The Global Burden of Unintentional Injuries and an Agenda for Progress
The Global Burden of Unintentional Injuries and an Agenda for Progress
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DOI：
10.1093/epirev/mxq009
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发表时间：
2010-04-01
影响因子：
5.5
通讯作者：
Peek-Asa, Corinne
中科院分区：
文献类型：
--
作者：
Chandran, Aruna;Hyder, Adnan A.;Peek-Asa, Corinne
根据世界卫生组织的数据，2004年，意外伤害造成390多万人死亡和1.38亿个残疾调整生命年，其中90%以上发生在低收入和中等收入国家。本文利用2004年世界卫生组织全球疾病负担研究估计，说明按原因、地区、年龄和性别分层的全球和区域意外伤害负担和伤害率。全世界每年的意外伤害发生率为每10万人61人。总体而言，道路交通伤害占意外伤害死亡的最大比例(33%)。按每10万人的标准计算，低收入中等收入国家的死亡率几乎是高收入国家的两倍(65/100,000比35/100,000)，经残疾调整的寿命年数是低收入国家的三倍多(2,398比774/100,000)。本文呼吁围绕五个需要研究投资和能力发展的核心领域采取更多行动，特别是在LMIC：1)改进伤害数据收集，2)定义意外伤害的流行病学，3)估计伤害的成本，4)了解公众对伤害原因的看法，以及5)与政策制定者接触，以改善伤害的预防和控制。
According to the World Health Organization, unintentional injuries were responsible for over 3.9 million deaths and over 138 million disability-adjusted life-years in 2004, with over 90% of those occurring in low- and middle-income countries (LMIC). This paper utilizes the year 2004 World Health Organization Global Burden of Disease Study estimates to illustrate the global and regional burden of unintentional injuries and injury rates, stratified by cause, region, age, and gender. The worldwide rate of unintentional injuries is 61 per 100,000 population per year. Overall, road traffic injuries make up the largest proportion of unintentional injury deaths (33%). When standardized per 100,000 population, the death rate is nearly double in LMIC versus high-income countries (65 vs. 35 per 100,000), and the rate of disability-adjusted life-years is more than triple in LMIC (2,398 vs. 774 per 100,000). This paper calls for more action around 5 core areas that need research investments and capacity development, particularly in LMIC: 1) improving injury data collection, 2) defining the epidemiology of unintentional injuries, 3) estimating the costs of injuries, 4) understanding public perceptions about injury causation, and 5) engaging with policy makers to improve injury prevention and control.