Ou Zejin, Wu Kangyong, Ruan Yanmei, Zhang Yuxia, Zhu Shaofang, Cui Jiaxin, Gao Yunxia, Jiang Diwei, Tang Shihao, Su Yiwei, Ren Yixian, Duan Danping, Zhang Jinwei, Wang Zhi
Key Laboratory of Occupational Environment and Health, Guangzhou Twelfth People's Hospital, Guangzhou, China.
School of Public Health, Guangzhou Medical University, Guangzhou, China.
Accid Anal Prev. 2023 Dec;193:107266. doi: 10.1016/j.aap.2023.107266. Epub 2023 Oct 4.
Analysis on the burden of specific types of road injuries (RIs) in the previous Global burden of disease (GBD) studies is lacking. The present work aimed to analyze the burden of three common RIs using the updated data of the GBD 2019, which would inform policy-making.
Data on cyclist road injuries (CRIs), motorcyclist road injuries (MRIs), and motor vehicle road injuries (MVRIs) were extracted from the GBD 2019. Trends of age-standardized rate (ASR) were predicted using estimated annual percentage change (EAPC) from 1990 to 2019.
Over the past three decades, the global incident ASRs of CRIs and MRIs presented increasing trends, but that of MVRIs declined slightly. However, trends of death and disability adjusted life years (DALYs) caused by three common RIs decreased in most regions and countries. Particularly, trends in ASRs of years of life lost (YLLs) cuased by RIs decreased more pronouncedly than that of years of life lived with disability (YLDs). The burden of three common RIs showed significant social and demographic characteristics. Low-middle and middle socio-demographic index (SDI) areas had a heavy burden of RIs, particularly CRIs and MRIs. However, the high SDI area undertook a relatively low burden, and presented more pronounced downward trends in death and DALYs.
The burden and changing trends of three common RIs were geographically heterogeneous. The findings highlighted that increasing incident trends of RIs needed more cost-effective measures of prevention and intervention.
以往全球疾病负担（GBD）研究中缺乏对特定类型道路伤害（RI）负担的分析。本研究旨在利用GBD 2019的更新数据分析三种常见道路伤害的负担，以为政策制定提供参考。
从GBD 2019中提取自行车骑行者道路伤害（CRI）、摩托车骑行者道路伤害（MRI）和机动车道路伤害（MVRI）的数据。使用1990年至2019年的估计年度百分比变化（EAPC）预测年龄标准化率（ASR）的趋势。
在过去三十年中，全球CRI和MRI的发病ASR呈上升趋势，但MVRI的发病ASR略有下降。然而，在大多数地区和国家，由三种常见道路伤害导致的死亡和伤残调整生命年（DALY）趋势有所下降。特别是，道路伤害导致的生命损失年（YLL）的ASR趋势下降比残疾生存年（YLD）更明显。三种常见道路伤害的负担呈现出显著的社会和人口特征。社会人口指数（SDI）低中区域的道路伤害负担较重，尤其是CRI和MRI。然而，高SDI区域的负担相对较低，并且在死亡和DALY方面呈现出更明显的下降趋势。
三种常见道路伤害的负担和变化趋势在地理上存在异质性。研究结果强调，道路伤害事件增加的趋势需要更具成本效益的预防和干预措施。
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