Trends in the disease burden of falls among Chinese children and adolescents from 1990 to 2021
10.19428/j.cnki.sjpm.2026.250478
- VernacularTitle:1990—2021年中国儿童青少年跌倒疾病负担变化趋势
- Author:
Shihong GUO
1
;
Zhixiao LI
2
;
Lihua HUANG
3
;
Yuanfang SHI
4
;
Na PAN
5
;
Tingting MENG
6
;
Leping FENG
7
;
Cun GUO
8
Author Information
1. Department of Pediatric Anesthesiology, Guizhou Branch of Shanghai Children’s Medical Center Shanghai Jiao Tong University School of Medicine, Guiyang, Guizhou 550081, China
2. Department of Nursing, Xingyi People’s Hospital, Xingyi, Guizhou 562499, China
3. Department of Pediatric Nephrology, Guizhou Branch of Shanghai Children’s Medical Center Shanghai Jiao Tong University School of Medicine, Guiyang, Guizhou 550081, China
4. Department of Pediatric Ophthalmology, Otorhinolaryngology, and Neurosurgery, Guizhou Branch of Shanghai Children’s Medical Center Shanghai Jiao Tong University School of Medicine, Guiyang, Guizhou 550081, China
5. Department of Pediatric Orthopedics, Guizhou Branch of Shanghai Children’s Medical Center Shanghai Jiao Tong University School of Medicine, Guiyang, Guizhou 550081, China
6. Department of Nursing, Guizhou Branch of Shanghai Children’s Medical Center Shanghai Jiao Tong University School of Medicine, Guiyang, Guizhou 550081, China
7. Medical Intensive Care Unit, Guizhou Medical University Affiliated Hospital, Guiyang, Guizhou 550004, China
8. Hemodialysis Center, The First Affiliated Hospital of Sun Yat sen University Guizhou Hospital, Guiyang, Guizhou 550031, China
- Publication Type:Journal Article
- Keywords:
child and adolescent;
fall;
disease burden;
trend analysis
- From:
Shanghai Journal of Preventive Medicine
2026;38(8):581-585
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo investigate the trends in the disease burden of falls among Chinese children and adolescents from 1990 to 2021, and to inform the development of targeted prevention and control strategies. MethodsData on age-standardized incidence rate, age-standardized mortality rate and age-standardized disability-adjusted life years (DALYs) rate for falls among Chinese children and adolescents under 20 years of age from 1990 to 2021 were systematically extracted from the Global Burden of Disease Study (GBD) 2021 database. The annual percent change (APC) and average annual percent change (AAPC) were calculated to evaluate temporal trends in fall-related disease burden across different age groups and sexes. ResultsFrom 1990 to 2021, the age-standardized incidence rate of falls among Chinese children and adolescents showed a non-linear fluctuation (AAPC=0.08%, P=0.040), while both the age-standardized mortality rate and age-standardized DALYs rate declined (AAPC=-3.66% and -3.09%, both P<0.001). The crude incidence rate decreased in the <5 years old and 5 ‒ <10 years old groups (AAPC=-1.38% and -0.29%, both P<0.001), but increased annually in the 10 ‒ <15 years old and 15 ‒ <20 years old groups (AAPC=0.27% and 0.81%, both P<0.001). The crude mortality rate and crude DALYs rate declined across all four age groups, with the most significant reduction observed in the <5 years old group (AAPC=-5.21%, 95%CI:-5.55%‒ -5.00%; AAPC=-4.98%, 95%CI: -5.20%‒ -4.79%, both P<0.001). For both males and females, the age-standardized incidence rate of falls showed a V-shaped trend (initial decline followed by a subsequent rise). In contrast, the age-standardized mortality rate and age-standardized DALY rate declined in both sexes, with an AAPC of -3.40% and -2.94% for males, and -4.50% and -3.49% for females, respectively (all P<0.001). ConclusionThe overall disease burden of falls among Chinese children and adolescents has been substantially improved; however, the incidence burden remains considerable. Future prevention efforts should be tailored to age- and sex-specific characteristics, with the family as the fundamental care unit in conjunction with high-quality nursing extension services, to establish a closed-loop management model encompassing “early identification, immediate intervention, and continuous follow-up.”
