Ul Baset Md Kamran, Rahman Aminur, Alonge Olakunle, Agrawal Priyanka, Wadhwaniya Shirin, Rahman Fazlur
Center for Injury Prevention and Research, Bangladesh, House # B-162, Road # 23, New DOHS, Mohakhali, Dhaka 1206, Bangladesh.
Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD 21205, USA.
Int J Environ Res Public Health. 2017 Nov 7;14(11):1354. doi: 10.3390/ijerph14111354.
Globally, road traffic injury (RTI) causes 1.3 million deaths annually. Almost 90% of all RTI deaths occur in low- and middle-income countries. RTI is one of the leading causes of death in Bangladesh; the World Health Organization estimated that it kills over 21,000 people in the country annually. This study describes the current magnitude and risk factors of RTI for different age groups in rural Bangladesh. A household census was carried out in 51 unions of seven sub-districts situated in the north and central part of Bangladesh between June and November 2013, covering 1.2 million individuals. Trained data collectors collected information on fatal and nonfatal RTI events through face-to-face interviews using a set of structured pre-tested questionnaires. The recall periods for fatal and non-fatal RTI were one year and six months, respectively. The mortality and morbidity rates due to RTI were 6.8/100,000 population/year and 889/100,000 populations/six months, respectively. RTI mortality and morbidity rates were significantly higher among males compared to females. Deaths and morbidities due to RTI were highest among those in the 25-64 years age group. A higher proportion of morbidity occurred among vehicle passengers (34%) and pedestrians (18%), and more than one-third of the RTI mortality occurred among pedestrians. Twenty percent of all nonfatal RTIs were classified as severe injuries. RTI is a major public health issue in rural Bangladesh. Immediate attention is needed to reduce preventable deaths and morbidities in rural Bangladesh.
在全球范围内，道路交通伤害（RTI）每年导致130万人死亡。几乎所有道路交通伤害死亡案例的90%发生在低收入和中等收入国家。道路交通伤害是孟加拉国主要的死亡原因之一；世界卫生组织估计，该国每年有超过2.1万人死于道路交通伤害。本研究描述了孟加拉国农村地区不同年龄组道路交通伤害的当前规模和风险因素。2013年6月至11月期间，在孟加拉国北部和中部七个分区的51个联合乡进行了一次家庭普查，覆盖120万人。训练有素的数据收集人员通过使用一套经过预先测试的结构化问卷进行面对面访谈，收集了致命和非致命道路交通伤害事件的信息。致命和非致命道路交通伤害的回忆期分别为一年和六个月。道路交通伤害导致的死亡率和发病率分别为6.8/10万人口/年和889/10万人口/六个月。男性的道路交通伤害死亡率和发病率显著高于女性。25至64岁年龄组的道路交通伤害死亡和发病情况最为严重。发病率较高的人群是车辆乘客（34%）和行人（18%），超过三分之一的道路交通伤害死亡发生在行人中。所有非致命道路交通伤害中有20%被归类为重伤。道路交通伤害是孟加拉国农村地区的一个主要公共卫生问题。需要立即予以关注，以减少孟加拉国农村地区可预防的死亡和发病情况。
