Abbasi Amin, Balafar Moloud, Pouraghaei Mahboub, Golzari Samad E J, Soleimanpour Maryam, Ahmadi Sajjad, Soleimanpour Hassan
Emergency and trauma care research center, Imam Reza General Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Anesthesiology and Critical Care Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Sci Rep. 2025 Mar 23;15(1):10007. doi: 10.1038/s41598-025-94995-y.
Transport injuries (TIs) are a major cause of mortality and morbidity worldwide, and Iran, with its rapid demographic transitions in recent decades, is no exception. This study aimed to assess the burden of TIs in Iran and its provinces from 1990 to 2021. Estimates from the Global Burden of Diseases (GBD) 2021 were used to report age-standardized rates (ASRs) for the prevalence, incidence, mortality, and disability-adjusted life years (DALYs) of TIs by sex, age group, injury type, province, and Socio-demographic Index (SDI). In 2021, Iran recorded 1.147 million (95% uncertainty interval (UI): 1.014 to 1.287 million) incident cases of TIs with an age-standardized incident rate of 1341.9 per 100,000 (95% UI: 1193.7 to 1495.1). Compared with 1990, its prevalence, incidence, death, and DALY rates decreased by - 52% (95% UI: - 54% to - 50%), - 52% (95% UI: - 55% to - 50%), - 62% (95% UI: - 65% to - 58%), and - 64% (95% UI: - 67% to - 61%), respectively. At the provincial level, Tehran (233.1; 95% UI: 191.3 to 304) had the lowest age-standardized DALY rate, while the highest DALY rate was for Sistan-Baluchistan (2155.3; 95% UI: 1866.2 to 2478.3). In addition, age-standardized DALY rates were mainly higher for males, the 20-24 age group, and provinces with a lower SDI. Despite a significant decrease in TIs in Iran since 1990, they still pose a significant burden, with notable disparities across provinces and demographic groups. Targeted prevention programs focusing on high-risk populations, such as young adults and lower-SDI provinces with lower SDI, are recommended.
交通伤是全球死亡和发病的主要原因，伊朗近几十年来人口迅速转变，也不例外。本研究旨在评估1990年至2021年期间伊朗及其各省的交通伤负担。利用《2021年全球疾病负担》（GBD 2021）的估计数据，按性别、年龄组、损伤类型、省份和社会人口指数（SDI）报告交通伤的患病率、发病率、死亡率和伤残调整生命年（DALY）的年龄标准化率。2021年，伊朗记录了114.7万例（95%不确定区间（UI）：101.4万至128.7万）交通伤事件，年龄标准化发病率为每10万人1341.9例（95% UI：1193.7至1495.1）。与1990年相比，其患病率、发病率、死亡率和DALY率分别下降了-52%（95% UI：-54%至-50%）、-52%（95% UI：-55%至-50%）、-62%（95% UI：-65%至-58%）和-64%（95% UI：-67%至-61%）。在省级层面，德黑兰（233.1；95% UI：191.3至304）的年龄标准化DALY率最低，而锡斯坦-俾路支斯坦的DALY率最高（2155.3；95% UI：1866.2至2478.3）。此外，年龄标准化DALY率在男性、20-24岁年龄组以及SDI较低的省份中主要较高。尽管自1990年以来伊朗的交通伤显著减少，但它们仍然构成重大负担，各省和人口群体之间存在显著差异。建议针对高风险人群，如年轻人和SDI较低的省份，制定有针对性的预防计划。
