Abstract
The aim of the study was to assess mortality trends due to road traffic accidents in Poland between 1999 and 2018. The study material was a database including 7,582,319 death certificates of all inhabitants of Poland who died in the analyzed period (104,652 people died of transport accidents). Crude deaths rates (CDR), standardized death rates (SDR) and joinpoint models were used. Annual percentage change (APC) for each segment of broken lines and average annual percentage change (AAPC) for the whole study period were calculated. CDR decreased from 19.7 per 100,000 population in 1999 to 9.6 per 100,000 population in 2018; APC was −4.1% (p < 0.05) while SDR decreased from 20.9 to 10.9 per 100,000; APC was −4.1% (p < 0.05). Large differences in traffic accident-related mortality were observed between men and women. An analysis by gender and age shows that the decline in the number of deaths due to traffic accidents has been slowed down in the oldest age group, 65+, in both males and females. There is a need for in-depth analyses aimed at introducing effective preventive solutions in the field of road traffic safety in Poland. Legal regulations should particularly refer to the most endangered groups of road users.
Highlights
Health 2021, 18, 10411. https://Mortality trends analysis is substantial in dealing with the consequences of diseases [1].Demographic and socioeconomic development triggers changes in the pattern of morbidity and mortality, which is precisely explained by the theory of demographic transition, described in 1971 by Abdel R
Large differences in traffic accident-related mortality were observed between men and women
Due to the fact that road accidents have become a serious epidemiological problem over several decades, a new category of mortality due to external causes of death and deaths related to pathological behavior, including those resulting from traffic accidents, was defined [3]
Summary
Health 2021, 18, 10411. https://Mortality trends analysis is substantial in dealing with the consequences of diseases [1].Demographic and socioeconomic development triggers changes in the pattern of morbidity and mortality, which is precisely explained by the theory of demographic transition, described in 1971 by Abdel R. The problem of road accidents, the risk of which began to increase due to the development of motorization, triggered the need to extend this theory. Due to the fact that road accidents have become a serious epidemiological problem over several decades, a new category of mortality due to external causes of death and deaths related to pathological behavior, including those resulting from traffic accidents, was defined [3]. An analysis of international statistics on causes of death indicates that road accidents are one of the main causes of all injuries, which in turn are the third cause of deaths worldwide [4]. According to the World Health Organization (WHO), on average more than one million people die each year from road traffic accidents, and deaths resulting from multiple and multi-organ injuries sustained in those accidents constitute
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