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Global trends in adolescents’ road traffic injury mortality, 1990–2019
OBJECTIVE: The aim of this study was to determine the trends of road traffic injury (RTI) mortality among adolescents aged 10–14 years and 15–19 years across different country income levels with respect to the type of road users from 1990 to 2019. METHODS: We conducted an ecological study. Adolescen...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8311071/ https://www.ncbi.nlm.nih.gov/pubmed/33597185 http://dx.doi.org/10.1136/archdischild-2020-319184 |
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author | Khan, Uzma Rahim Razzak, Junaid A Wärnberg, Martin Gerdin |
author_facet | Khan, Uzma Rahim Razzak, Junaid A Wärnberg, Martin Gerdin |
author_sort | Khan, Uzma Rahim |
collection | PubMed |
description | OBJECTIVE: The aim of this study was to determine the trends of road traffic injury (RTI) mortality among adolescents aged 10–14 years and 15–19 years across different country income levels with respect to the type of road users from 1990 to 2019. METHODS: We conducted an ecological study. Adolescents’ mortality rates from RTIs at the level of high-income countries (HICs), upper-income to middle-income countries (UMICs), lower-income to middle-income countries and low-income countries were extracted from the Global Burden of Disease study. Time series were plotted to visualise the trends in mortality rates over the years. We also conducted Poisson regression using road traffic mortality rates as the dependent variable and year as the independent variable to model the trend of the change in the annual mean mortality rate, with incidence rate ratios (IRRs) and 95% CIs. RESULTS: There were downward mortality trends in all types of road users and income levels among adolescents from 1990 to 2019. HICs had more pronounced reductions in mortality rates than countries of any other income level. For example, the reduction in pedestrians in HICs was IRR 0.94 (95% CI 0.90 to 0.98), while that in UMICs was IRR 0.97 (95% CI 0.95 to 0.99) in adolescents aged 10-14 years. CONCLUSIONS: There are downward trends in RTI mortality in adolescents from 1990 to 2019 globally at all income levels for all types of road users. The decrease in mortality rates is small but a promising finding. However, prevention efforts should be continued as the burden is still high. |
format | Online Article Text |
id | pubmed-8311071 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-83110712021-08-13 Global trends in adolescents’ road traffic injury mortality, 1990–2019 Khan, Uzma Rahim Razzak, Junaid A Wärnberg, Martin Gerdin Arch Dis Child Global Child Health OBJECTIVE: The aim of this study was to determine the trends of road traffic injury (RTI) mortality among adolescents aged 10–14 years and 15–19 years across different country income levels with respect to the type of road users from 1990 to 2019. METHODS: We conducted an ecological study. Adolescents’ mortality rates from RTIs at the level of high-income countries (HICs), upper-income to middle-income countries (UMICs), lower-income to middle-income countries and low-income countries were extracted from the Global Burden of Disease study. Time series were plotted to visualise the trends in mortality rates over the years. We also conducted Poisson regression using road traffic mortality rates as the dependent variable and year as the independent variable to model the trend of the change in the annual mean mortality rate, with incidence rate ratios (IRRs) and 95% CIs. RESULTS: There were downward mortality trends in all types of road users and income levels among adolescents from 1990 to 2019. HICs had more pronounced reductions in mortality rates than countries of any other income level. For example, the reduction in pedestrians in HICs was IRR 0.94 (95% CI 0.90 to 0.98), while that in UMICs was IRR 0.97 (95% CI 0.95 to 0.99) in adolescents aged 10-14 years. CONCLUSIONS: There are downward trends in RTI mortality in adolescents from 1990 to 2019 globally at all income levels for all types of road users. The decrease in mortality rates is small but a promising finding. However, prevention efforts should be continued as the burden is still high. BMJ Publishing Group 2021-08 2021-02-17 /pmc/articles/PMC8311071/ /pubmed/33597185 http://dx.doi.org/10.1136/archdischild-2020-319184 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Global Child Health Khan, Uzma Rahim Razzak, Junaid A Wärnberg, Martin Gerdin Global trends in adolescents’ road traffic injury mortality, 1990–2019 |
title | Global trends in adolescents’ road traffic injury mortality, 1990–2019 |
title_full | Global trends in adolescents’ road traffic injury mortality, 1990–2019 |
title_fullStr | Global trends in adolescents’ road traffic injury mortality, 1990–2019 |
title_full_unstemmed | Global trends in adolescents’ road traffic injury mortality, 1990–2019 |
title_short | Global trends in adolescents’ road traffic injury mortality, 1990–2019 |
title_sort | global trends in adolescents’ road traffic injury mortality, 1990–2019 |
topic | Global Child Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8311071/ https://www.ncbi.nlm.nih.gov/pubmed/33597185 http://dx.doi.org/10.1136/archdischild-2020-319184 |
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