Izadi Neda, Najafi Farid, Khosravi Ardeshir
a Department of Epidemiology , Kermanshah University of Medical Sciences , Kermanshah , Iran.
b Department of Epidemiology, Research Center for Environmental Determinants of Health (RCEDH) , Kermanshah University of Medical Sciences , Kermanshah , Iran.
Int J Inj Contr Saf Promot. 2017 Dec;24(4):435-443. doi: 10.1080/17457300.2016.1178300. Epub 2016 Jun 6.
Deaths, injuries and disabilities resulting from road traffic injuries (RTIs) are a public health major concern. This study aims to calculate the burden of RTIs in Kermanshah Province in Iran. In this study to determine the years of life lost (YLL) related to RTIs, the National Death Registration and Forensics Medicine census data were employed. We use forensic medicine data to calculate the incidence of non-fatal injuries and years lost due to disability (YLD). The cause of death and non-fatal injuries was classified using ICD-10 codes and 23 groupes of global burden of diseases (GBD) 2010. The disability-adjusted life year (DALY) estimated on the guidelines of the GBD 2010 and age and sex structure was taken from the National Statistic Center for the year 2010. Overall, 70.8% of the subjects were males. The fatal and non-fatal injury rates of RTI were 51.3 and 283.6 per 100,000 persons, respectively. YLLs and YLDs were 46613 (24.5 per 1000) and 3405 (1.8 per 1000) in both sexes, respectively. The disability adjusted life years were 40711 in males, 9306 in females and 50018 in both sexes (42.5, 9.8 and 26.3 per 1000, respectively). More than 93% of DALY was from YLL (24.5 per 1000), with a small proportion for YLD (1.8 per 1000). Accounting for more than 50,000 DALY attributed to RTIs, traffic injuries is a major public health and socioeconomic problem in Kermanshah. Designing cost-effective interventions based on comprehensive and multi-sectoral programmes at the national and provincial levels can save many lives and resources that are lost every year. Undoubtedly, establishing a surveillance system at the sub-national level and measuring the burden of injuries, as in this study, can help policy-makers and planners in lessening the burden of RTIs.
道路交通事故（RTIs）导致的死亡、伤害和残疾是公共卫生领域的一个主要关注点。本研究旨在计算伊朗克尔曼沙阿省道路交通事故的负担。在本研究中，为确定与道路交通事故相关的生命年损失（YLL），采用了国家死亡登记和法医学普查数据。我们使用法医学数据来计算非致命伤害的发生率以及因残疾导致的生命年损失（YLD）。使用国际疾病分类第10版（ICD - 10）编码和2010年全球疾病负担（GBD）的23个类别对死亡和非致命伤害原因进行分类。根据2010年全球疾病负担指南估算残疾调整生命年（DALY），年龄和性别结构数据取自2010年国家统计中心。总体而言，70.8%的研究对象为男性。道路交通事故的致命和非致命伤害率分别为每10万人51.3例和283.6例。男性和女性的生命年损失分别为46613（每1000人24.5例）和3405（每1000人1.8例）。男性的残疾调整生命年为40711，女性为9306，两性合计为50018（分别为每1000人42.5例、9.8例和26.3例）。超过93%的残疾调整生命年来自生命年损失（每1000人24.5例），因残疾导致的生命年损失占比小（每1000人1.8例）。由于道路交通事故导致的残疾调整生命年超过50000例，交通事故伤害是克尔曼沙阿的一个主要公共卫生和社会经济问题。基于国家和省级层面全面的多部门计划设计具有成本效益的干预措施，可以挽救每年损失的许多生命和资源。毫无疑问，如本研究一样，在国家以下层面建立监测系统并衡量伤害负担，有助于政策制定者和规划者减轻道路交通事故的负担。
