Igbokwe Kenechukwu, Onobun Daniel E, Ononye Reginald, Orji Chijioke, Ojo Ethel O
Trauma and Orthopaedics, Gateshead Health NHS Foundation Trust, Gateshead, GBR.
Orthopaedics and Trauma, Warwick Hospital, South Warwickshire University NHS Foundation Trust, Warwick, GBR.
Cureus. 2024 Nov 17;16(11):e73838. doi: 10.7759/cureus.73838. eCollection 2024 Nov.
Objectives Surgical care for traumatic injuries remains a major concern to public health in sub-Saharan Africa. The 2030 Agenda for Sustainable Development recognizes rising inequalities in global health. The objectives of this study were to compare the Global Burden of Disease (GBD) 2021 estimates on injury mortality and disability across sub-Saharan sub-regions by cause-of-injury category. Methods We performed a secondary database descriptive study using the GBD 2021 results on injuries in the four sub-Saharan regions. The age-standardized rates of disability-adjusted life years (DALYs) in the sub-regions were assessed over a 10-year duration between 2012 and 2021. Results In 2021, the overall burden of injury is estimated to have affected over 42 million people in sub-Saharan Africa. Although 16 percent of this number is in Nigeria, population data suggests that southern sub-Saharan Africa records 104 deaths per 100,000 from injuries [95% uncertainty interval (UI): 96 to 113] which is twice as high compared to western sub-Saharan Africa (50 injury deaths per 100,000; 95% UI 37 to 61). Within the 10-year duration of this study, the injury DALY rates were twice as high in the Southern regions, compared to the Eastern and Western regions. Transport injuries, interpersonal violence, and drowning contributed the most to the burden of injury in sub-Saharan Africa. There is an overall decline in injury-related mortality rates and DALY rates in the region however there is a rise in the rate of police conflicts and executions. Conclusions Although these figures are highest globally, gradual improvements in the 10-year duration of this study were identified but these were slow-paced due to rising rates of police conflicts and executions in sub-Saharan Africa. Overall targeted interventions in communities and regional policy-making efforts are essential tools to create a safer region for the teeming young populace in sub-Saharan Africa.
目标 创伤性损伤的外科治疗仍是撒哈拉以南非洲地区公共卫生的主要关注点。《2030年可持续发展议程》认识到全球卫生领域不平等现象日益加剧。本研究的目的是按损伤原因类别比较2021年全球疾病负担（GBD）对撒哈拉以南各次区域损伤死亡率和残疾情况的估计。方法 我们使用GBD 2021关于撒哈拉以南四个区域损伤情况的结果进行了二次数据库描述性研究。评估了各次区域在2012年至2021年的10年期间伤残调整生命年（DALY）的年龄标准化率。结果 2021年，据估计，撒哈拉以南非洲地区超过4200万人受到损伤的总体负担影响。尽管这一数字的16%在尼日利亚，但人口数据显示，撒哈拉以南非洲南部每10万人中有104人因伤死亡[95%不确定区间（UI）：96至113]，是撒哈拉以南非洲西部（每10万人中有50人因伤死亡；95% UI 37至61）的两倍。在本研究的10年期间，南部地区与东部和西部地区相比，损伤DALY率高出两倍。交通伤、人际暴力和溺水对撒哈拉以南非洲地区的损伤负担贡献最大。该地区与损伤相关的死亡率和DALY率总体呈下降趋势，然而警察冲突和处决率有所上升。结论 尽管这些数字在全球范围内是最高的，但在本研究的10年期间发现了逐步改善的情况，但由于撒哈拉以南非洲地区警察冲突和处决率上升，改善速度缓慢。总体而言，针对社区的有针对性干预措施和区域政策制定努力是为撒哈拉以南非洲大量年轻人口创造更安全地区的重要工具。
