date Deposited: 30 Jul 2024 00:13
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