Mahdian Mehrdad, Sehat Mojtaba, Fazel Mohammad Reza, Akbari Hossein, Rahimi Habibollah, Mohammadzadeh Mahdi
Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran.
Trauma Research Center, Kashan University of Medical Sciences, Kashan, Iran.
Chin J Traumatol. 2018 Feb;21(1):54-57. doi: 10.1016/j.cjtee.2017.05.004. Epub 2017 Dec 14.
The aim of this study was to analyze the trend of road traffic fatalities in Kashan Region, Iran, in a period of eight years.
Through a cross-sectional study, all road traffic deaths classified under the V01V99 codes according to ICD-10 in Kashan region, central Iran, from March 2006 to March 2013 and population data were collected from the registration system of Kashan University of Medical Sciences. Years of lost life (YLL) and mortality rates were calculated regarding age, gender and year of the accident. Generalized linear model (GLM) with Poisson log-linear link was used to evaluate the effects of the mentioned variables on mortality rate.
During the period of the study (8 years), 928 people (767 men) died due to road traffic injuries (RTIs). The total YLL was 20,818. The mortality rate due to RTIs has been declined constantly from 43.1 in March 2006 to 21.1 per 100,000 in March 2013. The highest mortality rate was found in the age group of over 60 years old and the lowest in the age group of 0-14 years old. Both mortality rate and YLL was greater in men than in women. Poisson regression showed that age, gender and year of the accidents had a significant effect on mortality rate (p < 0.001).
Although there has been a constant decline of mortality rate in Kashan area within the study period, the value remains higher than the mean level of Eastern Mediterranean region and the global average, which is a notable fact for policymakers and authorities.
本研究旨在分析伊朗卡尚地区八年间道路交通死亡人数的趋势。
通过横断面研究，收集了2006年3月至2013年3月伊朗中部卡尚地区根据国际疾病分类第十版（ICD - 10）归类在V01 - V99编码下的所有道路交通死亡数据以及来自卡尚医科大学登记系统的人口数据。计算了事故发生年份、年龄和性别的生命损失年数（YLL）及死亡率。采用具有泊松对数线性链接的广义线性模型（GLM）来评估上述变量对死亡率的影响。
在研究期间（8年），928人（767名男性）死于道路交通伤害（RTIs）。YLL总数为20,818。RTIs导致的死亡率从2006年3月的43.1持续下降至2013年3月的每10万人21.1。60岁以上年龄组的死亡率最高，0 - 14岁年龄组的死亡率最低。男性的死亡率和YLL均高于女性。泊松回归显示，事故发生的年龄、性别和年份对死亡率有显著影响（p < 0.001）。
尽管在研究期间卡尚地区的死亡率持续下降，但该数值仍高于东地中海地区的平均水平和全球平均水平，这对政策制定者和当局来说是一个值得关注的事实。
