title: The incidence and economic burden of injuries in Jiangxi, China.
abstract: OBJECTIVE
  This study estimated the incidence, direct medical and non-medical costs, and productivity losses due to morbidity and mortality across multiple strata for injuries that occurred in Jiangxi, China.
  
  
  METHODS
  Cross-sectional study.
  
  
  METHODS
  Data came from the Jiangxi injury survey, a provincially-representative, population-based sample of 100,010 households. The major economic costs of injuries were divided into direct costs and indirect costs. Direct costs encompass medical costs and direct non-medical costs. Indirect costs refer to the productivity losses due to injury-related morbidity and mortality.
  
  
  RESULTS
  In 2005, about one of 18 residents in Jiangxi, China, experienced an injury. Overall, fall, animal bite, and road traffic crash (RTC) injuries accounted for more than 66% of all injuries, while fall, RTC, drowning, and self-harm injuries accounted for 80% of fatal injuries. Average cost per case for a fatal injury was 163,389 RMB ($20,171) for lost productivity and 2800 RMB ($346) in direct medical & non-medical costs. A non-fatal injury resulting in hospitalisation or permanent disability on average caused 5221 RMB ($643) in direct costs and 18,437 RMB ($2276) in lost productivity and, an additional loss of three school days. A non-hospitalised non-fatal injury on average caused 303 ($37) RMB in direct costs and 491 RMB ($61) in lost productivity and, an additional loss of 0.5 school days.
  
  
  CONCLUSIONS
  The unequivocal evidence of the substantial health and financial burden of injuries indicates to Chinese policy makers that more research and efforts are needed to find efficacious and cost-effective interventions targeting injury.
authors.affiliation: International Center for Applied Economics and Policy, College of Economics and Management, China Agricultural University, Beijing, China. Electronic address: xmfang@cau.edu.cn.
authors.forename: X
authors.initials: X
authors.lastname: Fang
authors.affiliation: Chinese Field Epidemiology Training Program, Beijing, China.
authors.forename: G
authors.initials: G
authors.lastname: Zeng
authors.affiliation: Maternal and Child Health Consultant, Bangkok, Thailand.
authors.forename: H W
authors.initials: HW
authors.lastname: Linnan
authors.affiliation: School of Public Health, Eastern South University, Nanjing, China.
authors.forename: R
authors.initials: R
authors.lastname: Jing
authors.affiliation: United Nations Children's Fund, Beijing, China.
authors.forename: X
authors.initials: X
authors.lastname: Zhu
authors.affiliation: College of Public Health, University of Georgia, Athens, GA, USA.
authors.forename: P
authors.initials: P
authors.lastname: Corso
authors.affiliation: International Center for Applied Economics and Policy, College of Economics and Management, China Agricultural University, Beijing, China.
authors.forename: P
authors.initials: P
authors.lastname: Liu
authors.affiliation: The Alliance for Safe Children (TASC), Bangkok, Thailand.
authors.forename: M
authors.initials: M
authors.lastname: Linnan
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D002681:China / Q000453:epidemiology; D017281:Cost of Illness; D003430:Cross-Sectional Studies; D005260:Female; D017048:Health Care Costs / Q000706:statistics & numerical data*; D006306:Health Surveys; D006801:Humans; D015994:Incidence; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D014947:Wounds and Injuries / Q000191:economics* / Q000453:epidemiology*; D055815:Young Adult
keywords: China; Economic burden; Injuries