Unintentional injury mortality in India, 2005: Nationally representative mortality survey of 1.1 million homes

BMC Public Health

Research Article

Prabhat Jha¹  Wilson Suraweera¹  Jagnoor Jagnoor²  JS Thakur³  Lisa Keay⁴  Rebecca Q Ivers⁴ 

[1] Centre for Global Health Research, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, and Dalla Lana School of Public Health, University of Toronto, Toronto, Canada;Centre for Global Health Research, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, and Dalla Lana School of Public Health, University of Toronto, Toronto, Canada;The George Institute for Global Health and Sydney School of Public Health, The University of Sydney, Sydney, Australia;School of Public Health, Post Graduate Institute of Medical Education and Research, Chandigarh, India;World Health Organisation, Country Office, New Delhi, India;The George Institute for Global Health and Sydney School of Public Health, The University of Sydney, Sydney, Australia;

关键词: Unintentional-injuries;    Mortality;    Verbal autopsy;    India;   

DOI  :  10.1186/1471-2458-12-487

 received in 2011-10-09, accepted in 2012-06-15,  发布年份 2012

来源: Springer

【 摘 要 】

BackgroundUnintentional injuries are an important cause of death in India. However, no reliable nationally representative estimates of unintentional injury deaths are available. Thus, we examined unintentional injury deaths in a nationally representative mortality survey.MethodsTrained field staff interviewed a living relative of those who had died during 2001-03. The verbal autopsy reports were sent to two of the130 trained physicians, who independently assigned an ICD-10 code to each death. Discrepancies were resolved through reconciliation and adjudication. Proportionate cause specific mortality was used to produce national unintentional injury mortality estimates based on United Nations population and death estimates.ResultsIn 2005, unintentional injury caused 648 000 deaths (7% of all deaths; 58/100 000 population). Unintentional injury mortality rates were higher among males than females, and in rural versus urban areas. Road traffic injuries (185 000 deaths; 29% of all unintentional injury deaths), falls (160 000 deaths, 25%) and drowning (73 000 deaths, 11%) were the three leading causes of unintentional injury mortality, with fire-related injury causing 5% of these deaths. The highest unintentional mortality rates were in those aged 70years or older (410/100 000).ConclusionsThese direct estimates of unintentional injury deaths in India (0.6 million) are lower than WHO indirect estimates (0.8 million), but double the estimates which rely on police reports (0.3 million). Importantly, they revise upward the mortality due to falls, particularly in the elderly, and revise downward mortality due to fires. Ongoing monitoring of injury mortality will enable development of evidence based injury prevention programs.

【 授权许可】

Unknown   
© Jagnoor et al.; licensee BioMed Central Ltd. 2012. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.