Erfanpoor Saeed, Hasani Jalil, Mirtorabi Seyed Davood, Manouchehri Reza Haj, Nazari Seyed Saeed Hashemi
Department of Epidemiology, Iran University of Medical Sciences, Tehran, Iran.
Department of Public Health, Kashmar School of Nursing, Mashhad University of Medical Sciences, Mashhad, Iran.
Int J Crit Illn Inj Sci. 2023 Apr-Jun;13(2):73-77. doi: 10.4103/ijciis.ijciis_58_22. Epub 2023 Jun 26.
Traffic accidents are a common global cause of mortality and physical disability. This study aimed to investigate traffic accident-related mortality trends across provinces in Iran.
In this study, information on all deaths caused by traffic accidents in Iran from 2006 to 2020 was collected from the Iranian Legal Medicine Organization, which collects annual data from all 31 Iranian provinces. The national and provincial demographics were assessed, and the trends in mortality rates were assessed over a 15-year span using joinpoint regression based on the log-linear model, with results expressed in terms of annual percentage change (APC). The analysis for the trend was performed using the Joinpoint Regression Program 4.9.0.1.
During the study period, 291,774 traffic accident-related deaths occurred in Iran, of which 78.6% were men and 21.4% were women. The mean age of the deceased was 37.75 ± 20.89 years. The mortality rate has dropped from 39/100,000 in 2006 to 18.3/100,000 in 2020. In total, the national mortality rate APC for 2006-2015 was -6.3% ( < 0.05) and for 2015-2020 was - 1.70% ( > 0.05).
Despite the overall decreasing national trend in Iran's traffic accident-related mortality over the study period, the provincial variability was noted. Therefore, it seems necessary to design and conduct epidemiological studies in different areas and provinces, for a better and more accurate understanding of the factors affecting the occurrence of traffic accident-related deaths, resulting in more focused and measurable interventions.
交通事故是全球范围内导致死亡和身体残疾的常见原因。本研究旨在调查伊朗各省与交通事故相关的死亡率趋势。
在本研究中,从伊朗法医学组织收集了2006年至2020年伊朗所有交通事故致死信息,该组织从伊朗所有31个省份收集年度数据。评估了全国和各省的人口统计学数据,并使用基于对数线性模型的连接点回归评估了15年期间的死亡率趋势,结果以年度百分比变化(APC)表示。使用连接点回归程序4.9.0.1进行趋势分析。
在研究期间,伊朗发生了291,774起与交通事故相关的死亡,其中78.6%为男性,21.4%为女性。死者的平均年龄为37.75±20.89岁。死亡率从2006年的39/10万降至2020年的18.3/10万。总体而言,2006 - 2015年全国死亡率APC为 - 6.3%(<0.05),2015 - 2020年为 - 1.70%(>0.05)。
尽管在研究期间伊朗与交通事故相关的死亡率在全国范围内总体呈下降趋势,但各省之间存在差异。因此,似乎有必要在不同地区和省份设计并开展流行病学研究,以便更好、更准确地了解影响与交通事故相关死亡发生的因素,从而采取更有针对性和可衡量的干预措施。