Morbidity and mortality from road injuries: results from the Global Burden of Disease Study 2017

被引：111

作者：

James, Spencer L. ^{[1
]}

Lucchesi, Lydia R. ^{[1
]}

Bisignano, Catherine ^{[1
]}

Castle, Chris D. ^{[1
]}

Dingels, Zachary, V ^{[1
]}

Fox, Jack T. ^{[1
]}

Hamilton, Erin B. ^{[1
]}

Liu, Zichen ^{[1
]}

McCracken, Darrah ^{[1
]}

Nixon, Molly R. ^{[1
]}

Sylte, Dillon O. ^{[1
]}

Roberts, Nicholas L. S. ^{[1
]}

Adebayo, Oladimeji M. ^{[2
]}

Aghamolaei, Teamur ^{[3
]}

Alghnam, Suliman A. ^{[4
]}

Aljunid, Syed Mohamed ^{[5
,6
]}

Almasi-Hashiani, Amir ^{[7
]}

Badawi, Alaa ^{[8
,9
]}

Behzadifar, Masoud ^{[10
]}

Behzadifar, Meysam ^{[11
]}

Bekru, Eyasu Tamru ^{[12
]}

Bennett, Derrick A. ^{[13
]}

Chapman, Jens Robert ^{[14
]}

Deribe, Kebede ^{[15
,16
]}

Adema, Bereket Duko ^{[17
]}

Fatahi, Yousef ^{[18
]}

Gelaw, Belayneh K. ^{[19
]}

Getahun, Eskezyiaw Agedew ^{[20
]}

Hendrie, Delia ^{[21
]}

Henok, Andualem ^{[22
]}

de Hidru, Hagos ^{[23
]}

Hosseinzadeh, Mehdi ^{[24
,25
]}

Hu, Guoqing ^{[26
]}

Jahani, Mohammad Ali ^{[27
]}

Jakovljevic, Mihajlo ^{[28
]}

Jalilian, Farzad ^{[29
]}

Joseph, Nitin ^{[30
]}

Karami, Manoochehr ^{[31
]}

Kelbore, Abraham Getachew ^{[32
]}

Khan, Md Nuruzzaman ^{[33
,34
]}

Kim, Yun Jin ^{[35
]}

Koul, Parvaiz A. ^{[36
]}

La Vecchia, Carlo ^{[37
]}

Linn, Shai ^{[38
]}

Majdzadeh, Reza ^{[39
,40
]}

Mehndiratta, Man Mohan ^{[41
,42
]}

Memiah, Peter T. N. ^{[43
]}

Mengesha, Melkamu Merid ^{[44
]}

Merie, Hayimro Edemealem ^{[45
]}

Miller, Ted R. ^{[21
,46
]}

机构：

[1] Univ Washington, Inst Hlth Metr & Evaluat, Seattle, WA 98121 USA

[2] Univ Coll Hosp, Coll Med, Ibadan, Nigeria

[3] Hormozgan Univ Med Sci, Dept Hlth Educ & Hlth Promot, Bandar Abbas, Iran

[4] King Abdullah Int Med Res Ctr, Dept Populat Hlth Res, Riyadh, Saudi Arabia

[5] Kuwait Univ, Dept Hlth Policy & Management, Safat, Kuwait

[6] Natl Univ Malaysia, Int Ctr Casemix & Clin Coding, Bandar Tun Razak, Malaysia

[7] Arak Univ Med Sci, Dept Epidemiol, Arak, Iran

[8] Publ Hlth Agcy Canada, Publ Hlth Risk Sci Div, Toronto, ON, Canada

[9] Univ Toronto, Dept Nutr Sci, Toronto, ON, Canada

[10] Lorestan Univ Med Sci, Social Determinants Hlth Res Ctr, Khorramabad, Iran

[11] Lorestan Univ Med Sci, Hepatitis Res Ctr, Khorramabad, Iran

[12] Wolaita Sodo Univ, Coll Hlth Sci & Med, Sodo, Ethiopia

[13] Univ Oxford, Nuffield Dept Populat Hlth, Oxford, England

[14] Swedish Brain & Spine Specialists, Swedish Neurosci Inst, Seattle, WA USA

[15] Brighton & Sussex Med Sch, Dept Global Hlth & Infect, Brighton, E Sussex, England

[16] Addis Ababa Univ, Sch Publ Hlth, Addis Ababa, Ethiopia

[17] Hawassa Univ, Dept Publ Hlth, Hawassa, Ethiopia

[18] Univ Tehran Med Sci, Dept Pharmaceut Nanotechnol, Tehran, Iran

[19] Debre Tabor Univ, Sch Pharm, Ambo, Ethiopia

[20] Arba Minch Univ, Dept Publ Hlth, Arba Minch City, Ethiopia

[21] Curtin Univ, Sch Publ Hlth, Perth, WA, Australia

[22] Mizan Tepi Univ, Dept Publ Hlth, Teppi, Ethiopia

[23] Adigrat Univ, Dept Biostat & Epidemiol, Adigrat, Ethiopia

[24] Iran Univ Med Sci, Hlth Management & Econ Res Ctr, Tehran, Iran

[25] Univ Human Dev, Comp Sci Dept, Sulaimaniyah, Iraq

[26] Cent South Univ, Dept Epidemiol & Hlth Stat, Changsha, Peoples R China

[27] Babol Univ Med Sci, Fac Med, Babol, Iran

[28] IM Sechenov First Moscow State Med Univ, NA Semashko Dept Publ Hlth & Healthcare, Sechenov Univ, Moscow, Russia

[29] Kermanshah Univ Med Sci, Social Dev & Hlth Promot Res Ctr, Kermanshah, Iran

[30] Manipal Univ, Kasturba Med Coll, Dept Community Med, Mangalore, India

[31] Hamadan Univ Med Sci, Dept Epidemiol, Hamadan, Hamadan, Iran

[32] Wolaita Sodo Univ, Dept Dermatol, Wolaita Sodo, Ethiopia

[33] Jatiya Kabi Kazi Nazrul Islam Univ, Dept Populat Sci, Mymensingh, Bangladesh

[34] Univ Newcastle, Dept Publ Hlth, Newcastle, NSW, Australia

[35] Xiamen Univ Malaysia, Sch Med, Sepang, Malaysia

[36] Sheri Kashmir Inst Med Sci, Dept Internal & Pulm Med, Srinagar, India

[37] Univ Milan, Dept Clin Med & Community Hlth, Milan, Italy

[38] Univ Haifa, Sch Publ Hlth, Haifa, Israel

[39] Univ Tehran Med Sci, Community Based Participatory Res CBPR Ctr, Tehran, Iran

[40] Univ Tehran Med Sci, Knowledge Utilizat Res Ctr KURC, Tehran, Iran

[41] Janakpuri Super Specialty Hosp Soc, Neurol Dept, New Delhi, India

[42] Dept Neurol, New Delhi, India

[43] Univ West Florida, Dept Publ Hlth, Pensacola, FL USA

[44] Haramaya Univ, Dept Epidemiol & Biostat, Harar, Ethiopia

[45] Debre Markos Univ, Dept Stat, Debre Markos, Ethiopia

[46] Pacific Inst Res & Evaluat, Calverton, MD USA

[47] Univ Human Dev, Informat Technol Dept, Sulaimaniyah, Iraq

[48] Hamadan Univ Med Sci, Dept Biostat, Hamadan, Hamadan, Iran

[49] Hamadan Univ Med Sci, Hamadan, Hamadan, Iran

[50] Univ KwaZulu Natal, Dept Publ Hlth Med, Durban, South Africa

来源：

INJURY PREVENTION | 2020年 / 26卷 / SUPP_1期

基金：

英国惠康基金;

关键词：

burden of disease; motorcycle; descriptive epidemiology; road traffic accident; road injuries; pedestrian injuries; traumatic brain injury; EPIDEMIOLOGIC TRANSITION; SYSTEMATIC ANALYSIS; TRAFFIC INJURIES; 195; COUNTRIES; DISABILITY; TERRITORIES; TRAUMA; DEATH; AGE;

D O I：

10.1136/injuryprev-2019-043302

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background The global burden of road injuries is known to follow complex geographical, temporal and demographic patterns. While health loss from road injuries is a major topic of global importance, there has been no recent comprehensive assessment that includes estimates for every age group, sex and country over recent years. Methods We used results from the Global Burden of Disease (GBD) 2017 study to report incidence, prevalence, years lived with disability, deaths, years of life lost and disability-adjusted life years for all locations in the GBD 2017 hierarchy from 1990 to 2017 for road injuries. Second, we measured mortality-to-incidence ratios by location. Third, we assessed the distribution of the natures of injury (eg, traumatic brain injury) that result from each road injury. Results Globally, 1 243 068 (95% uncertainty interval 1 191 889 to 1 276 940) people died from road injuries in 2017 out of 54 192 330 (47 381 583 to 61 645 891) new cases of road injuries. Age-standardised incidence rates of road injuries increased between 1990 and 2017, while mortality rates decreased. Regionally, age-standardised mortality rates decreased in all but two regions, South Asia and Southern Latin America, where rates did not change significantly. Nine of 21 GBD regions experienced significant increases in age-standardised incidence rates, while 10 experienced significant decreases and two experienced no significant change. Conclusions While road injury mortality has improved in recent decades, there are worsening rates of incidence and significant geographical heterogeneity. These findings indicate that more research is needed to better understand how road injuries can be prevented.

引用

页码：46 / 56

页数：11

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