TY - JOUR
T1 - Burden of transport-related injuries in the eastern mediterranean region
T2 - A systematic analysis for the global burden of disease study 2017
AU - GBD 2017 EMR Transport Injuries Collaborators
AU - Safiri, Saeid
AU - Sullman, Mark J.M.
AU - Lajunen, Timo
AU - Hill, Tetiana
AU - Almasi-Hashiani, Amir
AU - Moradi-Lakeh, Maziar
AU - Farzadfar, Farshad
AU - Sepanlou, Sadaf G.
AU - Abu-Gharbieh, Eman
AU - Aghamolaei, Teamur
AU - Ahmad, Tauseef
AU - Alghnam, Suliman A.
AU - Al-Hajj, Samar
AU - Alipour, Vahid
AU - Aljunid, Syed Mohamed
AU - Anjomshoa, Mina
AU - Ansari-Moghaddam, Alireza
AU - Arabloo, Jalal
AU - Bayati, Mohsen
AU - Bedi, Neeraj
AU - Bendak, Salaheddine
AU - Bhutta, Zulfiqar A.
AU - Bijani, Ali
AU - Dahlawi, Saad M.A.
AU - Dianatinasab, Mostafa
AU - Forooshani, Zahra Sadat Dibaji
AU - Elhabashy, Hala Rashad
AU - Zeydi, Amir Emami
AU - Eskandarieh, Sharareh
AU - Ghafourifard, Mansour
AU - Ghashghaee, Ahmad
AU - Grivna, Michal
AU - Gubari, Mohammed Ibrahim Mohialdeen
AU - Hamadeh, Randah R.
AU - Hamidi, Samer
AU - Hayat, Khezar
AU - Rad, Enayatollah Homaie
AU - Hosseinzadeh, Mehdi
AU - Househ, Mowafa
AU - Naghibi, Seyed Sinairvani
AU - Jahani, Mohammad Ali
AU - Kalankesh, Leila R.
AU - Kalhor, Rohollah
AU - Kamel, Ibrahim
AU - Khammarnia, Mohammad
AU - Khan, Maseer
AU - Khazaie, Habibolah
AU - Komaki, Hamidreza
AU - Lahimchi, Amitis
AU - Madadin, Mohammed
N1 - Funding Information:
Saeid Safiri acknowledges support from the Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran (Grant No 62894). Syed Aljunid acknowledges the Department of Health Policy and Management, Faculty of Public Health at Kuwait University and the International Centre for Casemix and Clinical Coding, Faculty of Medicine at the National University of Malaysia for their approval and support to participate in this research project. Seyed Sina Naghibi Irvani would like to thank the Clinical Research Development Unit (CRDU) of Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran for their support. Abdallah M. Samy acknowledges support from the Egyptian Fulbright Mission Program. Mohammadreza Sobhiyeh thank all staff of the peripheral intervention ward of Imam Reza Hospital for their cooperation in this study as well as the clinical research development center of Imam Reza Hospital, Kermanshah University of Medical Sciences for their wish advice.
Publisher Copyright:
© 2021 Academy of Medical Sciences of I.R. Iran. All rights reserved.
PY - 2021/7
Y1 - 2021/7
N2 - Background: Transport-related injuries (TIs) are a substantial public health concern for all regions of the world. The present study quantified the burden of TIs and deaths in the Eastern Mediterranean region (EMR) in 2017 by sex and age. Methods: TIs and deaths were estimated by age, sex, country, and year using Cause of Death Ensemble modelling (CODEm) and DisMod-MR 2.1. Disability-adjusted life years (DALYs), which quantify the total burden of years lost due to premature death or disability, were also estimated per 100 000 population. All estimates were reported along with their corresponding 95% uncertainty intervals (UIs). Results: In 2017, there were 5.5 million (UI 4.9-6.2) transport-related incident cases in the EMR - a substantial increase from 1990 (2.8 million; UI 2.5-3.1). The age-standardized incidence rate for the EMR in 2017 was 787 (UI 705.5-876.2) per 100 000, which has not changed significantly since 1990 (-0.9%; UI -4.7 to 3). These rates differed remarkably between countries, such that Oman (1303.9; UI 1167.3-1441.5) and Palestine (486.5; UI 434.5-545.9) had the highest and lowest age-standardized incidence rates per 100 000, respectively. In 2017, there were 185.3 thousand (UI 170.8-200.6) transport-related fatalities in the EMR - a substantial increase since 1990 (140.4 thousand; UI 118.7-156.9). The age-standardized death rate for the EMR in 2017 was 29.5 (UI 27.1-31.9) per 100 000, which was 30.5% lower than that found in 1990 (42.5; UI 36.8-47.3). In 2017, Somalia (54; UI 30-77.4) and Lebanon (7.1; UI 4.8-8.6) had the highest and lowest age-standardized death rates per 100,000, respectively. The age-standardised DALY rate for the EMR in 2017 was 1,528.8 (UI 1412.5-1651.3) per 100 000, which was 34.4% lower than that found in 1990 (2,331.3; UI 1,993.1-2,589.9). In 2017, the highest DALY rate was found in Pakistan (3 454 121; UI 2 297 890- 4 342 908) and the lowest was found in Bahrain (8616; UI 7670-9751). Conclusion: The present study shows that while road traffic has become relatively safer (measured by deaths and DALYs per 100 000 population), the number of transport-related fatalities in the EMR is growing and needs to be addressed urgently.
AB - Background: Transport-related injuries (TIs) are a substantial public health concern for all regions of the world. The present study quantified the burden of TIs and deaths in the Eastern Mediterranean region (EMR) in 2017 by sex and age. Methods: TIs and deaths were estimated by age, sex, country, and year using Cause of Death Ensemble modelling (CODEm) and DisMod-MR 2.1. Disability-adjusted life years (DALYs), which quantify the total burden of years lost due to premature death or disability, were also estimated per 100 000 population. All estimates were reported along with their corresponding 95% uncertainty intervals (UIs). Results: In 2017, there were 5.5 million (UI 4.9-6.2) transport-related incident cases in the EMR - a substantial increase from 1990 (2.8 million; UI 2.5-3.1). The age-standardized incidence rate for the EMR in 2017 was 787 (UI 705.5-876.2) per 100 000, which has not changed significantly since 1990 (-0.9%; UI -4.7 to 3). These rates differed remarkably between countries, such that Oman (1303.9; UI 1167.3-1441.5) and Palestine (486.5; UI 434.5-545.9) had the highest and lowest age-standardized incidence rates per 100 000, respectively. In 2017, there were 185.3 thousand (UI 170.8-200.6) transport-related fatalities in the EMR - a substantial increase since 1990 (140.4 thousand; UI 118.7-156.9). The age-standardized death rate for the EMR in 2017 was 29.5 (UI 27.1-31.9) per 100 000, which was 30.5% lower than that found in 1990 (42.5; UI 36.8-47.3). In 2017, Somalia (54; UI 30-77.4) and Lebanon (7.1; UI 4.8-8.6) had the highest and lowest age-standardized death rates per 100,000, respectively. The age-standardised DALY rate for the EMR in 2017 was 1,528.8 (UI 1412.5-1651.3) per 100 000, which was 34.4% lower than that found in 1990 (2,331.3; UI 1,993.1-2,589.9). In 2017, the highest DALY rate was found in Pakistan (3 454 121; UI 2 297 890- 4 342 908) and the lowest was found in Bahrain (8616; UI 7670-9751). Conclusion: The present study shows that while road traffic has become relatively safer (measured by deaths and DALYs per 100 000 population), the number of transport-related fatalities in the EMR is growing and needs to be addressed urgently.
KW - Accidents
KW - Epidemiology
KW - Incidence
KW - Mortality
KW - Road traffic injuries
UR - http://www.scopus.com/inward/record.url?scp=85114102356&partnerID=8YFLogxK
U2 - 10.34172/aim.2021.74
DO - 10.34172/aim.2021.74
M3 - Article
AN - SCOPUS:85114102356
SN - 1029-2977
VL - 24
SP - 512
EP - 525
JO - Archives of Iranian Medicine
JF - Archives of Iranian Medicine
IS - 7
ER -
