Children and road traffic injuries: can't the world do better?

Children and road traffic injuries: can't the world do better?
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DOI:
10.1136/archdischild-2015-309586
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发表时间:
2016-11-01
影响因子:
5.2
通讯作者:
Hyder, Adnan A.
Hyder, Adnan A.
中科院分区:
医学2区
文献类型:
--
作者:
Li, Qingfeng;Alonge, Olakunle;Hyder, Adnan A.

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道路交通伤害给儿童造成了巨大的健康负担。全球每年有186,300名儿童(18岁以下)死于生殖道感染。它是5-9岁儿童死亡的第四大原因,10-14岁儿童死亡的第三大原因,15-17岁儿童死亡的第一大原因。在区域一级,撒哈拉以南非洲占全球RTI造成的儿童死亡的35.2%;这一数字仍在增加。男童死于生殖道感染的可能性是女童的两倍。RTI还与社会经济不平等有关;低收入和中等收入国家(LMIC)占全球RTI儿童死亡人数的95%,贫困家庭的儿童更有可能成为RTI的受害者。2011-2020年道路安全行动十年五个支柱中倡导的干预战略可用于预防呼吸道感染造成的死亡和发病,但低收入国家迫切需要验证和实施这些干预措施。通过共同努力培养强大的政治意愿,建设行动和宣传能力,增加全球资金,加强可持续发展目标所推动的多部门合作,世界面临着更好地拯救儿童免受生殖道感染的挑战。
Road traffic injuries (RTI) impose a substantial health burden among children. Globally, 186 300 children (under 18 years) die from RTI each year. It is the fourth leading cause of death among children aged 5-9 years, third among children aged 10-14 years and first among children aged 15-17 years. At the regional level, subSaharan Africa accounts for 35.2% of global child deaths caused by RTI; that number is still increasing. Male children are about two times more likely to die due to RTI than female children. RTI are also related to socioeconomic inequalities; low-income and middle income countries (LMIC) account for 95% of global child RTI deaths, and children from poor households are more likely to fall victims to RTI. Intervention strategies promoted in the five pillars of the Decade of Action for Road Safety 2011-2020 are available to prevent mortality and morbidity caused by RTI, though validation and implementation of such interventions are urgently needed in the LMIC. Through concerted efforts to cultivate strong political will, build action and advocacy capacity, increase global funding and enhance multisectoral collaboration promoted by the Sustainable Development Goals, the world is challenged to do better in saving children from RTI.