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4: Unintentional Injury Deaths
among Children 0 to 19 Years,
United States, 2000 – 2005

4.4: Injury Deaths by Cause and Sex

Males had higher death rates compared with females for each individual cause examined. The highest rate for both males and females was among those with MVT occupant injuries (5.6 and 3.6 per 100,000, respectively). Males had death rates that were three times higher for fall-related injuries and four times higher for pedal cyclists and other motor vehicle injuries than females. (Fig 8)

Figure 8: Unintentional Injury Death Rates among Children 0 to 19 Years, by Sex and Cause, United States, 2000 – 2005

The rankings of the leading causes of death also differed for males compared with females. While the leading cause was similar for males and females (suffocation: less than 1 year, drowning: 1 to 4 years, MVT occupants: 5 years and older), the rankings differed beginning at the second ranked cause. Notably among children 1 to 4 years of age, pedestrian injuries were ranked second for males and fourth for females. For children 5 to 9 years of age, drowning ranked second for males and fifth for females. (Tables 4 and 5)

Table 4: Leading Causes of Unintentional Injury Deaths among Males 0 to 19 Years, by Age Group, United States, 2000 - 2005

Age Group in Years

Rank Less Than 1
(n = 3,316)
1 to 4
(n = 6,206)
5 to 9
(n = 4,289)
10 to 14
(n = 5,904)
15 to 19
(n = 28,555)
1 Suffocation
67%
Drowning
29%
MVT - Occupant
19%
MVT - Occupant
22%
MVT - Occupant
38%
2 MVT - Occupant
8%
Pedestrian
16%
Drowning
15%
MVT - Unspecified
13%
MVT - Unspecified
26%
3 Drowning
6%
Fires/Burns
13%
Pedestrian
15%
Pedestrian
12%
Poisoning
8%
4 Other Injuries
5%
MVT - Occupant
10%
Fires/Burns
13%
Drowning
12%
MVT - Other
7%
5 MVT - Unspecified
5%
Suffocation
8%
MVT - Unspecified
13%
MVT - Other
10%
Drowning
6%
6 Fires/Burns
3%
Other Injuries
8%
Other Injuries
8%
Other Injuries
10%
Other Injuries
6%
7 Poisoning
2%
MVT - Unspecified
8%
MVT - Other
6%
Pedal Cyclist
8%
Pedestrian
5%
8 Falls
2%
Falls
3%
Pedal Cyclist
5%
Suffocation
5%
Falls
2%
9 Pedestrian
1%
Poisoning
2%
Suffocation
4%
Fires/Burns
5%
Suffocation
1%
10 MVT - Other
0.4%
MVT - Other
2%
Falls
2%
Poisoning
2%
Pedal Cyclist
1%
11 Pedal Cyclist
0.03%
Pedal Cyclist
0.3%
Poisoning
1%
Falls
2%
Fires/Burns
1%


Table 5: Leading Causes of Unintentional Injury Deaths among Females 0 to 19 Years, by Age Group, United States, 2000 - 2005

 

Age Group in Years

Rank Less Than 1
(n = 2,567)
1to4
(n = 3,997)
5to9
(n = 2,855)
10to14
(n = 3,184)
15to19
(n = 12,179)
1 Suffocation
64%
Drowning
24%
MVT - Occupant
26%
MVT - Occupant
33%
MVT - Occupant
47%
2 MVT - Occupant
9%
MVT - Occupant
16%
MVT - Unspecified
18%
MVT - Unspecified
20%
MVT - Unspecified
32%
3 Drowning
7%
Fires/Burns
15%
Pedestrian
14%
Pedestrian
12%
Poisoning
6%
4 MVT - Unspecified
6%
Pedestrian
14%
Fires/Burns
13%
Fires/Burns
8%
Pedestrian
5%
5 Other Injuries
5%
MVT - Unspecified
11%
Drowning
9%
Drowning
7%
MVT - Other
3%
6 Fires/Burns
4%
Suffocation
8%
Other Injuries
6%
MVT - Other
7%
Other Injuries
2%
7 Poisoning
2%
Other Injuries
7%
MVT - Other
5%
Other Injuries
5%
Fires/Burns
1%
8 Falls
2%
Poisoning
2%
Suffocation
3%
Poisoning
3%
Drowning
1%
9 Pedestrian
1%
Falls
2%
Pedal Cyclist
2%
Suffocation
2%
Falls
1%
10 MVT - Other
1%
MVT - Other
1%
Poisoning
2%
Pedal Cyclist
2%
Suffocation
1%
11 Pedal Cyclist
0.00%
Pedal Cyclist
0.3%
Falls
1%
Falls
1%
Pedal Cyclist
0.4%

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References

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  10. World Health Organization. Manual of the international statistical classification of disease, injuries, and causes of death, 10th revision. Geneva, Switzerland: World Health Organization; 1999.
  11. Fingerhut L. ICD Framework: External cause of injury mortality matrix [online]. Hyattsville, MD: National Center for Health Statistics. Available from: http://www.cdc.gov/nchs/about/otheract/ice/matrix10.htm.
  12. CDC. Recommended framework for presenting injury mortality data. In: Reports and Recommendations, August 29, 1997. MMWR 1997:46(No. RR-14):1-30.
  13. Vyrostek SB, Annest JL, Ryan GW. Surveillance for Fatal and Nonfatal Injuries — United States, 2001. In: Surveillance Summaries, September 3, 2004. MMWR 2004;53(No. SS-7):1-57.
  14. Arias E, Schauman WS, Eschbach K, Sorlie PD, Backlund E. The validity of race and Hispanic origin reporting on death certificates in the United States. National Center for Health Statistics. Vital Health Stat 2(148). 2008.
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