ORIGINAL RESEARCH article
Front. Public Health
Sec. Injury Prevention and Control
This article is part of the Research TopicNavigating Child Injury Prevention and Safety Promotion: Strategies, Evidence, and Sustainable TransformationsView all 7 articles
Trends in burden of falls among children aged 0-14 years in China from 1990—2021 and prediction to 2030
Provisionally accepted
- 1Department of Public Health, Chongqing Rongchang District Health Committee, Chongqing, China
- 2Chongqing Rongchang District People's Hospital, Chongqing, China
- 3Chongqing No. 48 Middle School, Chongqing, China, Chongqing, China
- 4Xueyuan Road Primary School, Rongchang District, Chongqing, China, Chongqing, China
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Background: Although falls are the major cause of non-fatal injuries and preventable deaths among Chinese children, comprehensive assessments of the temporal trends in the burden of falls among children aged 0-14 years in China remain scarce. To address this gap, we quantified national and temporal trends in burden of falls among children aged 0–14 years from 1990 to 2021 and projected future trends through 2030. Results: Between 1990 and 2021, children aged 0–14 years experienced 163,769,426 incident cases and 255,840 deaths, resulting in a total of 25,085,796 DALYs. The ASIR, ASMR, age-standardized YLLs rate, age-standardized YLDs rate, and ASDR all demonstrated a downward trends with AAPCs of -0.34%(95%CI: -0.39% to -0.28%, P<0.001), -4.18%(95%CI: -4.37% to -4.06%, P< 0.001), -4.24%(95%CI: -4.43% to -4.11%, P< 0.001), -1.16%(95%CI: -1.22% to -1.11%, P< 0.001), -3.68%(95%CI: -3.80% to -3.57%, P< 0.001) , respectively. In stratified analysis, similar downward trends were observed aross both sexes and age group of 0-4 years, 5-9 years and 10-14 years. Notably, upward trends were observed in the ASIR from 2010 to 2021 and the age-standardized YLDs rate from 2010 to 2021. Children aged 10-14 years exhibited an upward trend in incidence rate 1990 to 2021. Predictions shows the incidence among children aged 0-4 years is projected to rise, and an increase in YLDs is anticipated among children in both the 0-4 years and 5-9 years age groups. Conclusions: The burden of falls remains a majorpublic challenge among children aged 0-14 years , although its burden at the national level showed a downward trend from 1990 to 2021. The age-standardized YLDs rate among males, the incidence among children aged 0-4 years and the YLDs among children aged 0-9 years are projected to increase from 2022 to 2030. These findings suggest that mandatory implementation of age-specific fall-prevention protocols in kindergartens and primary schools nationwide and expand the coverage of injury surveillance and implement it nationwide.
Keywords: falls, Burden, Children, trend, Joinpoint regression model, prediction
Received: 03 Sep 2025; Accepted: 28 Nov 2025.
Copyright: © 2025 HUALI, DaiQiang, qin and Yue. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: Liu DaiQiang
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