Adeloye Davies, Thompson Jacqueline Y, Akanbi Moses A, Azuh Dominic, Samuel Victoria, Omoregbe Nicholas, Ayo Charles K
Demography and Social Statistics and the e-Health Research Cluster, Covenant University, Canaan land, PMB 1023, Ota, Ogun State, Nigeria .
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, England .
Bull World Health Organ. 2016 Jul 1;94(7):510-521A. doi: 10.2471/BLT.15.163121. Epub 2016 Apr 21.
To estimate the burden of road traffic injuries and deaths for all road users and among different road user groups in Africa.
We searched MEDLINE, EMBASE, Global Health, Google Scholar, websites of African road safety agencies and organizations for registry- and population-based studies and reports on road traffic injury and death estimates in Africa, published between 1980 and 2015. Available data for all road users and by road user group were extracted and analysed. We conducted a random-effects meta-analysis and estimated pooled rates of road traffic injuries and deaths.
We identified 39 studies from 15 African countries. The estimated pooled rate for road traffic injury was 65.2 per 100 000 population (95% confidence interval, CI: 60.8-69.5) and the death rate was 16.6 per 100 000 population (95% CI: 15.2-18.0). Road traffic injury rates increased from 40.7 per 100 000 population in the 1990s to 92.9 per 100 000 population between 2010 and 2015, while death rates decreased from 19.9 per 100 000 population in the 1990s to 9.3 per 100 000 population between 2010 and 2015. The highest road traffic death rate was among motorized four-wheeler occupants at 5.9 per 100 000 population (95% CI: 4.4-7.4), closely followed by pedestrians at 3.4 per 100 000 population (95% CI: 2.5-4.2).
The burden of road traffic injury and death is high in Africa. Since registry-based reports underestimate the burden, a systematic collation of road traffic injury and death data is needed to determine the true burden.
评估非洲所有道路使用者以及不同道路使用者群体的道路交通伤害和死亡负担。
我们检索了MEDLINE、EMBASE、《全球健康》、谷歌学术、非洲道路安全机构和组织的网站，以查找1980年至2015年期间发表的基于登记处和人群的关于非洲道路交通伤害和死亡估计的研究及报告。提取并分析了所有道路使用者以及按道路使用者群体分类的可用数据。我们进行了随机效应荟萃分析，并估计了道路交通伤害和死亡的合并发生率。
我们从15个非洲国家识别出39项研究。道路交通伤害的估计合并发生率为每10万人口65.2例（95%置信区间，CI：60.8 - 69.5），死亡率为每10万人口16.6例（95%CI：15.2 - 18.0）。道路交通伤害发生率从20世纪90年代的每10万人口40.7例增加到2010年至2015年期间的每10万人口92.9例，而死亡率从20世纪90年代的每10万人口19.9例下降到2010年至2015年期间的每10万人口9.3例。道路交通死亡率最高的是四轮机动车驾乘人员，为每10万人口5.9例（95%CI：4.4 - 7.4），紧随其后的是行人，为每10万人口3.4例（95%CI：2.5 - 4.2）。
非洲道路交通伤害和死亡负担很高。由于基于登记处的报告低估了负担，因此需要系统整理道路交通伤害和死亡数据以确定真实负担。
