Change in global burden of unintentional drowning from 1990 to 2019 and its association with social determinants of health: findings from the Global Burden of Disease Study 2019
Objective To systematically analyse global, regional and national burden change of unintentional drowning from 1990 to 2019, and to further quantify the contribution of social determinants of health (SDH) on the change.Design Data from the Global Burden of Disease Study 2019 were used in this study....
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-04-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/4/e070772.full |
| _version_ | 1797847643977678848 |
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| author | Xiaomei Dong Tao Liu Wenjun Ma Sui Zhu Haomin Tan Ziqiang Lin Di Fu Zhongguo Huang Yingyin Liu Guanhao He Pan Yang |
| author_facet | Xiaomei Dong Tao Liu Wenjun Ma Sui Zhu Haomin Tan Ziqiang Lin Di Fu Zhongguo Huang Yingyin Liu Guanhao He Pan Yang |
| author_sort | Xiaomei Dong |
| collection | DOAJ |
| description | Objective To systematically analyse global, regional and national burden change of unintentional drowning from 1990 to 2019, and to further quantify the contribution of social determinants of health (SDH) on the change.Design Data from the Global Burden of Disease Study 2019 were used in this study.Setting and participants Individuals of all ages and genders from 204 countries and territories.Main outcome measures The main outcomes were the age-standardised rates (ASRs) of mortality and disability-adjusted life-years (DALYs) of unintentional drowning. The percentage change in the ASRs were used to estimate the joint effect of SDH on trends in global burden of drowning.Results We observed that the global burden of unintentional drowning declined markedly from 1990 to 2019, with age-standardised mortality rate and DALYs rate decreasing by 61.5% and 68.2%, respectively. Women, children, middle Socio-Demographic Index (SDI) countries, South-East Asia and Western Pacific region had higher reduction. At national level, greater reductions were observed in Armenia and Republic of Korea, but significant increases in Cabo Verde and Vanuatu. We found that every one percentile increase in six SDHs (Gross Domestic Product (GDP) per person, SDI, educational attainment, health spending, health workers and urbanisation) was associated with a decrease of 0.15% and 0.16% in drowning age-standardised mortality rate and DALYs rate globally, respectively. Health spending and GDP per capita were the main contributors to the reduction of drowning globally.Conclusions The global burden of unintentional drowning significantly declined in the past three decades, and the improvement of SDHs such as GDP per capita and health spending mainly contributed to the decrease. Our findings indicate that improvement of SDHs is critical for drowning prevention and control. |
| first_indexed | 2024-04-09T18:14:44Z |
| format | Article |
| id | doaj.art-9a76af7d5b7b4a13a9b6cab646d95bde |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-09T18:14:44Z |
| publishDate | 2023-04-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-9a76af7d5b7b4a13a9b6cab646d95bde2023-04-13T05:30:06ZengBMJ Publishing GroupBMJ Open2044-60552023-04-0113410.1136/bmjopen-2022-070772Change in global burden of unintentional drowning from 1990 to 2019 and its association with social determinants of health: findings from the Global Burden of Disease Study 2019Xiaomei Dong0Tao Liu1Wenjun Ma2Sui Zhu3Haomin Tan4Ziqiang Lin5Di Fu6Zhongguo Huang7Yingyin Liu8Guanhao He9Pan Yang10Department of Public Health and Preventive Medicine, Jinan University School of Medicine, Guangzhou, Guangdong, ChinaInstitute of Chronic Disease Control, Guizhou Center for Disease Control and Prevention, Guiyang, Guizhou Province, China4 Guangdong Provincial Institute of Public Health, Guangdong Provincial Center for Disease Control and Prevention, Guangzhou, China2 China Greater Bay Area Research Center of Environmental Health, School of Medicine, Jinan University, Guangzhou, China1 Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, Guangdong, China1 Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, Guangdong, China1 Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, Guangdong, China1 Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, Guangdong, China1 Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, Guangdong, China1 Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, Guangdong, China1 Department of Public Health and Preventive Medicine, School of Medicine, Jinan University, Guangzhou, Guangdong, ChinaObjective To systematically analyse global, regional and national burden change of unintentional drowning from 1990 to 2019, and to further quantify the contribution of social determinants of health (SDH) on the change.Design Data from the Global Burden of Disease Study 2019 were used in this study.Setting and participants Individuals of all ages and genders from 204 countries and territories.Main outcome measures The main outcomes were the age-standardised rates (ASRs) of mortality and disability-adjusted life-years (DALYs) of unintentional drowning. The percentage change in the ASRs were used to estimate the joint effect of SDH on trends in global burden of drowning.Results We observed that the global burden of unintentional drowning declined markedly from 1990 to 2019, with age-standardised mortality rate and DALYs rate decreasing by 61.5% and 68.2%, respectively. Women, children, middle Socio-Demographic Index (SDI) countries, South-East Asia and Western Pacific region had higher reduction. At national level, greater reductions were observed in Armenia and Republic of Korea, but significant increases in Cabo Verde and Vanuatu. We found that every one percentile increase in six SDHs (Gross Domestic Product (GDP) per person, SDI, educational attainment, health spending, health workers and urbanisation) was associated with a decrease of 0.15% and 0.16% in drowning age-standardised mortality rate and DALYs rate globally, respectively. Health spending and GDP per capita were the main contributors to the reduction of drowning globally.Conclusions The global burden of unintentional drowning significantly declined in the past three decades, and the improvement of SDHs such as GDP per capita and health spending mainly contributed to the decrease. Our findings indicate that improvement of SDHs is critical for drowning prevention and control.https://bmjopen.bmj.com/content/13/4/e070772.full |
| spellingShingle | Xiaomei Dong Tao Liu Wenjun Ma Sui Zhu Haomin Tan Ziqiang Lin Di Fu Zhongguo Huang Yingyin Liu Guanhao He Pan Yang Change in global burden of unintentional drowning from 1990 to 2019 and its association with social determinants of health: findings from the Global Burden of Disease Study 2019 BMJ Open |
| title | Change in global burden of unintentional drowning from 1990 to 2019 and its association with social determinants of health: findings from the Global Burden of Disease Study 2019 |
| title_full | Change in global burden of unintentional drowning from 1990 to 2019 and its association with social determinants of health: findings from the Global Burden of Disease Study 2019 |
| title_fullStr | Change in global burden of unintentional drowning from 1990 to 2019 and its association with social determinants of health: findings from the Global Burden of Disease Study 2019 |
| title_full_unstemmed | Change in global burden of unintentional drowning from 1990 to 2019 and its association with social determinants of health: findings from the Global Burden of Disease Study 2019 |
| title_short | Change in global burden of unintentional drowning from 1990 to 2019 and its association with social determinants of health: findings from the Global Burden of Disease Study 2019 |
| title_sort | change in global burden of unintentional drowning from 1990 to 2019 and its association with social determinants of health findings from the global burden of disease study 2019 |
| url | https://bmjopen.bmj.com/content/13/4/e070772.full |
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