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Burden of transport-related injuries in the eastern mediterranean region: A systematic analysis for the global burden of disease study 2017

  • GBD 2017 EMR Transport Injuries Collaborators
  • Tabriz University of Medical Sciences
  • University of Nicosia
  • Norwegian University of Science and Technology
  • University of Hertfordshire
  • Arak University of Medical Sciences
  • Iran University of Medical Sciences
  • Tehran University of Medical Sciences
  • Shiraz University of Medical Sciences
  • University of Sharjah
  • Hormozgan University of Medical Sciences
  • Southeast University, Nanjing
  • King Saud bin Abdulaziz University for Health Sciences
  • American University of Beirut
  • University of British Columbia
  • Kuwait University
  • Universiti Kebangsaan Malaysia
  • Rafsanjan University of Medical Sciences
  • Zahedan University of Medical Sciences
  • Gandhi Medical College
  • Jazan University
  • University of Toronto
  • Aga Khan University
  • Babol University of Medical Sciences
  • Imam Abdulrahman Bin Faisal University
  • Shahroud University of Medical Sciences
  • Cairo University
  • Mazandaran University of Medical Sciences
  • United Arab Emirates University
  • Charles University
  • University of Sulaimani
  • Arabian Gulf University
  • Hamdan Bin Mohammed Smart University
  • University of Veterinary and Animal Sciences, Lahore, Pakistan
  • Xi'an Jiaotong University
  • Guilan University of Medical Sciences
  • Social Determinants of Health Research Center (GUMS)
  • Duy Tan University
  • University of Human Development
  • Shahid Beheshti University of Medical Sciences
  • Qazvin University of Medical Sciences
  • University of La Verne
  • Faculty of Medicine
  • Health Promotion Research Center (ZAUMS)
  • Kermanshah University of Medical Sciences
  • Neurophysiology Research Center
  • Institute for Research for Fundamental Sciences
  • University of Manitoba
  • King Saud University
  • Shahrekord University of Medical Sciences
  • Kurdistan University of Medical Sciences
  • Sharif University of Technology
  • Boston University
  • Ain Shams University
  • Hamad Medical Corporation
  • Bournemouth University
  • Alborz University of Medical Sciences
  • University of Borås
  • Semnan University of Medical Sciences
  • Foundation University Islamabad
  • Urmia University of Medical Sciences
  • Ardabil University of Medical Sciences
  • Tarbiat Modarres University
  • University of Washington

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Transport-related injuries (TIs) are a substantial public health concern for all regions of the world. The present study quantified the burden of TIs and deaths in the Eastern Mediterranean region (EMR) in 2017 by sex and age. Methods: TIs and deaths were estimated by age, sex, country, and year using Cause of Death Ensemble modelling (CODEm) and DisMod-MR 2.1. Disability-adjusted life years (DALYs), which quantify the total burden of years lost due to premature death or disability, were also estimated per 100 000 population. All estimates were reported along with their corresponding 95% uncertainty intervals (UIs). Results: In 2017, there were 5.5 million (UI 4.9-6.2) transport-related incident cases in the EMR - a substantial increase from 1990 (2.8 million; UI 2.5-3.1). The age-standardized incidence rate for the EMR in 2017 was 787 (UI 705.5-876.2) per 100 000, which has not changed significantly since 1990 (-0.9%; UI -4.7 to 3). These rates differed remarkably between countries, such that Oman (1303.9; UI 1167.3-1441.5) and Palestine (486.5; UI 434.5-545.9) had the highest and lowest age-standardized incidence rates per 100 000, respectively. In 2017, there were 185.3 thousand (UI 170.8-200.6) transport-related fatalities in the EMR - a substantial increase since 1990 (140.4 thousand; UI 118.7-156.9). The age-standardized death rate for the EMR in 2017 was 29.5 (UI 27.1-31.9) per 100 000, which was 30.5% lower than that found in 1990 (42.5; UI 36.8-47.3). In 2017, Somalia (54; UI 30-77.4) and Lebanon (7.1; UI 4.8-8.6) had the highest and lowest age-standardized death rates per 100,000, respectively. The age-standardised DALY rate for the EMR in 2017 was 1,528.8 (UI 1412.5-1651.3) per 100 000, which was 34.4% lower than that found in 1990 (2,331.3; UI 1,993.1-2,589.9). In 2017, the highest DALY rate was found in Pakistan (3 454 121; UI 2 297 890- 4 342 908) and the lowest was found in Bahrain (8616; UI 7670-9751). Conclusion: The present study shows that while road traffic has become relatively safer (measured by deaths and DALYs per 100 000 population), the number of transport-related fatalities in the EMR is growing and needs to be addressed urgently.

Original languageEnglish
Pages (from-to)512-525
Number of pages14
JournalArchives of Iranian Medicine
Volume24
Issue number7
DOIs
Publication statusPublished - Jul 2021

Keywords

  • Accidents
  • Epidemiology
  • Incidence
  • Mortality
  • Road traffic injuries

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