Global burden of road injuries and their attributable risk factors from 1990 to 2021: A systematic analysis for the global burden of disease study 2021

IF 2.4 3区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Preventive Medicine Reports Pub Date : 2025-03-27 DOI:10.1016/j.pmedr.2025.103051

Dongqing Gu , Shan Ou , Guodong Liu

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引用次数: 0

Abstract

Objective: To systematically estimate the burden of road injuries and associated risk factors.

Methods: Data on incidence, deaths, and disability-adjusted life years (DALYs) with 95 % uncertainty intervals, by age, sex, sociodemographic index, region, and country, from 1990 to 2021, were obtained from the Global Burden of Disease Study 2021. In addition, we obtained the numbers of DALYs and deaths attributed to risk factors. Joinpoint regression analysis was used to calculate the average annual percentage changes and 95 % confidence intervals (CIs).

Results: In 2021, the incident cases of road injuries were 50.3 million (95 % uncertainty interval: 45.7 to 55.2) globally, with an age-standardized incidence (ASIR) of 627.8 per 100,000 population (95 % uncertainty interval: 570.6 to 688.1). From 1990 to 2021, the ASIR was decreased by an average of 1.52 (95 % CI: −1.55 to −1.49) per year. Substantial heterogeneity was observed, particularly among youth aged 25–29 years, males, and high-income North America. Road injuries caused 65.1 million (95 % uncertainty interval: 60.7 to 69.9) DALYs and 1195.7 thousand (95 % uncertainty interval: 1118.2 to 1275.7) deaths in 2021. High burden was observed in older people, males, Central Sub-Saharan Africa, and countries with low income. Motor vehicles (36.6 %) and pedestrians (36.8 %) were the main causes of death. In particular, 72.2 % of road injuries were attributable to occupational injuries for males, while 57.7 % were attributable to low bone mineral density for females.

Conclusion: This study suggests a decreasing global burden of road injuries. Nonetheless, road safety remains a significant global public health issue.

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1990年至2021年全球道路伤害负担及其归因风险因素：对2021年全球疾病负担研究的系统分析

目的：系统评估道路伤害负担及相关危险因素。方法：1990年至2021年期间，按年龄、性别、社会人口指数、地区和国家划分的发病率、死亡率和残疾调整生命年（DALYs）的数据具有95%的不确定区间，从2021年全球疾病负担研究中获得。此外，我们还获得了因风险因素导致的伤残调整生命年和死亡人数。采用连接点回归分析计算年平均百分比变化和95%置信区间（ci）。结果：2021年，全球道路伤害事件为5030万例（95%不确定区间：45.7至55.2），年龄标准化发病率（ASIR）为每10万人627.8例（95%不确定区间：570.6至688.1）。从1990年到2021年，ASIR平均每年下降1.52 （95% CI: - 1.55至- 1.49）。观察到大量的异质性，特别是在25-29岁的年轻人、男性和北美高收入人群中。2021年，道路伤害造成6510万例（95%不确定区间：60.7至69.9）伤残调整生命年和119.57万例（95%不确定区间：1118.2至1275.7）死亡。在老年人、男性、撒哈拉以南非洲中部和低收入国家中观察到高负担。机动车（36.6%）和行人（36.8%）是主要死亡原因。特别是，72.2%的道路伤害可归因于男性的职业伤害，而57.7%的道路伤害可归因于女性的低骨密度。结论：该研究表明全球道路伤害负担正在下降。尽管如此，道路安全仍然是一个重大的全球公共卫生问题。

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

Preventive Medicine Reports Medicine-Public Health, Environmental and Occupational Health

CiteScore

3.90

自引率

0.00%

发文量

353