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4: Unintentional Injury Deaths among Children 0 to 19 Years, United States, 2000 – 2005

4.9: Analysis by Cause

This section describes childhood injury deaths by selected causes in more detail (Fig 6 and 7).

4.9.1: Injury Deaths due to Drowning

Drowning represented 9% of unintentional injury deaths among children 0 to 19 years of age. The death rate for drowning-related injuries was 1.4 per 100,000. Males had death rates nearly three times higher than females (2.0 vs. 0.8 per 100,000). (Fig 8) The rate was highest among children 1 to 4 years of age (3.0 per 100,000), followed by children less than 1 year and those 15 to 19 years (1.6 per 100,000). (Fig 23)

Figure 23:  Unintentional Injury Death Rates due to Drowning among Children 0 to 19 Years, by Age Group, United States, 2000 - 2005

State death rates from drowning varied from 0.7 per 100,000 to 3.9 per 100,000. (Fig 24 and Map 7)

Figure 24:  Unintentional Injury Death Rates due to Drowning among Children 0 to 19 Years, Listed by State, United States, 2000 - 2005

Map 7: Unintentional Injury Death Rates due to Drowning among Children 0 to 19 Years, Mapped by State, United States, 2000 - 2005

4.9.2: Injury Deaths due to Falls

Injuries from falls represented 2% of unintentional injury deaths among children 0 to 19 years of age. The death rate for fall-related injuries was 0.2 per 100,000. Males had death rates nearly three times higher than females (0.3 vs. 0.1 per 100,000). (Fig 8) The rates were highest among children 15 to 19 years of age (0.4 per 100,000) and children less than 1 year (0.4 per 100,000). (Fig 25)

Figure 25:  Unintentional Injury Death Rates due to Falls among Children 0 to 19 Years, by Age Group, United States, 2000 - 2005

Death rates by state are not presented in a map or figure due to the high percentage of states with unreliable fall-related death rates. There was very little difference among states with reliable fall-related death rates. Appendix 4 presents a listing of the number of deaths per state by cause.

4.9.3: Injury Deaths due to Fires or Burns

Fire or burn-related injuries represented 5% of the unintentional injury deaths among children 0 to 19 years of age. The death rate for fire or burn-related injuries was 0.7 per 100,000. Males had a higher death rate than females (0.8 vs. 0.6 per 100,000). (Fig 8) The rate was highest among children 1 to 4 years (1.5 per 100,000) and lowest among those over age 10 (0.4 per 100,000). (Fig 26)

Figure 26:  Unintentional Injury Death Rates from Fires or Burns among Children 0 to 19 Years, by Age Group, U.S., 2000 - 2005

State death rates from fire or burn-related injuries varied from 0.2 per 100,000 to 2.4 per 100,000. (Fig 27 and Map 8)

Figure 27:  Unintentional Injury Death Rates from Fires or Burns among Children 0 to 19 Years, Listed by State, U.S., 2000 - 2005

Map 8: Unintentional Injury Death Rates from Fires or Burns among Children 0 to 19 Years, Mapped by State, U.S., 2000 - 2005

4.9.4: Injury Deaths due to Poisoning

Poisoning represented 5% of the unintentional injury deaths among children 0 to 19 years of age. The death rate for poisoning was 0.8 per 100,000. Males had death rates twice as high as females (1.1 vs. 0.4 per 100,000). (Fig 8) The rate was highest among children 15 to 19 years of age (2.5 per 100,000) and lowest among those 5 to 9 years (0.1 per 100,000). (Fig 28)

Figure 28:  Unintentional Injury Death Rates due to Poisoning among Children 0 to 19 Years, by Age Group, United States, 2000 - 2005

State death rates from poisoning varied from 0.2 per 100,000 to 2.1 per 100,000. (Fig 29 and Map 9)

Figure 29:  Unintentional Injury Death Rates due to Poisoning among Children 0 to 19 Years, Listed by State, United States, 2000 - 2005

Map 9: Unintentional Injury Death Rates due to Poisoning among Children 0 to 19 Years, Mapped by State, United States, 2000 - 2005

4.9.5: Injury Deaths due to Suffocation

Suffocation represented 8% of the unintentional injury deaths among children 0 to 19 years of age. The death rate for suffocation was 1.2 per 100,000. Males had higher death rates than females (1.4 vs. 0.9 per 100,000). (Fig 8) The rate was highest among children less than 1 year of age (16.1 per 100,000). Suffocation was the leading cause of injury death in children less than 1 year of age. (Fig 30)

Figure 30:  Unintentional Injury Death Rates Due to Suffocation among Children 0 to 19 Years, by Age Group, United States, 2000 - 2005

State death rates from suffocation varied from 0.5 per 100,000 to 4.4 per 100,000. (Fig 31 and Map 10)

Figure 31:  Unintentional Injury Death Rates due to Suffocation among Children 0 to 19 Years, Listed by State, United States, 2000 - 2005

Map 10: Unintentional Injury Death Rates due to Suffocation among Children 0 to 19 Years, Mapped by State, United States, 2000 - 2005

4.9.6: Injury Deaths related to Transportation

Transportation-related injuries represented 66% of the unintentional injury deaths among children 0 to 19 years of age. These deaths occur among all road user types (e.g., MVT occupants, pedestrians and pedal cyclists) and all vehicle types. The death rate for transportation-related injuries was 9.8 per 100,000. Males had death rates nearly twice as high than females (12.4 vs. 7.2 per 100,000). The rate was highest among those 15 to 19 years of age (26.4 per 100,000) and lowest among those 5 to 9 years and those less than 1 year (3.6 and 3.7 per 100,000, respectively). (Fig 32)

Figure 32:  Unintentional Injury Death Rates from Transportation-related Injuries among Children 0 to 19 Years, by Age Group, United States, 2000 - 2005

State death rates from transportation-related injuries varied from 4.7 per 100,000 to 19.5 per 100,000. (Fig 33 and Map 11)

Figure 33:  Unintentional Injury Death Rates from Transportation-related Injuries among Children 0 to 19 Years, Listed by State, United States, 2000 - 2005

Map 11: Unintentional Injury Death Rates from Transportation-related Injuries among Children 0 to 19 Years, Mapped by State, United States, 2000 - 2005

Deaths due to MVT Occupant Injuries

MVT occupant injuries represented 31% of the unintentional injury deaths among children 0 to 19 years of age. The death rate for MVT occupant injuries was 4.6 per 100,000. Males had death rates nearly twice as high as females (5.6 vs. 3.6 per 100,000). (Fig 8) The rate was highest among children 15 to 19 years of age (13.5 per 100,000) and lowest among those 5 to 9 years and those 1 to 4 years of age (1.3 and 1.4 per 100,000, respectively). (Fig 34)

Figure 34:  Unintentional Injury Death Rates from MVT-Occupant Injuries among Children 0 to 19 Years, by Age Group, United States, 2000 - 2005

State death rates from MVT occupant injuries varied from 0.7 per 100,000 to 15.1 per 100,000. (Fig 35 and Map 12)

Figure 35:  Unintentional Injury Death Rates from MVT-Occupant Injuries among Children 0 to 19 Years, Listed by State, United States, 2000 - 2005

Map 12: Unintentional Injury Death Rates from MVT-Occupant Injuries among Children 0 to 19 Years, Mapped by State, United States, 2000 - 2005

Deaths due to Pedal Cyclist Injuries

Pedal cyclist injuries represented 2% of the unintentional injury deaths among children 0 to 19 years of age. The death rate for pedal cyclist injuries was 0.2 per 100,000. Males had death rates nearly four times higher than females (0.4 vs. 0.1 per 100,000). (Fig 8) The rate was highest among children 10 to 14 years of age (0.4 per 100,000). (Fig 36)

Figure 36:  Unintentional Injury Death Rates from Pedal Cyclist Injuries among Children 0 to 19 Years, by Age Group, U.S., 2000 - 2005

Death rates by state are not presented in a map or figure due to the high percentage of states with unreliable pedal cyclist death rates. There was very little difference among states with reliable death rates. Appendix 4 presents a listing of the number of deaths per state by cause.

Deaths due to Pedestrian Injuries

Pedestrian injuries represented 8% of the unintentional injury deaths among children 0 to 19 years of age. The death rate for pedestrian injury was 1.2 per 100,000. Males had death rates nearly twice as high as females (1.5 vs. 0.8 per 100,000). (Fig 8) The rates were highest among children 1 to 4 years of age (1.7 per 100,000) and those 15 to 19 years of age (1.6 per 100,000). (Fig 37)

Figure 37:  Unintentional Injury Death Rates from Pedestrian Injuries among Children 0 to 19 Years, by Age Group, United States, 2000 - 2005

State death rates from pedestrian injuries varied from 0.5 per 100,000 to 2.0 per 100,000. (Fig 38 & Map 13)

Figure 38:  Unintentional Injury Death Rates from Pedestrian Injuries among Children 0 to 19 Years, Listed by State, United States, 2000 - 2005

Map 13: Unintentional Injury Death Rates from Pedestrian Injuries among Children 0 to 19 Years, Mapped by State, United States, 2000 - 2005

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References

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  9. US Consumer Product Safety Commission. The NEISS sample: design and implementation. In: Kessler E, Schroeder T, eds. Washington, DC: US Consumer Product Safety Commission, 2000.
  10. World Health Organization. Manual of the international statistical classification of disease, injuries, and causes of death, 10th revision. Geneva, Switzerland: World Health Organization; 1999.
  11. Fingerhut L. ICD Framework: External cause of injury mortality matrix [online]. Hyattsville, MD: National Center for Health Statistics. Available from: http://www.cdc.gov/nchs/about/otheract/ice/matrix10.htm.
  12. CDC. Recommended framework for presenting injury mortality data. In: Reports and Recommendations, August 29, 1997. MMWR 1997:46(No. RR-14):1-30.
  13. Vyrostek SB, Annest JL, Ryan GW. Surveillance for Fatal and Nonfatal Injuries — United States, 2001. In: Surveillance Summaries, September 3, 2004. MMWR 2004;53(No. SS-7):1-57.
  14. Arias E, Schauman WS, Eschbach K, Sorlie PD, Backlund E. The validity of race and Hispanic origin reporting on death certificates in the United States. National Center for Health Statistics. Vital Health Stat 2(148). 2008.
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