Institute for Population Health, Weill Cornell Medicine-Qatar, Doha, Qatar.
East Mediterr Health J. 2023 Feb 26;29(2):132-145. doi: 10.26719/emhj.23.018.
Road traffic injuries (RTIs) and deaths constitute a serious preventable global public health problem.
To analyse time trends of age-standardized mortality rates and disability-adjusted life years (DALYs) caused by RTIs in 23 Middle East and North Africa (MENA) countries; and to assess the correlation between national implementation of best practice for road safety recommended by the World Health Organization, national income level, and RTI burden.
Time trend analysis over 17 years (2000-2016) was conducted using Joinpoint regression. An overall score was calculated for each country to assess implementation of best practice for road safety.
Mortality decreased significantly (P < 0.05) in Islamic Republic of Iran, Jordan, Kuwait, Lebanon, Morocco, Oman, Qatar, and Tunisia. In most MENA countries, DALYs increased but they significantly decreased in the Islamic Republic of Iran. The score calculated varied widely among the MENA countries. In 2016, no correlation was identified between the overall score and mortality and DALYs. National income was not associated with RTI mortality or the calculated overall score.
Countries in the MENA region had varying levels of success in reducing the burden from RTIs. During the Decade of Action for Road Safety 2021-2030, MENA countries can achieve optimal road safety by implementing measures that are customized for the local context, such as law enforcement and public education. Other focus areas for improving road safety are building capacity in sustainable safety management and leadership, improving vehicle standards, and addressing gaps in areas such as use of child restraint.
道路交通伤害（RTIs）和死亡是全球严重的可预防公共卫生问题。
分析 23 个中东和北非（MENA）国家道路交通伤害导致的标准化死亡率和伤残调整生命年（DALYs）的时间趋势；评估世界卫生组织推荐的最佳道路安全实践在国家层面的实施情况、国家收入水平与道路交通伤害负担之间的相关性。
使用 Joinpoint 回归进行了 17 年（2000-2016 年）的时间趋势分析。为评估各国实施最佳道路安全实践情况，计算了每个国家的综合得分。
伊朗伊斯兰共和国、约旦、科威特、黎巴嫩、摩洛哥、阿曼、卡塔尔和突尼斯的死亡率显著下降（P<0.05）。在大多数 MENA 国家，DALYs 增加，但在伊朗伊斯兰共和国显著下降。MENA 国家之间的得分差异很大。2016 年，总体得分与死亡率和 DALYs 之间没有相关性。国家收入与 RTI 死亡率或计算出的总体得分无关。
MENA 地区的国家在减轻道路交通伤害负担方面取得了不同程度的成功。在 2021-2030 年道路安全行动十年期间，MENA 国家可以通过实施适合当地情况的措施来实现最佳道路安全，例如执法和公众教育。改善道路安全的其他重点领域包括在可持续安全管理和领导力方面建立能力、提高车辆标准以及解决儿童约束装置等领域的差距。
