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82 Product-related injury morbidity among Americans aged 0–19 years, 2001–2020
  1. Wangxin Xiao1,
  2. Peixia Cheng1,
  3. Junjie Hua1,
  4. David Schwebel2,
  5. Guoqing Hu1,3
  1. 1Department of Epidemiology and Health Statistics; Hunan Provincial Key Laboratory of Clinical Epidemiology, Xiangya School of Public Health, Central South University, Changsha, Hunan, China
  2. 2Department of Psychology, University of Alabama at Birmingham, Birmingham, USA
  3. 3National Clinical Research Center for Geriatric Disorders (Xiangya Hospital), Central South University, Changsha, Hunan, China


Background Pediatric product-related injuries are an important public health problem. We used the latest national surveillance data to examine changes in injury morbidity related to all types of products among Americans aged 0–19 from 2001 to 2020.

Methods Product-related injury morbidity data came from the National Electronic Injury Surveillance System (NEISS). Age-standardized morbidity was calculated using the national population of 2000 as reference. We performed Joinpoint regression models to identify time periods with significant changes during 2001–2020 and used the annual percent changes (APCs) in rates and 95% confidence intervals (CIs) to quantify the annual magnitude of significant morbidity changes.

Results Age-standardized product-related injury morbidity declined consistently among Americans aged 0–19 years between 2001 and 2020 (from 7449.3 to 4023.5 per 100,000 persons; APC=-1.5%, 95% CI: -2.3%, -0.7%), with the most striking morbidity drop in 2019–2020 (-1576.8 per 100,000 persons). During the study time period, the sports and recreation equipment was the most common involved product and home was the most frequent occurring location for non-fatal pediatric product-related injuries. Substantial morbidity differences and varying spectrum by type of product and by occurring location existed across sex and age groups for non-fatal product-related injuries.

Conclusion The recent product-related injury morbidity declined substantially among Americans aged 0–19 years between 2001 and 2020, but large variations remained across sex and age groups, and the largest decrease of 2019–2020 was primarily associated with the COVID-19 pandemic.

Learning outcomes We recommend actions to decrease pediatric product-related injury morbidity and reduce subgroup disparities in the U.S.

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