Abstract

:Background:Road traffic injuries (RTIs) are an important public health problem around the world, with the majority of RTIs occurring in low- and middle-income countries. This study aimed to determine disability-adjusted life years (DALY) of RTIs in the northeast of Iran.Methods:In this cross-sectional study, we used the death registration system to calculate years of life lost (YLL) due to RTIs. To determine the years lost due to disability (YLD), hospital records of all peo-ple injured in road accidents were used. To estimate DALY, we used YLD and YLL to calculate DALY according to the Global Burden of Disease (GBD) 2003 guideline and the age/sex composition of the population was taken from the Statistical Centre of Iran (SCI) in 2016. All collected data entered into Excel software and performed calculations.Results:Our findings showed that a total of 3403 RTIs and 132 deaths were recorded in 2016. The DALY was 38 per 1,000 of which 26.9 per 1,000 were related to YLL and 11.1 per 1,000 were related to YLD. The highest YLL rate in both sexes was in the 15-29 and 30-44 age groups with 49.8 per 1,000 and 46.0 per 1,000, respectively. This reflects a sex ratio of DALY in males (57.7 per 1,000) to females (8.6 per 1,000) was 6.7.Conclusions:It seems to be necessary, appropriate effective intervention programs and periodic evaluations are required regarding prevention and reducing traffic accidents mostly in middle-aged men.

Highlights

  • According to the previous studies, Road traffic injuries (RTIs) are the second cause of death, the first leading cause of years of life lost due to premature mortality (YLL), the second leading cause of disabilityadjusted life years (DALYs) after cardiovascular diseases, and the most common cause of injury in Iran.[8,9,10,11]

  • We found that men had higher incidence rates for RTIs (78.17%) than women

  • Our study showed that the male to female (M/F) sex ratio for mortality rate in the present study was almost 3:1 (89.8 versus 27.3 per 100000 population) that are in line with the results of studies in other provinces of Iran.[24, 26, 28]

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Summary

Introduction

Road traffic injuries are one of the most important health problems and the ninth leading cause of death in the world.[1, 2] The burden of road traffic injuries in the community of Iran is very high, as the total amount of years of life lost due to road traffic injuries are more than other causes of death.[3,4] Every year, approximately 1.35 million people are killed and between 20 and 50 million people are injured by road traffic accidents worldwide and according to the global burden of disease study 2010, RTIs accounted forJ Inj Violence Res. 2020 Jan; 12(1): 63-72. doi: 10.5249/ jivr.v12i1.1265Journal homepage: http://www.jivresearch.org64 Injury & Violence more than a third of global injury burden, which resulted in the loss of 76 million disability-adjusted life years (DALYs).[5]. Road traffic injuries are one of the most important health problems and the ninth leading cause of death in the world.[1, 2] The burden of road traffic injuries in the community of Iran is very high, as the total amount of years of life lost due to road traffic injuries are more than other causes of death.[3,4] Every year, approximately 1.35 million people are killed and between 20 and 50 million people are injured by road traffic accidents worldwide and according to the global burden of disease study 2010, RTIs accounted for. Methods: In this cross-sectional study, we used the death registration system to calculate years of life lost (YLL) due to RTIs. To determine the years lost due to disability (YLD), hospital records of all people injured in road accidents were used. Conclusions: It seems to be necessary, appropriate effective intervention programs and periodic evaluations are required regarding prevention and reducing traffic accidents mostly in middle-aged men

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