Department of Global Health and Population, Harvard School of Public Health, Boston, MA, USA.
Int J Inj Contr Saf Promot. 2009 Dec;16(4):239-48. doi: 10.1080/17457300903402184.
The estimates of the incidence of deaths and non-fatal injuries from road traffic crashes are essential inputs for prioritising national health and transport policies. This article sketches a methodology for assembling such estimates at the country level by piecing together data from a wide array of sources that include death registers, hospital records, funeral records, health surveys and police reports. Using examples of the types of data sources available in four developing countries (Iran, Mexico, Ghana and India), methods are proposed for making these consistent and extrapolating to estimates of injury incidence at the country level. This requires filling information gaps, mapping from varying case definitions, deriving population-based incidence estimates from sources that may not track denominator populations, and appropriately reapportioning cases assigned to poorly specified causes. The principles proposed here will form the methodological basis for a series of country reports to be published in the future.
道路交通事故死亡和非致命伤害发生率的估计数是确定国家卫生和交通政策优先次序的重要依据。本文简述了一种通过整合来自多个数据源(包括死亡登记处、医院记录、丧葬记录、健康调查和警方报告)的数据来汇总国家层面估计数的方法。本文还以四个发展中国家(伊朗、墨西哥、加纳和印度)的各类数据源为例,提出了使这些数据源保持一致并推断国家层面伤害发生率的方法。这需要填补信息空白,根据不同的病例定义进行映射,从可能不跟踪分母人群的来源中得出基于人群的发生率估计数,并适当重新分配归因于定义不明确的原因的病例。这里提出的原则将构成未来出版的一系列国家报告的方法基础。