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Global and National Burden of Diseases and Injuries Among Children and Adolescents Between 1990 and 2013

Overview of attention for article published in JAMA Pediatrics, March 2016
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (99th percentile)
  • High Attention Score compared to outputs of the same age and source (95th percentile)

Mentioned by

44 news outlets
3 blogs
4 policy sources
230 tweeters
9 Facebook pages


294 Dimensions

Readers on

844 Mendeley
Global and National Burden of Diseases and Injuries Among Children and Adolescents Between 1990 and 2013
Published in
JAMA Pediatrics, March 2016
DOI 10.1001/jamapediatrics.2015.4276
Pubmed ID

Hmwe H. Kyu, Christine Pinho, Joseph A. Wagner, Jonathan C. Brown, Amelia Bertozzi-Villa, Fiona J. Charlson, Luc Edgar Coffeng, Lalit Dandona, Holly E. Erskine, Alize J. Ferrari, Christina Fitzmaurice, Thomas D. Fleming, Mohammad H. Forouzanfar, Nicholas Graetz, Caterina Guinovart, Juanita Haagsma, Hideki Higashi, Nicholas J. Kassebaum, Heidi J. Larson, Stephen S. Lim, Ali H. Mokdad, Maziar Moradi-Lakeh, Shaun V. Odell, Gregory A. Roth, Peter T. Serina, Jeffrey D. Stanaway, Awoke Misganaw, Harvey A. Whiteford, Timothy M. Wolock, Sarah Wulf Hanson, Foad Abd-Allah, Semaw Ferede Abera, Laith J. Abu-Raddad, Fadia S. AlBuhairan, Azmeraw T. Amare, Carl Abelardo T. Antonio, Al Artaman, Suzanne L. Barker-Collo, Lope H. Barrero, Corina Benjet, Isabela M. Bensenor, Zulfiqar A. Bhutta, Boris Bikbov, Alexandra Brazinova, Ismael Campos-Nonato, Carlos A. Castañeda-Orjuela, Ferrán Catalá-López, Rajiv Chowdhury, Cyrus Cooper, John A. Crump, Rakhi Dandona, Louisa Degenhardt, Robert P. Dellavalle, Samath D. Dharmaratne, Emerito Jose A. Faraon, Valery L. Feigin, Thomas Fürst, Johanna M. Geleijnse, Bradford D. Gessner, Katherine B. Gibney, Atsushi Goto, David Gunnell, Graeme J. Hankey, Roderick J. Hay, John C. Hornberger, H. Dean Hosgood, Guoqing Hu, Kathryn H. Jacobsen, Sudha P. Jayaraman, Panniyammakal Jeemon, Jost B. Jonas, André Karch, Daniel Kim, Sungroul Kim, Yoshihiro Kokubo, Barthelemy Kuate Defo, Burcu Kucuk Bicer, G. Anil Kumar, Anders Larsson, Janet L. Leasher, Ricky Leung, Yongmei Li, Steven E. Lipshultz, Alan D. Lopez, Paulo A. Lotufo, Raimundas Lunevicius, Ronan A. Lyons, Marek Majdan, Reza Malekzadeh, Taufiq Mashal, Amanda J. Mason-Jones, Yohannes Adama Melaku, Ziad A. Memish, Walter Mendoza, Ted R. Miller, Charles N. Mock, Joseph Murray, Sandra Nolte, In-Hwan Oh, Bolajoko Olubukunola Olusanya, Katrina F. Ortblad, Eun-Kee Park, Angel J. Paternina Caicedo, Scott B. Patten, George C. Patton, David M. Pereira, Norberto Perico, Frédéric B. Piel, Suzanne Polinder, Svetlana Popova, Farshad Pourmalek, D. Alex Quistberg, Giuseppe Remuzzi, Alina Rodriguez, David Rojas-Rueda, Dietrich Rothenbacher, David H. Rothstein, Juan Sanabria, Itamar S. Santos, David C. Schwebel, Sadaf G. Sepanlou, Amira Shaheen, Rahman Shiri, Ivy Shiue, Vegard Skirbekk, Karen Sliwa, Chandrashekhar T. Sreeramareddy, Dan J. Stein, Timothy J. Steiner, Lars Jacob Stovner, Bryan L. Sykes, Karen M. Tabb, Abdullah Sulieman Terkawi, Alan J. Thomson, Andrew L. Thorne-Lyman, Jeffrey Allen Towbin, Kingsley Nnanna Ukwaja, Tommi Vasankari, Narayanaswamy Venketasubramanian, Vasiliy Victorovich Vlassov, Stein Emil Vollset, Elisabete Weiderpass, Robert G. Weintraub, Andrea Werdecker, James D. Wilkinson, Solomon Meseret Woldeyohannes, Charles D. A. Wolfe, Yuichiro Yano, Paul Yip, Naohiro Yonemoto, Seok-Jun Yoon, Mustafa Z. Younis, Chuanhua Yu, Maysaa El Sayed Zaki, Mohsen Naghavi, Christopher J. L. Murray, Theo Vos


The literature focuses on mortality among children younger than 5 years. Comparable information on nonfatal health outcomes among these children and the fatal and nonfatal burden of diseases and injuries among older children and adolescents is scarce. To determine levels and trends in the fatal and nonfatal burden of diseases and injuries among younger children (aged <5 years), older children (aged 5-9 years), and adolescents (aged 10-19 years) between 1990 and 2013 in 188 countries from the Global Burden of Disease (GBD) 2013 study. Data from vital registration, verbal autopsy studies, maternal and child death surveillance, and other sources covering 14 244 site-years (ie, years of cause of death data by geography) from 1980 through 2013 were used to estimate cause-specific mortality. Data from 35 620 epidemiological sources were used to estimate the prevalence of the diseases and sequelae in the GBD 2013 study. Cause-specific mortality for most causes was estimated using the Cause of Death Ensemble Model strategy. For some infectious diseases (eg, HIV infection/AIDS, measles, hepatitis B) where the disease process is complex or the cause of death data were insufficient or unavailable, we used natural history models. For most nonfatal health outcomes, DisMod-MR 2.0, a Bayesian metaregression tool, was used to meta-analyze the epidemiological data to generate prevalence estimates. Of the 7.7 (95% uncertainty interval [UI], 7.4-8.1) million deaths among children and adolescents globally in 2013, 6.28 million occurred among younger children, 0.48 million among older children, and 0.97 million among adolescents. In 2013, the leading causes of death were lower respiratory tract infections among younger children (905 059 deaths; 95% UI, 810 304-998 125), diarrheal diseases among older children (38 325 deaths; 95% UI, 30 365-47 678), and road injuries among adolescents (115 186 deaths; 95% UI, 105 185-124 870). Iron deficiency anemia was the leading cause of years lived with disability among children and adolescents, affecting 619 (95% UI, 618-621) million in 2013. Large between-country variations exist in mortality from leading causes among children and adolescents. Countries with rapid declines in all-cause mortality between 1990 and 2013 also experienced large declines in most leading causes of death, whereas countries with the slowest declines had stagnant or increasing trends in the leading causes of death. In 2013, Nigeria had a 12% global share of deaths from lower respiratory tract infections and a 38% global share of deaths from malaria. India had 33% of the world's deaths from neonatal encephalopathy. Half of the world's diarrheal deaths among children and adolescents occurred in just 5 countries: India, Democratic Republic of the Congo, Pakistan, Nigeria, and Ethiopia. Understanding the levels and trends of the leading causes of death and disability among children and adolescents is critical to guide investment and inform policies. Monitoring these trends over time is also key to understanding where interventions are having an impact. Proven interventions exist to prevent or treat the leading causes of unnecessary death and disability among children and adolescents. The findings presented here show that these are underused and give guidance to policy makers in countries where more attention is needed.

Twitter Demographics

The data shown below were collected from the profiles of 230 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 844 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 3 <1%
Canada 2 <1%
Brazil 2 <1%
South Africa 1 <1%
Australia 1 <1%
United Kingdom 1 <1%
Korea, Republic of 1 <1%
Spain 1 <1%
Netherlands 1 <1%
Other 0 0%
Unknown 831 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 123 15%
Researcher 110 13%
Student > Ph. D. Student 105 12%
Student > Bachelor 65 8%
Other 55 7%
Other 222 26%
Unknown 164 19%
Readers by discipline Count As %
Medicine and Dentistry 295 35%
Nursing and Health Professions 74 9%
Social Sciences 45 5%
Psychology 42 5%
Agricultural and Biological Sciences 34 4%
Other 137 16%
Unknown 217 26%

Attention Score in Context

This research output has an Altmetric Attention Score of 519. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 April 2020.
All research outputs
of 16,254,012 outputs
Outputs from JAMA Pediatrics
of 2,679 outputs
Outputs of similar age
of 345,221 outputs
Outputs of similar age from JAMA Pediatrics
of 80 outputs
Altmetric has tracked 16,254,012 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,679 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 94.1. This one has done particularly well, scoring higher than 96% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 345,221 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 99% of its contemporaries.
We're also able to compare this research output to 80 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 95% of its contemporaries.