北马其顿共和国道路交通事故

Journal of Injury and Violence Research Pub Date : 2019-10-01 DOI:10.5249/JIVR.V12I1.1323

F. Tozija, S. Memeti, Anica Milenkovska

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引用次数: 0

摘要

背景:本研究的主要目的是估计马其顿共和国道路交通伤害(RTI)的负担，并提出政策干预的预防措施。方法:本研究设计为回顾性横断面研究，分析2015年RTI数据。使用的数据来自内政部、国家统计局、RTI的医疗记录和世卫组织HFA数据库。采用了世卫组织的标准方法和软件应用来估计道路交通伤害负担，计算交通伤害造成的死亡时间、死亡时间和残疾时间。结果:对马其顿的道路交通伤害负担进行了计算，强调了其作为优先公共卫生问题的重要性和复杂性。在全国范围内，RTI的估计负担为4 960残疾年，其中3 134年是由于过早死亡(YLLs)而损失的生命年，1 826年是由于残疾(YLDs)而损失的生命年。男性负担是女性的3倍，为3 537个残疾调整生命年(71.31%)。最易受伤害的年龄组别为15至29岁，有1380个伤残调整生命年，即每1000人中有6.1个伤残调整生命年。超速驾驶是RTI最常见的原因(31.46%)。结论:设定的假设得到证实:RTI在马其顿是一个严重的公共卫生问题，马其顿与欧洲在RTI参与的疾病和损伤总负担方面无显著差异(决定系数r2 = 0.41875，相关系数(r) = -0.39322, p = 0.6599;男性和女性RTI负担差异有统计学意义(χ2 = 28, df = 1, p < 0.01)， 15-29岁年龄组RTI负担最高，大部分DALYs丢失。马其顿共和国制定了《2015-2020年国家道路交通安全战略》和全面的法律，解决了交通事故的大多数风险因素，但仍应加强执法。为执行作为2011-2020年道路安全行动十年平台的国家战略，需要所有相关机构在协调的多部门和多学科预防活动方面进行必要的合作。

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Road Traffic Injuries in Republic of North Macedonia

Background: The main objective of the study is to estimate the burden of road traffic injuries (RTI) in Republic of Macedonia and to suggest preventive measures for policy intervention. Methods: The study is designed as a retrospective cross-sectional study which analyzes data for RTI for 2015. Data from Ministry of Internal affairs, State Statistical Office, medical records for RTI and WHO HFA DB have been used. WHO standard method and software application have been applied to estimate the burden of road traffic injuries, calculating YLLs, YLDs and DALYs caused by RTI. Results: The calculation of the burden of road traffic injuries in Macedonia has been done, emphasizing their significance and complexity as a priority public health problem. The estimated burden of RTI on national level is 4 960 DALYs, out of which 3 134 are years of life lost due to premature death (YLLs) and 1 826 years of life lost due to disability (YLDs). The burden in males is three times higher than in females, ie 3 537 disability adjusted life years (71.31%). The most vulnerable age group is from 15 to 29 years, with 1 380 DALYs or 6.1 DALYs per 1 000. Speeding is the most common cause for RTI (31.46%). Conclusion: The set hypotheses have been confirmed: RTI are a serious public health problem in Macedonia and there is no significant difference between Macedonia and Europe in participation of RTIs in the total burden of disease and injury (coefficient of determination r2 = 0.41875, correlation coefficient (r) = -0.39322 and p = 0.6599; there is a significant difference in the burden of RTI between males and females (χ2 = 28, df = 1, p < 0,01) and it is the highest in the 15-29 years age group, with most of the DALYs lost. Republic of Macedonia has a National strategy for road traffic safety 2015-2020 and comprehensive laws which address most risk factors of RTI, but still their enforcement should be strengthened. Essential cooperation for coordinated multi-sectoral and multidisciplinary preventive activities of all relevant institutions is needed to implement the National strategy as a platform of the Decade of Action for Road Safety 2011-2020.

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来源期刊

Journal of Injury and Violence Research

自引率

0.00%

发文量

审稿时长

24 weeks

期刊介绍： The Journal of Injury and Violence Research (JIVR) is a peer-reviewed open-access medical journal covering all aspects of traumatology includes quantitative and qualitative studies in the field of clinical and basic sciences about trauma, burns, drowning, falls, occupational/road/ sport safety, youth violence, child/elder abuse, child/elder injuries, intimate partner abuse/sexual violence, self-harm, suicide, patient safety, safe communities, consumer safety, disaster management, terrorism, surveillance/burden of injury and all other intentional and unintentional injuries.