Salari Maryam, Kazemnejad Anoshirvan, Zayeri Farid
Department of Biostatistics, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran.
Department of Biostatistics, Member of Proteomics Research Center, School of Paramedical Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Oman Med J. 2017 Sep;32(5):417-424. doi: 10.5001/omj.2017.78.
The physical injuries and financial implications as a result of road accidents have serious economic, cultural, and social effects. We conducted this study to determine any changes in the trend of road-accident-related deaths in Asian and North African countries from 1990 to 2010.
The current study was carried out using data from the Global Burden of Disease database. First, the process was assessed using the growth curve divided into six regions. Moreover, the classification was done based on the death rate using growth mixed modeling.
The road injury death trend for men had more variations than women. Classification of these countries based on mortality using the latent growth mixture model resulted in more homogeneous classes according to trend in road fatalities. Disregarding gender and sex, there were four optimal classes. The first three classes had a decreasing trend with the third class having the greatest decreasing trend. South Korea and Taiwan were in this group. Afghanistan, Indonesia, Thailand, Iran, the UAE, Saudi Arabia, and Oman lay in group 4 and had an increasing trend in road injury deaths.
Successful interventions that developed countries have used to avoid casualties of road injuries could be used in developing countries. These include passing laws making the use of seatbelts and child seats compulsory and determining appropriate speed limits.
道路交通事故造成的身体伤害和经济影响具有严重的经济、文化和社会效应。我们开展这项研究以确定1990年至2010年期间亚洲和北非国家道路交通事故相关死亡趋势的任何变化。
本研究使用全球疾病负担数据库的数据进行。首先,使用分为六个区域的增长曲线评估该过程。此外,使用增长混合模型根据死亡率进行分类。
男性道路伤害死亡趋势比女性有更多变化。使用潜在增长混合模型根据死亡率对这些国家进行分类,根据道路死亡趋势产生了更同质的类别。不考虑性别,有四个最优类别。前三类呈下降趋势,第三类下降趋势最大。韩国和台湾地区属于这一组。阿富汗、印度尼西亚、泰国、伊朗、阿联酋、沙特阿拉伯和阿曼属于第4组,道路伤害死亡呈上升趋势。
发达国家用于避免道路伤害伤亡的成功干预措施可应用于发展中国家。这些措施包括通过法律强制使用安全带和儿童安全座椅以及确定适当的速度限制。