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The Burden of Road Traffic Injuries in Yazd Province - Iran

机译:亚兹德省道路交通伤害的负担-伊朗

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Objectives : To estimate the Disabled-adjusted Life Years ( DALYs) of Road Traffic Accidents in patients referred to hospitals in Yazd Province, central Iran. Methods: This cross-sectional study was conducted in Yazd province during 2010. To calculate the Years of Life Lost (YLL) due to premature death and to calculate the incidence of non-fatal injuries and Years Lost due to Disability (YLD), the data were collected from Yazd death registration system and hospital records. The causes of death and nature of non-fatal injuries were classified using International Classification of Diseases (ICD-10). We estimated Disability Adjusted Life Years (DALYs) on the guidelines of the Global Burden of Disease Study (discount rate: 0.03, age weight: 0.04, constant age weight correction factor: 0.165). Age and sex composition was taken from the National Statistical Center for the year 2010. Results: During 2009, 483 deaths were caused by traffic accidents in Yazd Province, 382 (79.09%) of which were males, and 101 (20.91%) were females. The mortality rates for males and females were 70.98 and 20.15 in 100,000, respectively. The years of life lost due to premature deaths were 15.84/1000 in men and 4.75/1,000 in women. Total YLLs caused by traffic accidents were 10,908 years. The injuries caused by traffic accidents were calculated as 15.21 and 3.73/1,000 in males and females, respectively. The total YLDs was calculated 1.51/1,000. The total burden of Road Traffic Injuries in Yazd province was 12478 years (DALYs), 87.41% of which was due to premature death, and 12.59% was related to disability. Also, 78.32% was lost in males. The age specific peak of burden was in 15-29 year. Conclusion: This study showed that traffic accidents in Yazd impose a high burden. It seems that it is one of the health sector priorities. It is recommended to revise laws on use of motorcycles, especially on helmet use for motorcyclists, enforce strict laws in residential areas, and review social determinant affecting the incidence of such accidents.
机译:目的:估算伊朗中部亚兹德省转诊至医院的患者的道路交通事故伤残调整生命年(DALYs)。方法:该横断面研究于2010年在亚兹德省进行。为了计算因过早死亡而导致的生命损失年数(YLL),并计算非致命伤害的发生率和因残疾而造成的损失年数(YLD),数据来自Yazd死亡登记系统和医院记录。使用国际疾病分类(ICD-10)对死亡原因和非致命伤害的性质进行分类。我们根据《全球疾病负担研究》的指南估算了残疾调整生命年(DALYs)(折扣率:0.03,年龄权重:0.04,恒定年龄权重校正因子:0.165)。年龄和性别构成来自国家统计中心,2010年。结果:2009年,亚兹德省交通事故造成483人死亡,其中男性382人(79.09%),女性101人(20.91%) 。男性和女性的死亡率分别为100,000人中的70.98和20.15。因过早死亡而丧生的年限是男性为15.84 / 1000,女性为4.75 / 1,000。交通事故造成的YLL总数为10,908年。据计算,男性和女性交通事故造成的伤害分别为15.21和3.73 / 1,000。计算得出的YLD总数为1.51 / 1,000。亚兹德省道路交通伤害的总负担为12478年(DALYs),其中87.41%是过早死亡,而12.59%是与残疾有关。另外,男性损失了78.32%。特定年龄段的负担高峰在15-29岁。结论:这项研究表明,亚兹德的交通事故造成了沉重的负担。看来这是卫生部门的优先事项之一。建议修改有关使用摩托车的法律,特别是有关摩托车手使用头盔的法律,在居民区执行严格的法律,并审查影响此类事故发生的社会决定因素。

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