Abstract
BackgroundThailand is a high injury burden setting. In 2015 it had the world’s second highest rate of road traffic fatalities. In order to develop strategies to reduce this burden an accurate understanding of the development of injury risk over the life course is essential.MethodsA national cohort of adult Thais was recruited in 2005 (n = 87,151). Participants completed a health questionnaire covering geodemographic, behavioural, health and injury data. Citizen ID numbers were matched with death registration records, identifying deaths from any injury. Adjusted logistic regression models were used to measure associations between baseline exposures and injury deaths between 2005 and 2015.ResultsInjury mortality comprised 363 individuals, the majority (36%) from traffic injuries. Predictors of all-injury mortality were being male (AOR 3.55, 95% CI 2.57–4.89), Southern Thai (AOR 1.52, 95% CI 1.07–2.16), smoking (AOR 1.55, 95% CI 1.16–2.17), depression (AOR 1.78, 95% CI 1.07–2.96), previous injury (AOR 1.37, 95% CI 1.03–1.81) and drink driving history (AOR 1.37, 95%CI 1.02–1.85). Age and region of residence were stronger predictors for men, while anxiety/depression was a stronger predictor for women. Among males in the far south, assault caused the largest proportion of injury mortality, elsewhere traffic injury was most common.ConclusionsThis study identifies that a history of drink driving, but not regular alcohol consumption, increased injury risk. The associations between smoking and depression, and injury mortality also need further consideration.
Highlights
Thailand is a high injury burden setting
Whilst we found females occasional female drinkers having half the odds of injury mortality compared to never drinkers (Table 3), no literature was found evaluating any of these associations by sex in Thailand
We found that historical drinkdriving but not alcohol consumption was associated with injury mortality, as well as male sex, smoking, anxiety/ depression, and prior injury history
Summary
Thailand is a high injury burden setting. In 2015 it had the world’s second highest rate of road traffic fatalities. Often the processes of recording data for injury deaths in these countries are not complete, police reports, hospital based data and national vital registration statistics regularly are not integrated and have large discrepancies in reporting the burden of injury deaths and lead to an under-represented figure. As such the burden of injuries, the relative burden of various injury classifications, and the distribution of injury burden amongst population sub-groups are still poorly understood in
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