Department of Public Health Sciences, Global Health, Karolinska Institutet, Widerstromska Huset, SE-17177 Stockholm, Sweden.
Department of Non-Communicable Chronic Disease Control, Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China.
J Public Health (Oxf). 2017 Sep 1;39(3):e79-e87. doi: 10.1093/pubmed/fdw058.
The study investigates the magnitude and distribution of fatal road traffic injuries (RTIs) in the Chinese province of Jiangsu by road user.
The 13 694 RTI deaths and years of potential life lost (YPLL) that occurred in 2012 were analysed; vulnerable and non-vulnerable road users were considered separately. Age-adjusted mortality and YPLL were compiled and the association between demographic characteristics and RTI mortality rate was analysed using negative binomial regression.
The age-adjusted RTI mortality and YPLL in Jiangsu in 2012 were 18.14 (95% CI: 17.84-18.45) and 494.3 (95% CI: 492.7-496.0) per 100 000 population. Half of the deaths were among pedestrians and for vulnerable road users as a whole, male fatalities were over three times that of female (adjusted incidence rate ratio = 3.26, 95% CI: 1.89-3.77). Fatalities in the oldest age group (80+ years) were over 14 times that of the youngest one (0-9 years) (adjusted incidence rate ratio = 14.13, 95% CI: 9.49-21.01). Fatality rates in the central and northern regions surpassed that of the south.
As in the rest of the country, RTIs are a considerable public health problem in Jiangsu where fatality and YPLL rates fall heavily on pedestrians, men, and older persons and are more pronounced in the less developed regions.
本研究通过道路使用者调查了中国江苏省致命道路交通事故(RTI)的严重程度和分布情况。
分析了 2012 年发生的 13694 例 RTI 死亡和潜在寿命损失(YPLL);分别考虑脆弱和非脆弱道路使用者。编制了年龄调整死亡率和 YPLL,并使用负二项回归分析了人口统计学特征与 RTI 死亡率之间的关系。
2012 年江苏省 RTI 死亡率和 YPLL 的年龄调整值分别为 18.14(95%CI:17.84-18.45)和 494.3(95%CI:492.7-496.0)/100000 人口。一半的死亡发生在行人中,对于脆弱的道路使用者来说,男性的死亡率是女性的三倍多(调整后的发病率比=3.26,95%CI:1.89-3.77)。最年长年龄组(80 岁以上)的死亡率是最年轻年龄组(0-9 岁)的 14 倍以上(调整后的发病率比=14.13,95%CI:9.49-21.01)。中部和北部地区的死亡率高于南部地区。
与全国其他地区一样,RTI 也是江苏省一个相当严重的公共卫生问题,其死亡率和 YPLL 主要集中在行人、男性和老年人身上,在欠发达地区更为明显。