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澳大利亚交通死亡率的降低:公共卫生成功的证据。

Reductions in transport mortality in Australia: evidence of a public health success.

机构信息

Department of Epidemiology & Preventive Medicine, Monash University, The Alfred Centre, 99 Commercial Road, Victoria 3004, Australia.

出版信息

Accid Anal Prev. 2012 Nov;49:520-4. doi: 10.1016/j.aap.2012.03.024. Epub 2012 Jun 4.

DOI:10.1016/j.aap.2012.03.024
PMID:22673604
Abstract

OBJECTIVE

To describe trends in transport mortality for a range of common transport types in Australia over a 30-year period (1975-1977 to 2005-2007).

METHODS

Mortality data on all-cause and transport-related causes of death were supplied by the Australian Institute of Health and Welfare (AIHW). Mortality rates, expected number of deaths and probabilities of death were compared for three time periods: 1975-1977, 1990-1992 and 2005-2007.

RESULTS

There were significant decreasing trends between 1975-1977 and 2005-2007 in all-cause and most other transport mortality types for both men and women. There were significant reductions in the contribution of transport-related mortality to all-cause mortality; however the difference in mortality between men and women (higher for men) changed little over the evaluated period.

CONCLUSIONS

Between 1975-1977 and 2005-2007 there were marked reductions in key causes of transport-related mortality amongst Australian adults, and the reductions in transport-related mortality exceeded reductions in all-cause mortality. The reductions could be attributed to better preventive measures and improved medical treatment for people involved in transport crashes. Although there is scope for further improvement, the reductions are evidence of a success in the prevention of crashes and the medical treatment of crash victims.

摘要

目的

描述澳大利亚 30 年来(1975-1977 年至 2005-2007 年)一系列常见交通方式的交通死亡率趋势。

方法

澳大利亚卫生和福利研究所(AIHW)提供了所有原因和与交通相关的死亡原因的死亡率数据。比较了三个时间段(1975-1977 年、1990-1992 年和 2005-2007 年)的死亡率、预期死亡人数和死亡概率。

结果

在男性和女性中,所有原因和大多数其他交通死亡率类型在 1975-1977 年至 2005-2007 年间均呈显著下降趋势。与交通相关的死亡率对所有原因死亡率的贡献显著降低;然而,在此评估期间,男女之间的死亡率差异(男性更高)变化不大。

结论

在 1975-1977 年至 2005-2007 年期间,澳大利亚成年人中与交通相关的死亡的主要原因显著减少,而与交通相关的死亡率的减少超过了所有原因死亡率的减少。这些减少可归因于更好的预防措施和改善的交通碰撞伤者的医疗待遇。尽管还有进一步改进的空间,但这些减少证明了在预防碰撞和治疗碰撞受害者方面取得了成功。

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