Global, regional, and national burdens of road injuries from 1990 to 2021: Findings from the 2021 Global Burden of Disease Study

IF 2.2 3区医学 Q3 CRITICAL CARE MEDICINE

Injury-International Journal of the Care of the Injured Pub Date : 2025-02-16 DOI:10.1016/j.injury.2025.112221

Kan Wang, Zhanfei Li

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引用次数: 0

Abstract

Background

Road injuries remain a significant global health issue, contributing to a high burden of mortality and disability, particularly in low- and middle-income countries. Understanding the global trends in incidence, mortality, and Years Lived with Disability (YLDs) due to road injuries is essential for developing effective prevention strategies.

Methods

We used data from the Global Burden of Disease (GBD) 2021 to analyze road injury trends from 1990 to 2021. Age-standardized incidence rates (ASIR), mortality rates (ASMR), and YLDs were calculated across different socio-demographic index (SDI) regions. Trends were assessed using the Estimated Annual Percentage Change (EAPC), and disparities by age, sex, and cause of injury were evaluated.

Results

From 1990 to 2021, the global ASIR, ASMR, and YLDs due to road injuries showed a declining trend. However, road injury cases and deaths increased in low and middle-SDI regions, while declining in high-SDI regions. In 2021, the highest ASIR was observed in high-SDI regions (851.75 per 100,000 population), while low-SDI regions experienced the highest mortality rates (22.6 per 100,000 population). Males, particularly those aged 15–49 years, bore the greatest burden of road injuries, accounting for over 60% of YLDs globally. Pedestrian and motorcycle-related injuries were predominant in low-SDI regions.

Conclusion

While global road safety interventions have reduced the burden of road injuries, substantial disparities remain between SDI regions. Targeted interventions are needed to address the high burden of road injuries in low-SDI regions, focusing on improving infrastructure and healthcare access.

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1990年至2021年全球、区域和国家道路伤害负担：《2021年全球疾病负担研究》的结果

背景：道路伤害仍然是一个重大的全球健康问题，造成了很高的死亡和残疾负担，特别是在低收入和中等收入国家。了解道路伤害造成的发病率、死亡率和残疾生活年数的全球趋势，对于制定有效的预防战略至关重要。方法使用全球疾病负担（GBD） 2021数据分析1990 - 2021年道路伤害趋势。计算不同社会人口指数（SDI）区域的年龄标准化发病率（ASIR）、死亡率（ASMR）和YLDs。使用估计年度百分比变化（EAPC）评估趋势，并评估年龄、性别和损伤原因的差异。结果1990 - 2021年，全球道路伤害ASIR、ASMR和YLDs呈下降趋势。然而，道路伤害病例和死亡人数在低和中等sdi区域有所增加，而在高sdi区域有所下降。2021年，高sdi地区的ASIR最高（每10万人851.75人），而低sdi地区的死亡率最高（每10万人22.6人）。男性，特别是15-49岁的男性，承受着最大的道路伤害负担，占全球死亡人数的60%以上。行人和摩托车相关伤害在低sdi地区占主导地位。结论：虽然全球道路安全干预措施减轻了道路伤害负担，但SDI地区之间仍存在巨大差异。需要采取有针对性的干预措施，以解决低sdi地区道路伤害的沉重负担，重点是改善基础设施和保健服务。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Injury-International Journal of the Care of the Injured 医学-急救医学

CiteScore

4.00

自引率

8.00%

发文量

699

审稿时长

96 days

期刊介绍： Injury was founded in 1969 and is an international journal dealing with all aspects of trauma care and accident surgery. Our primary aim is to facilitate the exchange of ideas, techniques and information among all members of the trauma team.