Int J Public Health. 2018 May;63(Suppl 1):187-198. doi: 10.1007/s00038-017-0987-0. Epub 2017 Aug 3.
Transport injuries (TI) are ranked as one of the leading causes of death, disability, and property loss worldwide. This paper provides an overview of the burden of TI in the Eastern Mediterranean Region (EMR) by age and sex from 1990 to 2015.
Transport injuries mortality in the EMR was estimated using the Global Burden of Disease mortality database, with corrections for ill-defined causes of death, using the cause of death ensemble modeling tool. Morbidity estimation was based on inpatient and outpatient datasets, 26 cause-of-injury and 47 nature-of-injury categories.
In 2015, 152,855 (95% uncertainty interval: 137,900-168,100) people died from TI in the EMR countries. Between 1990 and 2015, the years of life lost (YLL) rate per 100,000 due to TI decreased by 15.5%, while the years lived with disability (YLD) rate decreased by 10%, and the age-standardized disability-adjusted life years (DALYs) rate decreased by 16%.
Although the burden of TI mortality and morbidity decreased over the last two decades, there is still a considerable burden that needs to be addressed by increasing awareness, enforcing laws, and improving road conditions.
交通伤是全球导致死亡、残疾和财产损失的主要原因之一。本文通过年龄和性别概述了 1990 年至 2015 年期间东地中海区域（EMR）的交通伤负担。
利用全球疾病负担死亡率数据库对 EMR 地区的交通伤死亡率进行了估计，对死因不明的病例进行了校正，使用死因组合建模工具。发病率的估计基于住院和门诊数据集、26 种损伤原因和 47 种损伤性质类别。
2015 年，EMR 国家有 152855 人（95%不确定区间：137900-168100）死于交通伤。1990 年至 2015 年期间，因交通伤导致的每 10 万人生命损失年（YLL）率下降了 15.5%，而失能生命年（YLD）率下降了 10%，年龄标准化残疾调整生命年（DALY）率下降了 16%。
尽管过去二十年交通伤的死亡率和发病率负担有所下降，但仍存在相当大的负担，需要通过提高认识、加强执法和改善道路状况来解决。
