Department of Community Medicine and Behavioral Sciences, Faculty of Medicine, Kuwait University, PO Box 24923, Safat 13110, Kuwait.
Injury. 2012 Dec;43(12):2018-22. doi: 10.1016/j.injury.2011.09.023. Epub 2011 Oct 22.
Road traffic injuries (RTIs), disabilities and deaths are recognised as a major public health problem worldwide. This study aimed to quantify the magnitude and the trends of RTI-related fatal and non-fatal injuries in Kuwait for the period 2000-2009. Data on road traffic crashes and related events (i.e., fatal and non-fatal minor and severe injuries) were obtained from police records, and the population data were sought from Ministry of Interior, Kuwait. From 2000 to 2009, 11,591 non-fatal RTIs and 3891 RTIs-related deaths occurred in Kuwait. Non-fatal severe RTIs accounted for 28.2% of the total non-fatal RTIs. Of the 2945 RTI-related deaths that occurred from 2003 to 2009, majority were amongst males (87.3%) and in the age range of 20-59 years (70.8%). The mean (SD) annual mortality rates for the 10-year study period (2000-2009) were 14 (1) per 100,000 population and 36 (2) per 100,000 registered vehicles. From 2000 to 2009, population-based and registered vehicle-based overall RTI-related crude mortality rates decreased by 20% and 29%, respectively. However, Poisson regression analyses showed that the overall slightly decreasing trends were statistically non-significant both for population-based crude mortality rate (trend coefficient=-0.016; p(trend)=0.587) and registered vehicle-based crude mortality rate (trend coefficient=-0.024; p(trend)=0.192). Furthermore, the trend in population-based age-adjusted RTI-related mortality rate for 2003-2009 was also statistically non-significant (trend coefficient=-0.050; p(trend)=0.284). For non-fatal severe RTIs, the overall mean (SD) annual rates per 100,000 population and 100,000 registered vehicles were 44 (23) and 113 (60) with corresponding total reduction of 61% and 66% from 2000 to 2009. The overall declining trends in minor and severe RTI rates (both population based and registered vehicles based) were statistically significant (p(trend)<0.001). Despite declined minor and severe RTI rates, the RTI-related crude and age-adjusted mortality rates during the past decade continued to be high for a high-income country. Targeted interventions may help reduce the burden of minor and severe RTIs and related deaths in Kuwait and other countries in the region.
道路交通事故伤害（RTI）、残疾和死亡被认为是全球范围内的一个重大公共卫生问题。本研究旨在量化科威特 2000-2009 年期间与 RTI 相关的致命和非致命伤害的严重程度和趋势。道路交通碰撞和相关事件（即致命和非致命的轻微和严重伤害）的数据来自警方记录，人口数据则来自科威特内政部。2000 年至 2009 年期间，科威特发生了 11591 起非致命性 RTI 和 3891 起与 RTI 相关的死亡事件。非致命性严重 RTI 占非致命性 RTI 总数的 28.2%。2003 年至 2009 年期间发生的 2945 起与 RTI 相关的死亡事件中，大多数发生在男性（87.3%）和 20-59 岁年龄段（70.8%）。10 年研究期间（2000-2009 年）的平均（SD）年度死亡率为每 10 万人中有 14（1）人死亡，每 10 万辆注册车辆中有 36（2）人死亡。2000 年至 2009 年，基于人口和基于注册车辆的整体 RTI 相关粗死亡率分别下降了 20%和 29%。然而，泊松回归分析表明，基于人口的粗死亡率（趋势系数=-0.016；趋势检验 p 值=0.587）和基于注册车辆的粗死亡率（趋势系数=-0.024；趋势检验 p 值=0.192）的整体略微下降趋势在统计学上均无显著性。此外，2003-2009 年基于人口的 RTI 相关死亡率的趋势在统计学上也无显著性（趋势系数=-0.050；趋势检验 p 值=0.284）。对于非致命性严重 RTI，每 10 万人和每 10 万辆注册车辆的整体平均（SD）年度发生率分别为 44（23）和 113（60），2000 年至 2009 年期间，总体减少了 61%和 66%。轻微和严重 RTI 发生率的整体下降趋势（基于人口和基于注册车辆）在统计学上均有显著性（p 值均<0.001）。尽管轻微和严重 RTI 发生率有所下降，但在过去十年中，RTI 相关的粗死亡率和年龄调整死亡率对于一个高收入国家来说仍然很高。有针对性的干预措施可能有助于减轻科威特和该地区其他国家的轻微和严重 RTI 及相关死亡的负担。
