title: Country level economic disparities in child injury mortality.
abstract: BACKGROUND
  Injuries are a neglected cause of child mortality globally and the burden is unequally distributed in resource poor settings. The aim of this study is to explore the share and distribution of child injury mortality across country economic levels and the correlation between country economic level and injuries.
  
  
  METHODS
  All-cause and injury mortality rates per 100,000 were extracted for 187 countries for the 1-4 age group and under 5s from the Global Burden of Disease Study 2010. Countries were grouped into four economic levels. Gross domestic product (GDP) per capita was used to determine correlation with injury mortality.
  
  
  RESULTS
  For all regions and country economic levels, the share of injuries in all-cause mortality was greater when considering the 1-4 age group than under 5s, ranging from 36.6% in Organization for Economic Cooperation and Development countries to 10.6% in Sub-Saharan Africa. Except for Sub-Saharan Africa, there is a graded association between country economic level and 1-4 injury mortality across regions, with all low-income countries having the highest rates. Except for the two regions with the highest overall injury mortality rates, there is a significant negative correlation between GDP and injury mortality in Latin America and the Caribbean, Eastern Europe/Central Asia, Asia East/South-East and Pacific and North Africa/ Middle East.
  
  
  CONCLUSIONS
  Child injury mortality is unevenly distributed across regions and country economic level to the detriment of poorer countries. A significant negative correlation exists between GDP and injury in all regions, exception for the most resource poor where the burden of injuries is highest.
authors.affiliation: Department of Public Health Sciences, Karolinska Institutet, Global Health, Stockholm, Sweden Department of Emergency Medicine, Aga Khan University, Karachi, Pakistan.
authors.forename: Uzma Rahim
authors.initials: UR
authors.lastname: Khan
authors.affiliation: Department of Public Health Sciences, Karolinska Institutet, Global Health, Stockholm, Sweden.
authors.forename: Mathilde
authors.initials: M
authors.lastname: Sengoelge
authors.affiliation: Department of Emergency Medicine, Aga Khan University, Karachi, Pakistan.
authors.forename: Nukhba
authors.initials: N
authors.lastname: Zia
authors.affiliation: Department of Emergency Medicine, Aga Khan University, Karachi, Pakistan Aman Healthcare Services, Karachi, Pakistan.
authors.forename: Junaid Abdul
authors.initials: JA
authors.lastname: Razzak
authors.affiliation: Department of Public Health Sciences, Karolinska Institutet, Global Health, Stockholm, Sweden.
authors.forename: Marie
authors.initials: M
authors.lastname: Hasselberg
authors.affiliation: Department of Public Health Sciences, Karolinska Institutet, Global Health, Stockholm, Sweden University of South Africa, College of Graduate Studies, Institute for Social and Health Sciences, Pretoria, South Africa.
authors.forename: Lucie
authors.initials: L
authors.lastname: Laflamme
mesh_terms: D002648:Child; D046688:Child Mortality; D002675:Child, Preschool; D019049:Developed Countries; D005260:Female; D059066:Gross Domestic Product / Q000706:statistics & numerical data*; D054625:Healthcare Disparities / Q000191:economics*; D006801:Humans; D007223:Infant; D008297:Male; D012307:Risk Factors; D012959:Socioeconomic Factors; D014947:Wounds and Injuries / Q000401:mortality*
keywords: Epidemiology; Injury Prevention