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2023 Vol. 5, No. 47

Preplanned Studies
Effectiveness of Group-Based Interventions for Fall Prevention Among Community-Dwelling Older Adults — 7 Regions, 6 PLADs, China, 2019–2020
Yuliang Er, Zhiming Lu, Ye Jin, Pengpeng Ye, Leilei Duan
2023, 5(47): 1047-1051. doi: 10.46234/ccdcw2023.196
Abstract(1995) HTML (67) PDF 278KB(21)
Abstract:
What is already known about this topic?

Many of the current studies focusing on fall prevention interventions have been conducted in hospital settings within a select few urban areas in China, thus yielding limited evidence on the effectiveness of large-scale, multicenter, community-based interventions.

What is added by this report?

In comparison to the control group, participants in the intervention group exhibited a 64% reduction in fall risk. Group-based fall prevention programs have demonstrated efficacy in mitigating fall risk among the elderly population.

What are the implications for public health practice?

Group-based fall prevention interventions serve as a significant adjunctive resource for the management of elderly health within communities and offer compelling evidence to support the incorporation of fall prevention strategies into health policy frameworks in China.

Characteristics of Poisoning Cases Admitted to Outpatient and Emergency Department — China, 2019
Xiao Deng, Ye Jin, Yuan Wang, Pengpeng Ye, Yuan Yuan, Chengye Sun, Leilei Duan
2023, 5(47): 1052-1057. doi: 10.46234/ccdcw2023.197
Abstract(1830) HTML (48) PDF 248KB(18)
Abstract:
What is already known about this topic?

Poisoning constitutes a significant cause of mortality among individuals aged 1 to 44 in China. Nonetheless, the epidemiological understanding of poisoning incidents within emergency departments remains fragmented across the region.

What is added by this report?

In 2019, the NISS recorded 31,382 cases of poisoning, predominantly among males (62.85%) and individuals aged 25–44 (44.13%). In all poisoning cases, 82.60% were unintentional. The predominant substances exposure in poisoning cases presenting to outpatient and emergency departments were alcohol (56.38%), medications (14.21%), and pesticides (9.78%).

What are the implications for public health practice?

This study has shed light on the evidence for nonfatal poisoning prevention to a variety of different groups, and informed special attention needed for high-risk population and substance exposed.

Vital Surveillances
Unintentional Drowning Mortality Among Individuals Under Age 20 — China, 2013–2021
Zi Li, Xiao Deng, Ye Jin, Leilei Duan, Pengpeng Ye
2023, 5(47): 1058-1062. doi: 10.46234/ccdcw2023.198
Abstract(1839) HTML (39) PDF 222KB(16)
Abstract:
Introduction

This study seeks to elucidate the evolving trend and identify disparities among subgroups in the mortality rate due to unintentional drowning in individuals under the age of 20 from the timeframe of 2013 to 2021 in China.

Methods

Data retrieved from the National Mortality Surveillance System served as a foundation for estimating the unintentional drowning mortality rate. The inadvertent drowning mortality rate for individuals below the age of 20 was computed, differentiated by categorization groups such as age, gender, areas, and regions within each given year. The linear regression model was employed to calculate the annual percent of change (APC) with its 95% confidence interval (CI), providing a depiction of the mortality rate’s shifting trend.

Results

In 2021, the inadvertent drowning fatality rate for individuals under 20 years of age in China was recorded at 3.28 per 100,000. A steady reduction was observed in the national drowning mortality rate from 6.60 per 100,000 in 2013 down to 3.28 per 100,000 in 2021, signifying a cumulative decrease of 50.30% [APC=−9.06% (95% CI: −11.31%, −6.76%)]. Across all sexes, regions, age groups, and residential areas, a consistent decline in mortality rates was evident between 2013 and 2021.

Conclusion

An analysis of the data from 2013 to 2021 reveals a declining trend in the mortality rate due to unintentional drowning among individuals under 20 years of age in China. However, the rate of decline varied when stratified by sex, urban versus rural locations, age-specific groups, and geographical regions.

Commentary