Background: Unintentional injuries are the leading cause of death for children and youth aged 1–19 in the United States. The purpose of this report is to describe how unintentional injury death rates among children and youth aged 0–19 years have changed during 2010–2019. Method: CDC analyzed 2010–2019 data from the National Vital Statistics System (NVSS) to determine two-year average annual number and rate of unintentional injury deaths for children and youth aged 0–19 years by sex, age group, race/ethnicity, mechanism, county urbanization level, and state. Results: From 2010–2011 to 2018–2019, unintentional injury death rates decreased 11% overall—representing over 1,100 fewer annual deaths. However, rates increased among some groups—including an increase in deaths due to suffocation among infants (20%) and increases in motor-vehicle traffic deaths among Black children (9%) and poisoning deaths among Black (37%) and Hispanic (50%) children. In 2018–2019, rates were higher for males than females (11.3 vs. 6.6 per 100,000 population), children aged < 1 and 15–19 years (31.9 and 16.8 per 100,000) than other age groups, among American Indian or Alaska Native (AIAN) and Blacks than Whites (19.4 and 12.4 vs. 9.0 per 100,000), motor-vehicle traffic (MVT) than other causes of injury (4.0 per 100,000), and rates increased as rurality increased (6.8 most urban [large central metro] vs. 17.8 most rural [non-core/non-metro] per 100,000). From 2010–2011 to 2018–2019, 49 states plus DC had stable or decreasing unintentional injury death rates; death rates increased only in California (8%)—driven by poisoning deaths. Conclusion and Practical Application: While the overall injury death rates improved, certain subgroups and their caregivers can benefit from focused prevention strategies, including infants and Black, Hispanic, and AIAN children. Focusing effective strategies to reduce suffocation, MVT, and poisoning deaths among those at disproportionate risk could further reduce unintentional injury deaths among children and youth in the next decade.

背景：意外伤害是美国 1-19 岁儿童和青少年死亡的主要原因。本报告的目的是描述 2010-2019 年 0-19 岁儿童和青少年意外伤害死亡率的变化情况。方法：CDC 分析了国家生命统计系统 (NVSS) 2010-2019 年的数据，以确定 0-19 岁儿童和青少年两年平均意外伤害死亡人数和比率，按性别、年龄组、种族/民族、机制、县域城镇化水平和状态。结果：从 2010-2011 年到 2018-2019 年，意外伤害死亡率总体下降了 11%，意味着每年死亡人数减少了 1,100 多人。然而，某些群体的死亡率有所上升，包括婴儿窒息死亡人数增加（20%）、黑人儿童因机动车交通死亡人数增加（9%）以及黑人儿童（37%）和西班牙裔（50%）中毒死亡人数增加。 ％） 孩子们。 2018-2019 年，在美洲印第安人或阿拉斯加原住民中，男性的发病率高于女性（每 10 万人中 11.3 例对 6.6 例），1 岁以下儿童和 15-19 岁儿童（每 10 万人中 31.9 例和 16.8 例）的发病率高于其他年龄组。 AIAN）和黑人高于白人（每 100,000 人 19.4 和 12.4 vs. 9.0），机动车交通 (MVT) 高于其他原因造成的伤害（每 100,000 人 4.0），并且比率随着农村人口的增加而增加（大多数城市 [大型中央地铁] 为 6.8）相比之下，大多数农村地区[非核心/非都市]每 10 万人中有 17.8 人）。从2010-2011年到2018-2019年，49个州加上华盛顿特区的意外伤害死亡率稳定或下降；仅加利福尼亚州的死亡率有所上升（8%）——由中毒死亡所致。 结论和实际应用：虽然总体伤害死亡率有所改善，但某些亚群体及其护理人员可以从有针对性的预防策略中受益，包括婴儿以及黑人、西班牙裔和美国黑人儿童。集中有效的策略来减少高风险人群的窒息、MVT 和中毒死亡，可以在未来十年进一步减少儿童和青少年的意外伤害死亡。