# Presentation: 722538

## Injury Data and Resources for

** ****School-Age Children **

- Manon A. Boudreault, MPH and Lois A. Fingerhut, MA
- NCHS Data Users Conference, July 2004

## Overview

**Burden of Injury**
** **
**Trend Statistics**
**Data and Resources**

## Five leading causes of death according to age among persons 5-24 years of age: 2001

| Rank | 5-9 | 10-14 | 15-19 | 20-24 |
| --- | --- | --- | --- | --- |
| 1 | 

1,283 | 

1,553 | 

6,646 | 

7,765 |
| 2 |  |  | 
1,899 | 3,398 |
| 3 |  | 
272 | 
1,611 | 2,360 |
| 4 | 
137 |  |  |  |
| 5 |  | 189 |  |  |

- Source: CDC, NCHS Vital Statistics System-Mortality.

**Age group**

## Highlights

- 157,078 deaths due to injuries-all ages
- 		 (13,806 of these were 5-19 years of age)
**Unintentional injuries were the leading cause of death for children and adolescents 5-19 years of age**
- The five leading mechanisms of injury deaths for those 5-19: 			Motor vehicle traffic (48%)
- 			Firearm (21%)
- 			Suffocation (7%)
- 			Drowning (5%)
- 			Poisoning (5%)

## Slide 5

**Notes:**
Deaths are classified by mechanism and intent.

## Five leading causes of injury death according to intent and mechanism for persons 5-24 years of age: 2001

|  | 5-9 | 10-14 | 15-19 | 20-24 |
| --- | --- | --- | --- | --- |
| 1 |  |  |  |  |
| 2 |  |  |  |  |
| 3 |  |  |  |  |
| 4 |  |  |  |  |
| 5 |  |  |  |  |

**Rank**

- Source: CDC, NCHS Vital Statistics System-Mortality.

- Age group

## Injury death rates according to intent, race, and Hispanic origin for persons 15-19 years of age: 2001

- Note: Persons of Hispanic origin may be of any race.
- Source: CDC, NCHS, National Vital Statistics System-Mortality, U.S. Bureau of the Census-2001 population estimates based on the
- 2000 census.

**Deaths per 100,000 population**

**Intent**

- *American Indian/Alaska Native (AI/AN) and Asian Pacific Islanders (API) include persons of
- Hispanic and non-Hispanic origin.

## Injury death rates* according to intent among persons  5-19 years of age: 1990 and 2001

|  | 1990 | 2001 |  | 1990 | 2001 |
| --- | --- | --- | --- | --- | --- |
| All injury | 12.7 | 8.5 |  | 71.5 | 50.9 |
| Unintentional | 10.3 | 6.9 |  | 42.5 | 32.8 |
|   Suicide | 0.8 | 0.7 |  | 11.1 | 7.9 |
|   Homicide | 1.5 | 0.8 |  | 17.0 | 9.4 |
|  Undetermined | 0.2 | 0.1 |  | 0.7 | 0.7 |

- *Rate per 100,000 population

- Sources: CDC, NCHS Vital Statistics System-Mortality,  U.S. Bureau of the Census- decennial census population counts for 1990, 2001 population estimates based on the 2000 census.

**Ages 5-14**

**Ages 15-19**

## Injury death rates according to cause among persons 5-9 years of age: 1980-2001

- Note: Data are plotted on the log scale.
- Source: CDC, NCHS-National Vital Statistics System-Mortality, U.S. Bureau of the Census- intercensal population estimates for 1991-2000, 2001 population estimates based on the 2000 census.

**Motor Vehicle Traffic**

** ****Fire/hot**

** ****Drowning**

** ****Firearm**

** ****Suffocation**

**Year**

## Injury death rates according to cause among persons 10-14 years of age: 1980-2001

**Motor Vehicle Traffic**

**Firearm**

**Suffocation**

** ****Drowning**

**Fire/hot**

**Year**

- Note: Data are plotted on the log scale.
- Source: CDC, NCHS-National Vital Statistics System-Mortality, U.S. Bureau of the Census-intercensal population estimates for 1991-2000, 2001 population estimates based on the 2000 census.

## Injury death rates according to cause, among persons 15-19 years of age: 1980-2001

** ****Drowning**

**Motor Vehicle Traffic**

**Firearm**

**Poisoning**

**Suffocation**

**Year**

- Note: Data are plotted on the log scale.
- Source: CDC, NCHS-National Vital Statistics System-Mortality, U.S. Bureau of the Census-intercensal population estimates for 1991-2000, 2001 population estimates based on the 2000 census.

## Burden of injury among persons 5-19 years of age, 1998-2001

- Note: Data are plotted on the log scale, data for 1998-2000 are an average.
- Sources: CDC, NCHS-National Hospital Ambulatory Care Survey, National Hospital Discharge Survey, National Vital Statistics System-Mortality.

**Rate per 100,000 population**

**Injury-related hospitalizations-**(1998-2001)

**Injury-related emergency department visits-**(1998-2001)

**Injury Deaths-**(2001)

**Age**

## Injury-related emergency department visit rates according to leading external causes among persons under 18 years of age: 1999-2000

**Emergency dept. visits per 1,000 population**

**Unintentional**
**injuries**

**Falls**

**Cut/pierce**

**Struck**
**object/person**

**Intentional**
**injuries**

**Motor vehicle**
**traffic **

- Note: Data are a two-year average for 1999-2000.
- Source: CDC, NCHS-National Hospital Ambulatory Care Survey.

**Cause (unintentional injuries)**

## Average annual injury emergency department visit rates according to leading first-listed diagnosis and age among persons 5-19 years of age:1998-2000

**Emergency dept. visits  per 1,000 population**

**Open  wounds**

**Superficial/**
**contusions**

**Fractures**

**Sprains/strains**

**Age**

- Note: Data are an average for 1998-2000.  Source: CDC, NCHS-National Hospital Ambulatory Care Survey.

## Injury hospitalizations for fractures according to age and sex among persons 15-24 years of age: 1980-2001

**Discharge rate per 10,000 population**

- Note: Data are plotted on the log scale, fracture is the first-listed diagnosis on the medical record.
- Source: CDC, NCHS, National Hospital Discharge Survey.

**Males 15-24**

**Males <15**

**Females <15**

**Females 15-24**

**Year**

## Annual rate of leading external causes of medically attended injury

- and poisoning episodes by selected characteristics:  2001

**Note: *Data do not meet standard of reliability and precision**.
- Source: CDC, NCHS-National Health Interview Survey.

**External cause**

## Annual rate of medically attended injury and poisoning episodes by

-  place of occurrence and by selected characteristics:  2001

**Note: *Data do not meet standard of reliability and precision**.
- Source: CDC, NCHS-National Health Interview Survey.

## Data and Resources

## NCHS Injury Data and Resources

|                          |   |                                            |            |                     |  |  |
| --- | --- | --- | --- | --- | --- | --- |
|  |  |                                                                  

   Injury Data and Resources

The purpose of this Web site is to provide an overview of the sources of national level injury data available from the National Center for Health Statistics (NCHS) and to provide details on the injury morbidity and mortality data collection systems, surveys and coding schemes used to collect and categorize the data. Links to other injury data Web sites are provided.

 The International Collaborative Effort (ICE) on Injury Statistics is one of several international activities sponsored by the Centers for Disease Control and Prevention's (CDC) National Center for Health Statistics (NCHS). The goal is to provide a forum for international exchange and collaboration among injury researchers who develop and promote international standards in injury data collection and analysis. A secondary goal is to produce products of the highest quality to facilitate the comparability and improved quality of injury data.
 www.cdc.gov/nchs/injury.htm
  |  |  |    |    |

_**NCHS Injury Data and Resources**_

_**ICE on Injury Statistics**_

**Injury Data and Resources**

_**Injury Data and Resources | ICE on Injury | Injury FASTSTATS**_
_**Presentations| National Databases | Tools and Frameworks | **_
_**Related Links | Listservs | Contact**_

**About NCHS**
**NCHS en Espanol**
**FASTSTATS A to Z**
**Help**
**Events**
**Surveys and Data**
**Collection Systems**
**NHANES**
**NHCS**
**NHIS**
**NIS**
**NSFG**
**SLAITS**
**Vital Statistics**
**Initiatives**
**Aging**
**Disease Classification**
**Healthy People**
**Injury**
**Research and**
**Development**
**Publications and**
**Information**
**Products**
**Listservs**

**www.cdc.gov/nchs/injury.htm**

## Injury Data and Resources

|                          |   |                                            |            |                     |  |  |
| --- | --- | --- | --- | --- | --- | --- |
|  |  |    |  |  |    |    |

**About NCHS**
**NCHS en Espanol**
**FASTSTATS A to Z**
**Help**
**Events**
**Surveys and Data**
**Collection Systems**
**NHANES**
**NHCS**
**NHIS**
**NIS**
**NSFG**
**SLAITS**
**Vital Statistics**
**Initiatives**
**Aging**
**Disease Classification**
**Healthy People**
**Injury**
**Research and**
**Development**
**Publications and**
**Information**
**Products**
**Listservs**

**National Databases**_**Mortality data**_ **Morbidity**       _ __**Hospital Inpatient Data**_        **Ambulatory Care Data****  **           _ __**Emergency Department Visit Data**__ _            _**Outpatient Department Visit Data**_             _**Physician Office Visit Data**_         _**Health Interview Survey Data**_         _**Health Examination and Interview Survey Data**_
_**Tools and Frameworks**_
_**Related Injury Web Sites**_
_**Related Injury Listservs**_
**Contact Information**Lois Fingerhut, Special Assistant for Injury EpidemiologyE-mail: **LFingerhut@cdc.gov**

**Injury Data and Resources**
**(Web page continued)**

**http://www.cdc.gov/nchs/injury.htm**

## Web Query Systems

**Web-based Injury Statistics Query and Reporting System (WISQARS)** 	www.cdc.gov/ncipc/wisqars
- Customized reports of injury-related data (years 1981-most recent year available).** **
**Wide-ranging Online Data for Epidemiologic Research (WONDER) **www.wonder.cdc.gov/welcome.html
- Numerous databases on morbidity, mortality, hospitalizations, surveillance of notifiable diseases, and CDC reports and guidelines.

**Web Query Systems**

##  DATA2010 -the Healthy People 2010 Database 
Adolescents and young adults*
 (schools and post secondary institutions) 

Inclusion of children and youth with disabilities in
    regular education programs 
School health education 
Unintentional injury 
Tobacco use and addiction 
Alcohol and other drug use 
Inadequate physical activity 
School nurse-to-student ratio 
Weapon carrying by adolescents on school property 
Meals and snacks at school 
Physical education requirement in schools ......
*Data by a specific population group.....more on-line, 107 objectives with tracking data.
					http://www.cdc.gov/nchs/hphome.htm

**Adolescents and young adults***
** ****(schools and post secondary institutions) **
- Inclusion of children and youth with disabilities in
-     regular education programs
- School health education
- Unintentional injury
- Tobacco use and addiction
- Alcohol and other drug use
- Inadequate physical activity
- School nurse-to-student ratio
- Weapon carrying by adolescents on school property
- Meals and snacks at school
- Physical education requirement in schools ......
- ***Data by a specific population group**.....more on-line, 107 objectives with tracking data.
**	****	****	****	****	****http://www.cdc.gov/nchs/hphome.htm**

## www.cdc.gov/nchs/injury.htm

- Mboudreault@cdc.gov and Lfingerhut@cdc.gov