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道路交通事故:1990年和2015年巴西及联邦单位的全球疾病负担研究

Road traffic accidents: Global Burden of Disease study, Brazil and federated units, 1990 and 2015.

作者信息

Ladeira Roberto Marini, Malta Deborah Carvalho, Morais Otaliba Libânio de, Montenegro Marli de Mesquita Silva, Soares Adauto Martins, Vasconcelos Cíntia Honório, Mooney Meghan, Naghavi Mohsen

机构信息

Fundação Hospitalar do Estado de Minas Gerais - Belo Horizonte (MG), Brasil.

Departamento de Enfermagem Materno-Infantil e Saúde Publica, Escola de Enfermagem, Universidade Federal de Minas Gerais - Belo Horizonte (MG), Brasil.

出版信息

Rev Bras Epidemiol. 2017 May;20Suppl 01(Suppl 01):157-170. doi: 10.1590/1980-5497201700050013.

DOI:10.1590/1980-5497201700050013
PMID:28658380
Abstract

OBJECTIVE

: To describe the global burden of disease due to road traffic accidents in Brazil and federated units in 1990 and 2015.

METHODS

: This is an analysis of secondary data from the 2015 Global Burden of Disease study estimates. The following estimates were used: standardized mortality rates and years of life lost by death or disability, potential years of life lost due to premature death, and years of unhealthy living conditions. The Mortality Information System was the main source of death data. Underreporting and redistribution of ill-defined causes and nonspecific codes were corrected.

RESULTS

: Around 52,326 deaths due to road traffic accidents were estimated in Brazil in 2015. From 1990 to 2015, mortality rates decreased from 36.9 to 24.8/100 thousand people, a reduction of 32.8%. Tocantins and Piauí have the highest mortality risks among the federated units (FU), with 41.7/100 and 33.1/100 thousand people, respectively. They both present the highest rates of potential years of life lost due to premature deaths.

CONCLUSION

: Road traffic accidents are a public health problem. Using death- or disability-adjusted life years in studies of these causes is important because there are still no sources to know the magnitude of sequelae, as well as the weight of early deaths. Since its data are updated every year, the Global Burden of Disease study may provide evidence to formulate traffic security and health attention policies, which are guided to the needs of the federated units and of different groups of traffic users.

摘要

目的

描述1990年和2015年巴西及各联邦单位因道路交通事故导致的全球疾病负担。

方法

这是一项对2015年全球疾病负担研究估计的二手数据的分析。使用了以下估计值:标准化死亡率以及因死亡或残疾而损失的生命年数、因过早死亡而损失的潜在生命年数,以及不健康生活状况的年数。死亡信息系统是死亡数据的主要来源。对死因不明和非特异性编码的漏报及重新分类进行了校正。

结果

2015年巴西估计约有52326人死于道路交通事故。从1990年到2015年,死亡率从每10万人36.9例降至24.8例,下降了32.8%。在各联邦单位中,托坎廷斯州和皮奥伊州的死亡风险最高,分别为每10万人41.7例和33.1例。它们因过早死亡而损失的潜在生命年数也最高。

结论

道路交通事故是一个公共卫生问题。在对这些原因的研究中使用死亡或残疾调整生命年很重要,因为目前仍没有资料了解后遗症的严重程度以及过早死亡的影响。由于全球疾病负担研究的数据每年更新,它可为制定交通安全和健康关注政策提供证据,这些政策应针对各联邦单位和不同交通使用者群体的需求。

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