Department of Epidemiology and Biostatistics, The Chair of Social and Preventive Medicine of the Medical University of Lodz, Żeligowskiego 7/9, 90-752 Lodz, Poland.
Int J Environ Res Public Health. 2021 Oct 3;18(19):10411. doi: 10.3390/ijerph181910411.
The aim of the study was to assess mortality trends due to road traffic accidents in Poland between 1999 and 2018. The study material was a database including 7,582,319 death certificates of all inhabitants of Poland who died in the analyzed period (104,652 people died of transport accidents). Crude deaths rates (CDR), standardized death rates (SDR) and joinpoint models were used. Annual percentage change (APC) for each segment of broken lines and average annual percentage change (AAPC) for the whole study period were calculated. CDR decreased from 19.7 per 100,000 population in 1999 to 9.6 per 100,000 population in 2018; APC was -4.1% ( < 0.05) while SDR decreased from 20.9 to 10.9 per 100,000; APC was -4.1% ( < 0.05). Large differences in traffic accident-related mortality were observed between men and women. An analysis by gender and age shows that the decline in the number of deaths due to traffic accidents has been slowed down in the oldest age group, 65+, in both males and females. There is a need for in-depth analyses aimed at introducing effective preventive solutions in the field of road traffic safety in Poland. Legal regulations should particularly refer to the most endangered groups of road users.
本研究旨在评估 1999 年至 2018 年波兰道路交通事故死亡率的变化趋势。研究资料来源于一个数据库，其中包括在分析期间（104652 人死于交通意外）所有波兰居民的 7582319 份死亡证明。使用了粗死亡率（CDR）、标准化死亡率（SDR）和连接点模型。计算了每条折线分段的年百分比变化（APC）和整个研究期间的平均年百分比变化（AAPC）。1999 年，CDR 为每 10 万人 19.7 人，到 2018 年降至每 10 万人 9.6 人；APC 为-4.1%（<0.05），而 SDR 从每 10 万人 20.9 人降至 10.9 人；APC 为-4.1%（<0.05）。男女之间的交通事故死亡率存在很大差异。按性别和年龄进行分析表明，男性和女性中，65 岁及以上的最年长年龄组中，因交通事故导致的死亡人数下降速度已经放缓。需要进行深入分析，以便在波兰道路交通安全领域引入有效的预防措施。法律规定应特别针对最易受伤害的道路使用者群体。
