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| 1 | Road traffic injury mortality and morbidity by country development status, 2011- 2017显示文摘Purpose:This research examined road traffic injury mortality and morbidity disparities across of country development status,and discussed the possibility of reducing country disparities by various actions to accelerate the pace of achieving Sustainable Development Goals target 3.6 e to halve the number of global deaths and injuries from road traffic accidents by 2020.Methods:Data for road traffic mortality,morbidity,and socio-demographic index(SDI)were extracted by country from the estimates of the Global Burden of Disease study,and the implementation of the three types of national actions(legislation,prioritized vehicle safety standards,and trauma-related post-crash care service)were extracted from the Global Status Report on Road Safety byWorld Health Organization.We fitted joinpoint regression analysis to identify and quantify the significant rate changes from 2011 to 2017.Results:Age-adjusted road traffic mortality decreased substantially for all the five SDI categories from 2011 to 2017(by 7.52%e16.08%).Age-adjusted road traffic mortality decreased significantly as SDI increased in the study time period,while age-adjusted morbidity generally increased as SDI increased.Subgroup analysis by road user yielded similar results,but with two major differences during the study period of 2011 to 2017:(1)pedestrians in the high SDI countries experienced the lowest mortality(1.68e1.90 per 100,000 population)and morbidity(110.45e112.72 per 100,000 population for incidence and 487.48e491.24 per 100,000 population for prevalence),and(2)motor vehicle occupants in the high SDI countries had the lowest mortality(4.07e4.50 per 100,000 population)but the highest morbidity(428.74e467.78 per 100,000 population for incidence and 1025.70e1116.60 per 100,000 population for prevalence).Implementation of the three types of national actions remained nearly unchanged in all five SDI categories from 2011 to 2017 and was consistently stronger in the higher SDI countries than in the lower SDI countries.Lower income nations comprise the heaviest burden of global road traffic injuries and deaths.Conclusion:Global road traffic deaths would decrease substantially if the large mortality disparities across country development status were reduced through full implementation of proven national actions including legislation and law enforcement,prioritized vehicle safety standards and trauma-related postcrash care services. | Jie-Yi He Wang-Xin Xiao David CSchwebel Mo-Tao Zhu Pei-Shan Ning Li Li Xun-Jie Cheng Jun-Jie Hua Guo-Qing Hu | 2021 | Chinese Journal of Traumatology2021，24，2： | 4 |
| 2 | Global road traffic injury statistics:Challenges,mechanisms and solutions显示文摘High-quality data are the foundation to monitor the progress and evaluate the effects of road traffic injury prevention measures.Unfortunately,official road traffic injury statistics delivered by governments worldwide,are often believed somewhat unreliable and invalid.We summarized the reported problems concerning the road traffic injury statistics through systematically searching and reviewing the literature.The problems include absence of regular data,under-reporting,low specificity,distorted cause spectrum of road traffic injury,inconsistency,inaccessibility,and delay of data release.We also explored the mechanisms behind the problematic data and proposed the solutions to the addressed challenges for road traffic statistics. | Fang-Rong Chang He-Lai Huang David CSchwebel Alan HSChan Guo-Qing Hu | 2020 | Chinese Journal of Traumatology2020，23，4： | 2 |
| 3 | Global Deaths Associated with Population Aging—1990–2019显示文摘Introduction:Published global and countryspecific deaths associated with population aging are based on decomposition methods that have significant limitations.Methods:A new decomposition method was developed and its performance was compared with two frequently used methods.The new method was employed to calculate global deaths associated with population aging between 1990 and 2019,using estimates from the Global Burden of Disease Study 2019(GBD 2019).Results:Compared to the two frequently-used existing methods,the new decomposition method generated results that are more consistent with logical expectations.Using the new method,the number of global deaths associated with population aging between 1990 and 2019 was 23.3 million.Upper middleincome countries accounted for 43%of global deaths related to population aging.The most deaths associated with population aging occurred from three types of disease:ischemic heart disease(5.0 million),stroke(3.8 million),and chronic obstructive pulmonary disease(2.2 million).China,India,Japan,the United States of America,and Brazil had the largest number of deaths related to population aging.Loss related to population aging was completely or partially counteracted by the reduction in mortality in 195 of the 200 countries and territories experiencing population aging(97.5%).Conclusions:The new decomposition method achieves more justifiable results associated with population aging than existing methods.Globally,population aging was associated with a substantial increase of deaths between 1990 and 2019,but it was totally or partially offset by the reduction in mortality in 97.5%of countries and territories. | Ruotong Li Xunjie Cheng Yang Yang David CSchwebel Peishan Ning Li Li Zhenzhen Rao Peixia Cheng Min Zhao Guoqing Hu | 2023 | China CDC weekly2023，5，51： | 0 |
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