Health Systems Program, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Health Systems Program, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Lancet. 2022 Jul 16;400(10347):237-250. doi: 10.1016/S0140-6736(22)00918-7. Epub 2022 Jun 30.
Global road mortality is a leading cause of death in many low-income and middle-income countries. Data to support priority setting under current resource constraints are urgently needed to achieve Sustainable Development Goal (SDG) 3.6. This Series paper estimates the potential number of lives saved if each country implemented interventions to address risk factors for road injuries. We did a systematic review of all available evidence-based, preventive interventions for mortality reduction that targeted the four main risk factors for road injuries (ie, speeding, drink driving, helmet use, and use of seatbelt or child restraint). We used literature review variables and considered three key country-level variables (gross domestic product per capita, population density, and government effectiveness) to generate country-specific estimates on the potential annual attributable number of lives that would be saved by interventions focusing on these four risk factors in 185 countries. Our results suggest that the implementation of evidence-based road safety interventions that target the four main road safety risk factors could prevent between 25% and 40% of all fatal road injuries worldwide. Interventions addressing speed could save about 347 258 lives globally per year, and at least 16 304 lives would be saved through drink driving interventions. The implementation of seatbelt interventions could save about 121 083 lives, and 51 698 lives could be saved by helmet interventions. We identify country-specific estimates of the potential number of lives saved that would be attributable to these interventions. Our results show the potential effectiveness of the implementation and scaling of these interventions. This paper presents key evidence for priority setting on road safety interventions and shows a path for reaching SDG 3.6.
全球道路死亡率是许多低收入和中等收入国家的主要死亡原因。在当前资源有限的情况下，迫切需要数据来支持优先事项的确定，以实现可持续发展目标 3.6。本系列论文评估了，如果每个国家实施干预措施来解决道路伤害风险因素，潜在可以挽救多少生命。我们对所有针对道路伤害的四个主要风险因素（即超速、酒后驾车、头盔使用和安全带或儿童约束装置使用）的基于证据的预防干预措施进行了系统回顾。我们使用文献综述变量，并考虑了三个关键的国家级变量（人均国内生产总值、人口密度和政府效能），以生成针对这四个风险因素的干预措施在 185 个国家每年潜在归因于生命数量的具体估计。我们的结果表明，实施针对四个主要道路安全风险因素的基于证据的道路安全干预措施，可以预防全球所有致命道路伤害的 25%至 40%。针对速度的干预措施每年可以在全球范围内挽救约 347258 条生命，而通过酒后驾车干预措施可以挽救至少 16304 条生命。安全带干预措施的实施可以挽救约 121083 条生命，而头盔干预措施可以挽救 51698 条生命。我们确定了这些干预措施可能会在特定国家产生的潜在挽救生命数量的估计数。我们的结果显示了实施和推广这些干预措施的潜在效果。本文提供了道路安全干预措施优先事项确定的关键证据，并展示了实现可持续发展目标 3.6 的途径。
