Mortality Rate and Years of Life Lost Due to Road Traffic Accidents in Fars Province, 2004-2019
-
Habibollah Azarbakhsh
,
Fatemeh Rezaei
,
Seyed Sina Dehghani
,
Jafar Hassanzadeh
,
Seyed Parsa Dehghani
,
Alireza Mirahmadizadeh
Abstract
Background: Traffic accidents are one of the most critical health problems and the ninth leading cause of death globally. We aimed to determine the Mortality rate and the number of Years of Life Lost (YLL) due to road traffic accidents.
Methods: In this retrospective cohort study, mortality rate and YLL due to road traffic accidents were examined in Fars province, central Iran during the years 2004-2019. Mortality statistics were collected through death registration of ministry of health and medical education for Fars Province. Age Standardized mortality Rate (ASR) was calculated and join point regression analysis carried out to examine the trend of YLL rate. Data were analyzed using Excel spreadsheet version 2016 and Join point Regression Program 4.9.0.0.
Results: During the 16-year study period, 25,858 deaths due to road traffic accidents occurred in the province. 79.2% (20483 cases) were in men, and 33.7% (8703 cases) were aged 15-29 years. Total YLL during the 16-year study period were 458,975 (14.6 per 1000 people) in men, 117,999 (3.8 per 1000 people) in women. According to the join point regression, the 16- year trend of YLL rate due to premature mortality was decreasing: AAPC was -4.9% (95% CI: -8.8 to -0.9; P=0.018) for male, and -3.5% (95% CI: -6.3 to-0.5; P=0.011) for female.
Conclusion: Considering that the number of deaths, mortality rate and YLL has decreased in Fars province during the 16 years under study. Therefore, because the mortality rate due to road traffic accidents in Iran is higher than the global average, the need for training programs for drivers, compliance with standards and retrofitting of vehicles, road safety, driving supervision and the use of seat belts are essential.
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11. Murillo-Zamora E, Mendoza-Cano O, Trujillo-Hernández B, et al (2017). Expected years of life lost through road traffic injuries in Mexico. Glob Health Action, 10(1):1360629.
12. Khoramdad M, Izadi N, Najafi FJTM (2017). Years of Life Lost Due to Road Traffic Injuries in Kermanshah Province. Trauma Monthly, 22(6).
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14. Sankoh O, Sharrow D, Herbst K, et al (2014). The INDEPTH standard population for low-and middle-income countries, 2013. Glob Health Action,7(1):23286.
15. Mirzaei M, Mirzadeh M, Mirzaei M (2017). Mortality rate and years of life lost due to prostate cancer in Yazd Province, Iran: A 10-year study. Sultan Qaboos Univ Med J, 17(4):e424-29.
16. Vardell E (2020). Global health observatory data repository. Med Ref Serv Q, 39(1):67-74.
17. Norman R, Matzopoulos R, Groenewald P, Bradshaw D (2007). The high burden of injuries in South Africa. Bull World Health Organ, 85(9):695-702.
18. Dandona R, Kumar GA, Gururaj G,et al (2020). Mortality due to road injuries in the states of India: the Global Burden of Disease Study 1990–2017. Lancet Public Health, 5(2):e86-e98.
19. World Health Organization. Global status report on road safety 2018 [online]. Available from: URL: https://www.who.int/violence_injury_prevention/road_safety_status/2018/en/. [Last cited on 2021 Dec 17].
20. Mahdian M, Sehat M, Fazel MR, Akbari H, Rahimi H, Mohammadzadeh M (2018). Road traffic deaths in Kashan region, Iran: An eight-year study (2006-2013). Chin J Traumatol, 21(1):54-57.
21. GBD 2015 Eastern Mediterranean Region Transportation Injuries Collaborators (2018). Transport injuries and deaths in the Eastern Mediterranean Region: findings from the Global Burden of Disease 2015 Study. Int J Public Health, 63:187-198.
22. Peden M, Scurfield R, Sleet D, et al (2004). World Report On Road Traffic Injury Prevention. ed. World Health Organization.
23. Khatibi SR, Dinpanah H, Maajani K, Khodadost M (2020). The burden of road traffic injuries in the northeast of Iran: the result of a population-based registry. J Inj Violence Res, 12(1):63-72.
24. Maraci M, Tabaresfahani M (2013). The burden of road traffic injuries in Isfahan, Iran in 2010. Journal of Kerman University of Medical Sciences, 20:505-519.
25. Vakili M, Mirzaei M, Pirdehghan A, et al (2016). The burden of road traffic injuries in Yazd Province-Iran. Bull Emerg Trauma, 4(4):216-222.
26. Izadi N, Najafi F, Hashemi Nazari SS, Soori H, Salari A (2015). The years lived with disability due to road traffic accidents based on the nature of injuries in Kermanshah province (2010). Journal of Kermanshah University of Medical Sciences,18(12); e70728.
27. Ferrando J, Plasència A, Ricart I, Canaleta X, Seguí-Gómez M (2000). Motor-vehicle injury patterns in emergency-department patients in a south-European urban setting. Annu Proc Assoc Adv Automot Med, , 44:445-58.
28. Adeloye D, Thompson JY, Akanbi MA, et al (2016). The burden of road traffic crashes, injuries and deaths in Africa: a systematic review and meta-analysis. Bull World Health Organ, 94(7):510-521A.
29. Sengoelge M, Laflamme L, El-Khatib Z (2018). Ecological study of road traffic injuries in the eastern Mediterranean region: country economic level, road user category and gender perspectives. BMC Public Health, 18(1):236.
30. Naghavi M, Abolhassani F, Pourmalek F, et al (2009). The burden of disease and injury in Iran 2003. Popul Health Metr, 7:9.
31. Chandran A, Kahn G, Sousa T, Pechansky F, Bishai DM, Hyder AA (2013). Impact of road traffic deaths on expected years of life lost and reduction in life expectancy in Brazil. Demography, 50(1):229-236.
32. Hesari A, Esmaeili A (2004). Estimates of deaths and injuries from traffic accidents in his life expectancy at birth and its associated economic burden in 2002. J Healthc Manag, 2:27-35.
33. World Health Organization. The top 10 causes of death, 2019, [cited 2021, 17 Dec,]. Available from: https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death.
34. Dalal K (2019). Economic Burden of Injuries argues for more Safe Communities in Iran and EMRO. J Inj Violence Res, 11(4 Suppl 2): Paper No. 9.
35. Bishai D, Quresh A, James P, Ghaffar A (2006). National road casualties and economic development. Health Econ, 15(1):65-81.
2. Mahdian M, Fazel MR, Sehat M, Mohammadzadeh M, Akbari H (2015). Years of life lost and mortality rate due to road traffic injuries in Kashan Region, Iran, during 2012-2013. Biosci Biotech Res Asia, 12:741-6.
3. Shahbazi F, Soori H, Khodakarim S, Ghadirzadeh MR, Hashemi Nazari (2019). Analysis of mortality rate of road traffic accidents and its trend in 11 years in Iran. Archives of Trauma Research, 8(1):17-22.
4. Wang X, Yu H, Nie C, Zhou Y, Wang H, Shi XJP (2019). Road traffic injuries in China from 2007 to 2016: the epidemiological characteristics, trends and influencing factors. Peer J, 7:e7423.
5. Bazargan-Hejazi S, Ahmadi A, Shirazi A, et al (2018). The burden of road traffic injuries in Iran and 15 surrounding countries: 1990–2016. Arch Iran Med, 21(12):556-565.
6. Mansouri Jalilian M, Safarpour H, et al (2020). Epidemiology of road traffic crashes in Ilam Province, Iran, 2009–2013. BMC Res Notes, 3(1):517.
7. Mohammadi A, Yousefi M, Taghipour A, Ebrahimipour H, Varmaghani MJH (2020). Burden of Disease Caused by Road Traffic Accidents in the City of Mashhad. Health Scope, 9(4): 8.
8. Zargar M, Motamedi SMRK, Karbakhsh M, et al (2011). Trauma care system in Iran. Chin J Traumatol , 14(3):131-6.
9. Andrade SSCdA, Mello-Jorge (2016). Mortality and potential years of life lost by road traffic injuries in Brazil. Rev Saude Publica, 50(0):59.
10. Wang L, Yu C, Zhang Y, Luo L, Zhang GJTip (2018). An analysis of the characteristics of road traffic injuries and a prediction of fatalities in China from 1996 to 2015. Traffic Inj Prev, 19(7):749-754.
11. Murillo-Zamora E, Mendoza-Cano O, Trujillo-Hernández B, et al (2017). Expected years of life lost through road traffic injuries in Mexico. Glob Health Action, 10(1):1360629.
12. Khoramdad M, Izadi N, Najafi FJTM (2017). Years of Life Lost Due to Road Traffic Injuries in Kermanshah Province. Trauma Monthly, 22(6).
13. Sarikhani Y, Heydari ST, Gholamzadeh S, et al (2017). Burden of traffic accidents among pedestrians of Fars province, southern Iran; estimate of years of life lost in a sample of Iranian population from 2009 to 2013. Chin J Traumatol, 20(5):259-63.
14. Sankoh O, Sharrow D, Herbst K, et al (2014). The INDEPTH standard population for low-and middle-income countries, 2013. Glob Health Action,7(1):23286.
15. Mirzaei M, Mirzadeh M, Mirzaei M (2017). Mortality rate and years of life lost due to prostate cancer in Yazd Province, Iran: A 10-year study. Sultan Qaboos Univ Med J, 17(4):e424-29.
16. Vardell E (2020). Global health observatory data repository. Med Ref Serv Q, 39(1):67-74.
17. Norman R, Matzopoulos R, Groenewald P, Bradshaw D (2007). The high burden of injuries in South Africa. Bull World Health Organ, 85(9):695-702.
18. Dandona R, Kumar GA, Gururaj G,et al (2020). Mortality due to road injuries in the states of India: the Global Burden of Disease Study 1990–2017. Lancet Public Health, 5(2):e86-e98.
19. World Health Organization. Global status report on road safety 2018 [online]. Available from: URL: https://www.who.int/violence_injury_prevention/road_safety_status/2018/en/. [Last cited on 2021 Dec 17].
20. Mahdian M, Sehat M, Fazel MR, Akbari H, Rahimi H, Mohammadzadeh M (2018). Road traffic deaths in Kashan region, Iran: An eight-year study (2006-2013). Chin J Traumatol, 21(1):54-57.
21. GBD 2015 Eastern Mediterranean Region Transportation Injuries Collaborators (2018). Transport injuries and deaths in the Eastern Mediterranean Region: findings from the Global Burden of Disease 2015 Study. Int J Public Health, 63:187-198.
22. Peden M, Scurfield R, Sleet D, et al (2004). World Report On Road Traffic Injury Prevention. ed. World Health Organization.
23. Khatibi SR, Dinpanah H, Maajani K, Khodadost M (2020). The burden of road traffic injuries in the northeast of Iran: the result of a population-based registry. J Inj Violence Res, 12(1):63-72.
24. Maraci M, Tabaresfahani M (2013). The burden of road traffic injuries in Isfahan, Iran in 2010. Journal of Kerman University of Medical Sciences, 20:505-519.
25. Vakili M, Mirzaei M, Pirdehghan A, et al (2016). The burden of road traffic injuries in Yazd Province-Iran. Bull Emerg Trauma, 4(4):216-222.
26. Izadi N, Najafi F, Hashemi Nazari SS, Soori H, Salari A (2015). The years lived with disability due to road traffic accidents based on the nature of injuries in Kermanshah province (2010). Journal of Kermanshah University of Medical Sciences,18(12); e70728.
27. Ferrando J, Plasència A, Ricart I, Canaleta X, Seguí-Gómez M (2000). Motor-vehicle injury patterns in emergency-department patients in a south-European urban setting. Annu Proc Assoc Adv Automot Med, , 44:445-58.
28. Adeloye D, Thompson JY, Akanbi MA, et al (2016). The burden of road traffic crashes, injuries and deaths in Africa: a systematic review and meta-analysis. Bull World Health Organ, 94(7):510-521A.
29. Sengoelge M, Laflamme L, El-Khatib Z (2018). Ecological study of road traffic injuries in the eastern Mediterranean region: country economic level, road user category and gender perspectives. BMC Public Health, 18(1):236.
30. Naghavi M, Abolhassani F, Pourmalek F, et al (2009). The burden of disease and injury in Iran 2003. Popul Health Metr, 7:9.
31. Chandran A, Kahn G, Sousa T, Pechansky F, Bishai DM, Hyder AA (2013). Impact of road traffic deaths on expected years of life lost and reduction in life expectancy in Brazil. Demography, 50(1):229-236.
32. Hesari A, Esmaeili A (2004). Estimates of deaths and injuries from traffic accidents in his life expectancy at birth and its associated economic burden in 2002. J Healthc Manag, 2:27-35.
33. World Health Organization. The top 10 causes of death, 2019, [cited 2021, 17 Dec,]. Available from: https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death.
34. Dalal K (2019). Economic Burden of Injuries argues for more Safe Communities in Iran and EMRO. J Inj Violence Res, 11(4 Suppl 2): Paper No. 9.
35. Bishai D, Quresh A, James P, Ghaffar A (2006). National road casualties and economic development. Health Econ, 15(1):65-81.
| Files | ||
| Issue | Vol 52 No 9 (2023) | |
| Section | Original Article(s) | |
| DOI | https://doi.org/10.18502/ijph.v52i9.13581 | |
| Keywords | ||
| Road traffic accidents Join point regression Years of Life Lost Mortality Rate Iran | ||
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How to Cite
1.
Azarbakhsh H, Rezaei F, Dehghani SS, Hassanzadeh J, Dehghani SP, Mirahmadizadeh A. Mortality Rate and Years of Life Lost Due to Road Traffic Accidents in Fars Province, 2004-2019. Iran J Public Health. 2023;52(9):1995-2003.
