Global trends in adolescents' road traffic injury mortality, 1990-2019.
Global trends in adolescents' road traffic injury mortality, 1990-2019.
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DOI：
10.1136/archdischild-2020-319184
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发表时间：
2021-07-19
影响因子：
5.2
通讯作者：
Wärnberg MG
中科院分区：
文献类型：
--
作者：
Khan UR;Razzak JA;Wärnberg MG
本研究的目的是确定1990年至2019年不同国家收入水平下10-14岁和15-19岁青少年道路交通伤害（RTI）死亡率的趋势。我们进行了一项生态研究。高收入国家、高收入至中等收入国家、低收入至中等收入国家和低收入国家的青少年生殖道感染死亡率摘自全球疾病负担研究。绘制了时间序列图，以直观地显示多年来死亡率的趋势。我们还使用道路交通死亡率作为因变量，年份作为自变量进行泊松回归，以建模年平均死亡率变化趋势，发病率比（IRR）和95% CI。从1990年到2019年，所有类型的道路使用者和青少年收入水平的死亡率都呈下降趋势。高收入国家的死亡率下降幅度比任何其他收入水平的国家都要大。例如，在10-14岁的青少年中，HIC中行人减少的IRR为0.94（95% CI 0.90 - 0.98），而UMIC中行人减少的IRR为0.97（95% CI 0.95 - 0.99）。从1990年到2019年，全球所有收入水平的所有类型的道路使用者的青少年RTI死亡率都呈下降趋势。死亡率的下降幅度很小，但这是一个有希望的发现。然而，由于负担仍然很重，应继续开展预防工作。
The aim of this study was to determine the trends of road traffic injury (RTI) mortality among adolescents aged 10–14 years and 15–19 years across different country income levels with respect to the type of road users from 1990 to 2019. We conducted an ecological study. Adolescents’ mortality rates from RTIs at the level of high-income countries (HICs), upper-income to middle-income countries (UMICs), lower-income to middle-income countries and low-income countries were extracted from the Global Burden of Disease study. Time series were plotted to visualise the trends in mortality rates over the years. We also conducted Poisson regression using road traffic mortality rates as the dependent variable and year as the independent variable to model the trend of the change in the annual mean mortality rate, with incidence rate ratios (IRRs) and 95% CIs. There were downward mortality trends in all types of road users and income levels among adolescents from 1990 to 2019. HICs had more pronounced reductions in mortality rates than countries of any other income level. For example, the reduction in pedestrians in HICs was IRR 0.94 (95% CI 0.90 to 0.98), while that in UMICs was IRR 0.97 (95% CI 0.95 to 0.99) in adolescents aged 10-14 years. There are downward trends in RTI mortality in adolescents from 1990 to 2019 globally at all income levels for all types of road users. The decrease in mortality rates is small but a promising finding. However, prevention efforts should be continued as the burden is still high.
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DOI：
10.1136/injuryprev-2015-041616
发表时间：
2016-02
期刊：
Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention
影响因子：
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通讯作者：
Vos T
影响因子：
5.2
作者：
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通讯作者：
Hyder, Adnan A.
影响因子：
4.4
作者：
Gopfert, Anya;Sethi, Dinesh;Mitis, Francesco
通讯作者：
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影响因子：
1.4
作者：
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通讯作者：
Borowy, Iris
DOI：
10.1136/injuryprev-2019-043302
发表时间：
2020-10
期刊：
Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention
影响因子：
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通讯作者：
Mokdad AH