Murillo-Zamora Efrén, Mendoza-Cano Oliver, Trujillo-Hernández Benjamín, Guzmán-Esquivel José, Medina-González Alfredo, Huerta Miguel, Sánchez-Piña Ramón Alberto, Lugo-Radillo Agustin
a Coordinación de Vigilancia Epidemiológica, Jefatura de Servicios de Prestaciones Médicas , Instituto Mexicano del Seguro Social , Colima , México.
b Center for Health and the Global Environment , Harvard T.H. Chan School of Public Health , Boston , MA , USA.
Glob Health Action. 2017;10(1):1360629. doi: 10.1080/16549716.2017.1360629.
Road traffic injuries (RTIs) are a leading cause of premature mortality, mainly in low- and middle-income countries Objective: To estimate the 2014 burden of RTIs in Mexico calculating years of life lost (YLL) and age-standardized YLL rates (ASYLL), and to evaluate sex, age, and region-related differences in premature mortality.
Mortality data were obtained from the National Institute of Statistics and Geography and 14,637 deaths of individuals 15 years of age and older were analyzed. The YLL and ASYLL were computed.
The overall burden of RTIs was 332,922 YLL and 82.4% of the deaths occurred in males. Males from 25 to 34 years of age and females from 15 to 24 years of age showed the highest age-adjusted YLL rates (933 and 158 YLL per 100,000 inhabitants, respectively). The national ASYLL rate was 416 per 100,000 inhabitants and the highest state-stratified mortality rates were observed in Tabasco (851), Sinaloa (709), Durango (656), Zacatecas (642), and Baja California Sur (570).
RTIs contributed to the premature mortality rate in the study population. Our findings may be useful from a health policy perspective for designing and prioritizing interventions focused on the prevention of premature loss of life.
道路交通伤害(RTIs)是过早死亡的主要原因,主要发生在低收入和中等收入国家。目的:估算2014年墨西哥道路交通伤害的负担,计算生命损失年数(YLL)和年龄标准化生命损失年率(ASYLL),并评估过早死亡中与性别、年龄和地区相关的差异。
从国家统计和地理研究所获取死亡率数据,并分析了14637例15岁及以上个体的死亡情况。计算了生命损失年数和年龄标准化生命损失年率。
道路交通伤害的总体负担为332922个生命损失年数,82.4%的死亡发生在男性中。25至34岁的男性和15至24岁的女性显示出最高的年龄调整生命损失年率(分别为每10万居民933和158个生命损失年数)。全国年龄标准化生命损失年率为每10万居民416,在塔巴斯科州(851)、锡那罗亚州(709)、杜兰戈州(656)、萨卡特卡斯州(642)和南下加利福尼亚州(570)观察到最高的州分层死亡率。
道路交通伤害导致了研究人群的过早死亡率。从卫生政策角度来看,我们的研究结果可能有助于设计和优先开展侧重于预防过早生命损失的干预措施。