Burden of road traffic injuries and related risk factors in low and middle-income Pacific Island countries and territories: a systematic review of the scientific literature (TRIP 5).
Burden of road traffic injuries and related risk factors in low and middle-income Pacific Island countries and territories: a systematic review of the scientific literature (TRIP 5).
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DOI：
10.1186/1471-2458-12-479
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发表时间：
2012-06-25
影响因子：
4.5
通讯作者：
Jackson R
中科院分区：
文献类型：
--
作者：
Herman J;Ameratunga S;Jackson R
在太平洋岛屿国家和领土，道路交通伤害的负担及其伴随的风险被认为是巨大的，但却没有得到很好的量化。与其他低收入和中等收入国家一样，了解太平洋国家道路交通伤害的流行病学对于为旨在减轻这一负担的可持续研究和政策举措提供信息至关重要。我们对1980年1月至2010年12月期间的相关流行病学文献进行了系统回顾和批判性评价，使用关键检索字符串进行发病率和病因学研究，重点关注资源较少的太平洋国家的RTI。确定了19项研究。大多数是描述性的，无法使用精心设计的病因学研究方法提供基于人口的道路碰撞伤害负担估计数或关于风险因素的可靠信息。所有研究都是在10年前发表的，除三项研究外，所有研究都报告了来自巴布亚新几内亚的数据，从而限制了研究结果对该地区现状的普遍性。在巴布亚新几内亚进行的研究表明，生殖道感染在年轻男性中更为常见，头部受伤是死亡或住院的最常见原因。三分之二的死亡发生在坠机现场或入院后不久。大多数车祸受害者是乘客或行人。假设影响RTI风险的因素是开背式多用途车旅行、多用途车过度拥挤和酒精。这一审查表明，尽管资源较少的太平洋岛屿国家的利益攸关方日益认识到解决道路安全问题的重要性，但道路交通伤害问题尚未成为研究的优先事项，该区域目前几乎没有相关证据可供制定政策。开展强有力的流行病学研究，评估这些环境中道路交通伤害的严重程度和主要决定因素，对于确定切合具体情况、负担得起的道路安全举措至关重要。更加注意利用定期收集的数据（例如，医院信息系统和警方事故统计数据），为政策提供信息。
In Pacific Island countries and territories, the burden of road traffic injuries and their attendant risks are considered significant but are poorly quantified. As with other low and middle-income countries, understanding the epidemiology of road traffic injuries in Pacific countries is critical to informing sustainable research and policy initiatives aimed at reducing this burden. We undertook a systematic review and critical appraisal of the relevant epidemiological literature between January 1980 and December 2010, using key search strings for incidence and aetiological studies focusing on RTIs in less resourced Pacific countries. Nineteen studies were identified. The majority were descriptive and were unable to provide population-based estimates of the burden of road crash injury, or reliable information on risk factors using well-designed aetiological research methods. All studies were published more than 10 years ago, and all but three reported on data from Papua New Guinea, thereby limiting the generalisability of findings to the current status in the region. Studies undertaken in Papua New Guinea suggested that RTIs were more frequent among young males, with head injuries the most common cause of death or hospital admission. Two thirds of fatalities occurred at the crash site or soon after admission. Most road crash victims were passengers or pedestrians. Factors postulated to influence the risk of RTIs were travel in open-back utility vehicles, utility vehicle overcrowding, and alcohol. This review suggests that, despite increasing awareness of the importance of addressing road safety among stakeholders in less resourced Pacific Island countries, road traffic injuries have not been a research priority with little relevant current evidence from the region to inform policy. Robust epidemiological research that can assess the magnitude and key determinants of road traffic injuries in these settings is essential to determine context-specific road safety initiatives that are relevant and affordable. Greater attention to harnessing routinely collected data (e.g., hospital information systems and police crash statistics) to inform policy is also required.
DOI：
10.1076/icsp.10.1.109.14115
发表时间：
2003-03-01
期刊：
Injury control and safety promotion
影响因子：
--
作者：
Forjuoh, Samuel N
通讯作者：
Forjuoh, Samuel N
影响因子：
2.9
作者：
BARKER, JC
通讯作者：
BARKER, JC