Sharma B R
Department of Forensic Medicine and Toxicology, Government Medical College and Hospital, Chandigarh 160030, India.
Public Health. 2008 Dec;122(12):1399-406. doi: 10.1016/j.puhe.2008.06.009. Epub 2008 Oct 31.
Evidence suggests that the present and projected global burden of road traffic injuries is borne disproportionately by countries that can least afford to meet the health service, economic and societal challenges. Although the evidence base on which these estimates are made remains somewhat precarious in view of the limited data systems in most low- and middle-income countries, these projections highlight the essential need to address road traffic injuries as a public health priority. Most well-evaluated effective interventions do not focus directly on efforts to protect vulnerable road users, such as motorcyclists and pedestrians. However, these groups comprise the majority of road traffic victims in low- and middle-income countries, and consequently the majority of road traffic victims globally. Responding appropriately to the disparities in available evidence and prevention efforts is necessary in order to address this global public health crisis comprehensively.
有证据表明,当前和预计的全球道路交通伤害负担,在那些最无力应对卫生服务、经济和社会挑战的国家中分布不均。鉴于大多数低收入和中等收入国家的数据系统有限,做出这些估计所依据的证据基础仍有些不稳定,但这些预测凸显了将道路交通伤害作为公共卫生优先事项加以应对的迫切需求。大多数经过充分评估的有效干预措施并未直接着眼于保护弱势道路使用者的努力,比如骑摩托车者和行人。然而,这些群体在低收入和中等收入国家的道路交通受害者中占大多数,因此也是全球道路交通受害者的主体。为了全面应对这一全球公共卫生危机,有必要对现有证据和预防工作中的差异做出适当回应。