epidemiology of traffic crashes outcomes and related factors

نویسندگان

محمود بختیاری

m bakhtiyari دانشگاه علوم پزشکی تهرانسازمان اصلی تایید شده: دانشگاه علوم پزشکی تهران (tehran university of medical sciences) حمید سوری

h soori دانشگاه علوم پزشکی شهید بهشتیسازمان اصلی تایید شده: دانشگاه علوم پزشکی شهید بهشتی (shahid beheshti university of medical sciences)

چکیده

background and aims: traffic crashes are multi-factorial consequences caused by human factors, technical issues and environmental conditions. the present study aimed to determine epidemiology of urban traffic injuries in iran and role of some human risk factors in occurrence of such outcomes in 2010. materials and methods: through a descriptive cross-sectional study, the records of 515205 injured people injured people due to road traffic crashes were used. odd ratios for traffic events using regression models with appropriate chances and logistic regression were estimated by considering affecting factors on outcomes of traffic injuries such as age and gender. results: data of 515205 drivers including 464401 (90.1%) males were analyzed. from the environmental factors related to road deficiency, the difference between level of the road and its edge line (or=4.3; 95% ci: 2.8-6.5) and road dropping (or=2.5; 95%ci: 1.1-6.2) had the most influence on mortalities due to traffic crashes. sudden change of direction (or=9.9; 95% ci: 8.2-11.9) and lacking control of vehicle (or=7.0; 95% ci: 5.8-8.4) had the most effects on either injury or death categories after adjustment for age, gender and lightening. conclusions: with respect to increased mortalities due to road traffic crashes in iran, comprehensive studies about epidemiology and risk factors of traffic accidents could be considered as a giant step to control these risk factors and decrease the death burden of such events. references: 1. peden m. world report on road traffic injury prevention: world health organization geneva; 2004. 2. jacobs g, aeron-thomas a, astrop a, laboratory tr, britain g. estimating global road fatalities: trl; 2000. 3. nantulya vm, reich mr. the neglected epidemic: road traffic injuries in developing countries. bmj. 2002;324(7346):1139-41. 4. montazeri a. road-traffic-related mortality in iran: a descriptive study. pub health. 2004;118(2):110-3. 5. akbari m, naghavi m, soori h. epidemiology of deaths from injuries in the islamic republic of iran. east mediterr health j. 2006;12(3/4):382. 6. bahadorimonfared a, soori h, mehrabi y, delpisheh a, esmaili a, salehi m, et al. trends of fatal road traffic injuries in iran (2004–2011). plos one. 2013;8(5):e65198. 7. naghavi m af, pour malek f,jafari n. burden of disease and injuries in iran 2002.iranian journal of epidemiology. 2008;4(1):1-19. 8. badrinarayan m, nidhi s, sukhla s, sinha a. epidemiological study of road traffic accident cases from western nepal. indian j community med. 2010 january; 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35(1): 115–121. 27. elvik r. road safety management by objectives: a critical analysis of the norwegian approach. accid ana & prev. 2008;40(3):1115-22. 28. soheil s, s h. epidemiology of traffic injuries and motor vehicles utilization in the capital of iran: a population based study. bmc public health. 2011;11:488.

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