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减少年轻人道路交通伤害:初步投资分析。

Reduced Road Traffic Injuries for Young People: A Preliminary Investment Analysis.

机构信息

Victoria Institute of Strategic Economic Studies, Victoria University, Melbourne, Victoria, Australia.

Whiting Moyne P/L, Malvern East, Victoria, Australia.

出版信息

J Adolesc Health. 2019 Jul;65(1S):S34-S43. doi: 10.1016/j.jadohealth.2019.01.009.

Abstract

PURPOSE

Deaths and serious injuries from road accidents remain a serious issue in developing countries, including for young people, for whom they are the largest cause of death. This article provides an assessment of interventions to reduce these deaths and injuries for adolescents in 75 developing countries.

METHODS

We draw on new data on deaths and injuries by age, gender, and accident type for the 75 countries and on the road safety experience of developed and, more recently, developing countries. Critical tasks are to identify key interventions in road safety and estimate their impact and cost. We incorporate these impact and cost estimates in a modeling framework to calculate the reduction in deaths and serious injuries achieved out to 2030, relative to the base case. Finally, established methods are used to value the economic and social benefits arising from these reductions, and hence to calculate benefit-cost ratios.

RESULTS

For the unchanged policy case, we estimate that there will be about 3 million deaths and 7.4 million serious injuries from road accidents for persons aged 10-24 years in the 75 countries to 2030. The preferred interventions avert one million of these deaths and 3 million serious injuries, at a cost of $6.5 billion per annum over 2016-2030, or $1.2 per capita across the total population of these countries. After valuing the benefits of the deaths and serious injuries averted, we find a benefit-cost ratio of 7.6 for 2016-2030, but of 9.9 if the interventions continue to 2050.

CONCLUSIONS

Proven methods, suitably adjusted to local conditions, are available to reduce the tragic toll of road accidents in developing countries. These initiatives are likely to have strong economic and social returns, and should be given high priority.

摘要

目的

道路交通事故造成的死亡和重伤仍然是发展中国家的一个严重问题,包括年轻人,他们是死亡的最大原因。本文评估了在 75 个发展中国家减少青少年道路交通事故死亡和重伤的干预措施。

方法

我们借鉴了 75 个国家按年龄、性别和事故类型划分的死亡和伤害新数据,以及发达国家和最近发展中国家的道路安全经验。关键任务是确定道路安全方面的关键干预措施,并估算其影响和成本。我们将这些影响和成本估算纳入一个建模框架,以计算到 2030 年相对于基线情况减少的死亡和重伤人数。最后,采用既定方法评估这些减少所带来的经济和社会效益,从而计算效益成本比。

结果

在现行政策不变的情况下,我们估计,到 2030 年,75 个国家 10-24 岁人群中因道路交通事故造成的死亡人数将达到约 300 万,重伤人数将达到 740 万。优先干预措施可避免其中 100 万人死亡和 300 万人重伤,2016-2030 年每年成本为 65 亿美元,或占这些国家总人口人均 1.2 美元。在对避免的死亡和重伤的效益进行估值后,我们发现 2016-2030 年的效益成本比为 7.6,而如果干预措施持续到 2050 年,则为 9.9。

结论

现有的方法经过适当调整,适用于当地条件,可以减少发展中国家道路交通事故的悲惨损失。这些举措很可能会带来强大的经济和社会效益,应给予高度优先考虑。

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