title: Disparities in Under-Five Child Injury Mortality between Developing and Developed Countries: 1990-2013.
abstract: Using estimates from the 2013 Global Burden of Disease (GBD) study, we update evidence on disparities in under-five child injury mortality between developing and developed countries from 1990 to 2013.
  
  
  
  Mortality rates were accessed through the online visualization tool by the GBD study 2013 group. We calculated percent change in child injury mortality rates between 1990 and 2013. Data analysis was conducted separately for <1 year and 1-4 years to specify age differences in rate changes.
  
  
  
  Between 1990 and 2013, over 3-fold mortality gaps were observed between developing countries and developed countries for both age groups in the study time period. Similar decreases in injury rates were observed for developed and developing countries (<1 year: -50% vs. -50% respectively; 1-4 years: -56% vs. -58%). Differences in injury mortality changes during 1990-2013 between developing and developed nations varied with injury cause. There were greater reductions in mortality from transport injury, falls, poisoning, adverse effects of medical treatment, exposure to forces of nature, and collective violence and legal intervention in developed countries, whereas there were larger decreases in mortality from drowning, exposure to mechanical forces, and animal contact in developing countries. Country-specific analysis showed large variations across countries for both injury mortality and changes in injury mortality between 1990 and 2013.
  
  
  
  Sustained higher child injury mortality during 1990-2013 for developing countries merits the attention of the global injury prevention community. Countries that have high injury mortality can benefit from the success of other countries.
authors.affiliation: Department of Environmental and Occupational Health, Xiangya School of Public Health, Central South University, 110 Xiangya Rd., Changsha 410078, China. 803110@csu.edu.cn.
authors.forename: Yun
authors.initials: Y
authors.lastname: Huang
authors.affiliation: Department of Environmental and Occupational Health, Xiangya School of Public Health, Central South University, 110 Xiangya Rd., Changsha 410078, China. wuyue7802@csu.edu.cn.
authors.forename: Yue
authors.initials: Y
authors.lastname: Wu
authors.affiliation: Department of Psychology, University of Alabama at Birmingham, Birmingham, AL 35233, USA. schwebel@uab.edu.
authors.forename: David C
authors.initials: DC
authors.lastname: Schwebel
authors.affiliation: Department of Social Medicine and Health Management, Xiangya School of Public Health, Central South University, 110 Xiangya Rd., Changsha 410078, China. 203156@csu.edu.cn.
authors.forename: Liang
authors.initials: L
authors.lastname: Zhou
authors.affiliation: Department of Epidemiology and Health Statistics, Xiangya School of Public Health, Central South University, 110 Xiangya Rd., Changsha 410078, China. huguoqing009@gmail.com.
authors.forename: Guoqing
authors.initials: G
authors.lastname: Hu
mesh_terms: D046688:Child Mortality / Q000639:trends*; D002675:Child, Preschool; D019049:Developed Countries / Q000706:statistics & numerical data*; D003906:Developing Countries / Q000706:statistics & numerical data*; D014943:Global Health; D006801:Humans; D007223:Infant; D014947:Wounds and Injuries / Q000401:mortality*
keywords: child; global; injury; mortality