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Burden of transport-related injuries in the eastern mediterranean region: A systematic analysis for the global burden of disease study 2017

Safiri, Saeid; Sullman, Mark J.M.; Lajunen, Timo; Hill, Tetiana; Almasi-Hashiani, Amir; Moradi-Lakeh, Maziar; Farzadfar, Farshad; Sepanlou, Sadaf G.; Abu-Gharbieh, Eman; Aghamolaei, Teamur; Ahmad, Tauseef; Alghnam, Suliman A.; Al-Hajj, Samar; Alipour, Vahid; Aljunid, Syed Mohamed; Anjomshoa, Mina; Ansari-Moghaddam, Alireza; Arabloo, Jalal; Bayati, Mohsen; Bedi, Neeraj; Bendak, Salaheddine; Bhutta, Zulfiqar A.; Bijani, Ali; Dahlawi, Saad M.A.; Dianatinasab, Mostafa; Forooshani, Zahra Sadat Dibaji; Elhabashy, Hala Rashad; Zeydi, Amir Emami; Eskandarieh, Sharareh; Ghafourifard, Mansour; Ghashghaee, Ahmad; Grivna, Michal; Gubari, Mohammed Ibrahim Mohialdeen; Hamadeh, Randah R.; Hamidi, Samer; Hayat, Khezar; Rad, Enayatollah Homaie; Hosseinzadeh, Mehdi; Househ, Mowafa; Naghibi, Seyed Sinairvani; Jahani, Mohammad Ali; Kalankesh, Leila R.; Kalhor, Rohollah; Kamel, Ibrahim; Khammarnia, Mohammad; Khan, Maseer; Khazaie, Habibolah; Komaki, Hamidreza; Lahimchi, Amitis; Madadin, Mohammed; Maleki, S...

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Authors

Saeid Safiri

Mark J.M. Sullman

Timo Lajunen

Tetiana Hill

Amir Almasi-Hashiani

Maziar Moradi-Lakeh

Farshad Farzadfar

Sadaf G. Sepanlou

Eman Abu-Gharbieh

Teamur Aghamolaei

Tauseef Ahmad

Suliman A. Alghnam

Samar Al-Hajj

Vahid Alipour

Syed Mohamed Aljunid

Mina Anjomshoa

Alireza Ansari-Moghaddam

Jalal Arabloo

Mohsen Bayati

Neeraj Bedi

Salaheddine Bendak

Zulfiqar A. Bhutta

Ali Bijani

Saad M.A. Dahlawi

Mostafa Dianatinasab

Zahra Sadat Dibaji Forooshani

Hala Rashad Elhabashy

Amir Emami Zeydi

Sharareh Eskandarieh

Mansour Ghafourifard

Ahmad Ghashghaee

Michal Grivna

Mohammed Ibrahim Mohialdeen Gubari

Randah R. Hamadeh

Samer Hamidi

Khezar Hayat

Enayatollah Homaie Rad

Mehdi Hosseinzadeh

Mowafa Househ

Seyed Sinairvani Naghibi

Mohammad Ali Jahani

Leila R. Kalankesh

Rohollah Kalhor

Ibrahim Kamel

Mohammad Khammarnia

Maseer Khan

Habibolah Khazaie

Hamidreza Komaki

Amitis Lahimchi

Mohammed Madadin

Shokofeh Maleki

Navid Manafi

Fariborz Mansour-Ghanaei

Mohammad Ali Mansournia

Ritesh G. Menezes

Yousef Mohammad

Abdollah Mohammadian-Hafshejani

Farnam Mohebi

Ghobad Moradi

Rahmatollah Moradzadeh

Seyyed Meysam Mousavi

Mehdi Naderi

Rajan Nikbakhsh

Keyvan Pakshir

Akram Pourshams

Navid Rabiee

Alireza Rafiei

Reza Rawassizadeh

Aziz Rezapour

Basema Saddik

Sahar Saeedi Moghaddam

Payman Salamati

Marwa Rashad Salem

Hosni Salem

Abdallah M. Samy

Brijesh Sathian

Saeed Shahabi

Masood Ali Shaikh

Mehran Shams-Beyranvand

Morteza Shamsizadeh

Mohammad Reza Sobhiyeh

Amin Soheili

Arash Tehrani-Banihashemi

Yasir Waheed

Hasan Yusefzadeh

Telma Zahirian Moghadam

Leila Zaki

Mohammad Zamani

Hamed Zandian

Reza Malekzadeh

Mohsen Naghavi



Abstract

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.

Journal Article Type Article
Acceptance Date Jul 1, 2021
Publication Date Jul 1, 2021
Deposit Date Mar 31, 2023
Publicly Available Date Apr 3, 2023
Journal Archives of Iranian Medicine
Print ISSN 1029-2977
Electronic ISSN 1735-3947
Peer Reviewed Peer Reviewed
Volume 24
Issue 7
Pages 512-525
DOI https://doi.org/10.34172/aim.2021.74
Keywords Accidents, Epidemiology, Incidence, Mortality, Road traffic injuries
Public URL https://uwe-repository.worktribe.com/output/10603878
Publisher URL http://journalaim.com/Article/aim-19616

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