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, Safiri S, Sullman MJM, et al. Burden of Transport-Related Injuries in the Eastern Mediterranean Region: A Systematic Analysis for the Global Burden of Disease Study 2017. Arch Iran Med. 2021;24(7):512-525doi: 10.34172/aim.2021.74.
, Safiri, S., Sullman, M. J. M., Lajunen, T., Hill, T., Almasi-Hashiani, A., Moradi-Lakeh, M., Farzadfar, F., Sepanlou, S. G., Abu-Gharbieh, E., Aghamolaei, T., Ahmad, T., Alghnam, S. A., Al-Hajj, S., Alipour, V., Aljunid, S. M., Anjomshoa, M., Ansari-Moghaddam, A., Arabloo, J., Bayati, M., Bedi, N., Bendak, S., Bhutta, Z. A., Bijani, A., Dahlawi, S. M. A., Dianatinasab, M., Dibaji Forooshani, Z. S., Elhabashy, H. R., Emami Zeydi, A., Eskandarieh, S., Ghafourifard, M., Ghashghaee, A., Grivna, M., Gubari, M. I. M., Hamadeh, R. R., Hamidi, S., Hayat, K., Homaie Rad, E., Hosseinzadeh, M., Househ, M., Naghibi Irvani, S. S., Jahani, M. A., Kalankesh, L. R., Kalhor, R., Kamel, I., Khammarnia, M., Khan, M., Khazaie, H., Komaki, H., Lahimchi, A., Madadin, M., Maleki, S., Manafi, N., Mansour-Ghanaei, F., Mansournia, M. A., Menezes, R. G., Mohammad, Y., Mohammadian-Hafshejani, A., Mohebi, F., Moradi, G., Moradzadeh, R., Mousavi, S. M., Naderi, M., Nikbakhsh, R., Pakshir, K., Pourshams, A., Rabiee, N., Rafiei, A., Rawassizadeh, R., Rezapour, A., Saddik, B., Saeedi Moghaddam, S., Salamati, P., Salem, M. R., Salem, H., Samy, A. M., Sathian, B., Shahabi, S., Shaikh, M. A., Shams-Beyranvand, M., Shamsizadeh, M., Sobhiyeh, M. R., Soheili, A., Tehrani-Banihashemi, A., Waheed, Y., Yusefzadeh, H., Zahirian Moghadam, T., Zaki, L., Zamani, M., Zandian, H., Malekzadeh, R., & Naghavi, M. (2021). Burden of Transport-Related Injuries in the Eastern Mediterranean Region: A Systematic Analysis for the Global Burden of Disease Study 2017. Archives of Iranian medicine, 24(7), 512-525. https://doi.org/10.34172/aim.2021.74
, et al. "Burden of Transport-Related Injuries in the Eastern Mediterranean Region: A Systematic Analysis for the Global Burden of Disease Study 2017." Archives of Iranian medicine vol. 24,7 (2021): 512-525. doi: https://doi.org/10.34172/aim.2021.74
, Safiri S, Sullman MJM, Lajunen T, Hill T, Almasi-Hashiani A, Moradi-Lakeh M, Farzadfar F, Sepanlou SG, Abu-Gharbieh E, Aghamolaei T, Ahmad T, Alghnam SA, Al-Hajj S, Alipour V, Aljunid SM, Anjomshoa M, Ansari-Moghaddam A, Arabloo J, Bayati M, Bedi N, Bendak S, Bhutta ZA, Bijani A, Dahlawi SMA, Dianatinasab M, Dibaji Forooshani ZS, Elhabashy HR, Emami Zeydi A, Eskandarieh S, Ghafourifard M, Ghashghaee A, Grivna M, Gubari MIM, Hamadeh RR, Hamidi S, Hayat K, Homaie Rad E, Hosseinzadeh M, Househ M, Naghibi Irvani SS, Jahani MA, Kalankesh LR, Kalhor R, Kamel I, Khammarnia M, Khan M, Khazaie H, Komaki H, Lahimchi A, Madadin M, Maleki S, Manafi N, Mansour-Ghanaei F, Mansournia MA, Menezes RG, Mohammad Y, Mohammadian-Hafshejani A, Mohebi F, Moradi G, Moradzadeh R, Mousavi SM, Naderi M, Nikbakhsh R, Pakshir K, Pourshams A, Rabiee N, Rafiei A, Rawassizadeh R, Rezapour A, Saddik B, Saeedi Moghaddam S, Salamati P, Salem MR, Salem H, Samy AM, Sathian B, Shahabi S, Shaikh MA, Shams-Beyranvand M, Shamsizadeh M, Sobhiyeh MR, Soheili A, Tehrani-Banihashemi A, Waheed Y, Yusefzadeh H, Zahirian Moghadam T, Zaki L, Zamani M, Zandian H, Malekzadeh R, Naghavi M. Burden of Transport-Related Injuries in the Eastern Mediterranean Region: A Systematic Analysis for the Global Burden of Disease Study 2017. Arch Iran Med. 2021 Jul 01;24(7):512-525. doi: 10.34172/aim.2021.74. PMID: 34488316.
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Arch Iran Med. 2021 Jul 01;24(7):512-525. doi: 10.34172/aim.2021.74.

Burden of Transport-Related Injuries in the Eastern Mediterranean Region: A Systematic Analysis for the Global Burden of Disease Study 2017.

Archives of Iranian medicine

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 Sina Naghibi Irvani, 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

Affiliations

  1. Road Traffic Injury Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
  2. Department of Community Medicine, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
  3. Department of Social Sciences, University of Nicosia, Nicosia, Cyprus.
  4. Department of Life and Health Sciences, University of Nicosia, Nicosia, Cyprus.
  5. Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway.
  6. Hertfordshire Business School, University of Hertfordshire, Hatfield, UK.
  7. Department of Epidemiology, Arak University of Medical Sciences, Arak, Iran.
  8. Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran.
  9. Non-communicable Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran.
  10. Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran.
  11. Non-communicable Disease Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
  12. Department of Clinical Sciences, University of Sharjah, Sharjah, United Arab Emirates.
  13. Department of Health Education and Health Promotion, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
  14. Department of Epidemiology and Health Statistics, Southeast University, Nanjing, China.
  15. Population Health Research Section, King Abdullah International Medical Research Center, Riyadh, Saudi Arabia.
  16. King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
  17. Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
  18. British Columbia Injury Research Prevention Unit, British Columbia Children's Hospital Research Institute, Vancouver, BC, Canada.
  19. Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran.
  20. Department of Health Economics, Iran University of Medical Sciences, Tehran, Iran.
  21. Department of Health Policy and Management, Kuwait University, Kuwait City, Kuwait.
  22. International Centre for Casemix and Clinical Coding, National University of Malaysia, Bandar Tun Razak, Malaysia.
  23. Social Determinants of Health Research Center, Rafsanjan University of Medical Sciences, Rafsanjan, Iran.
  24. Department of Epidemiology and Biostatistics, Zahedan University of Medical Sciences, Zahedan, Iran.
  25. Health Human Resources Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
  26. Department of Community Medicine, Gandhi Medical College Bhopal, Bhopal, India.
  27. Jazan University, Jazan, Saudi Arabia.
  28. Department of Industrial Engineering and Engineering Management, University of Sharjah, Sharjah, United Arab Emirates.
  29. Department of Epidemiology, University of Sharjah, Sharjah, United Arab Emirates.
  30. Centre for Global Child Health, University of Toronto, Toronto, ON, Canada.
  31. Centre of Excellence in Women & Child Health, Aga Khan University, Karachi, Pakistan.
  32. Social Determinants of Health Research Center, Babol University of Medical Sciences, Babol, Iran.
  33. Environmental Health Department, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
  34. Department of Epidemiology and Biostatistics, Shahroud University of Medical Sciences, Shahroud, Iran.
  35. Department of Epidemiology, Shiraz University of Medical Sciences, Shiraz, Iran.
  36. Tehran University of Medical Sciences, Tehran, Iran.
  37. Neurophysiology Department, Cairo University, Cairo, Egypt.
  38. Department of Medical-Surgical Nursing, Mazandaran University of Medical Sciences, Sari, Iran.
  39. Multiple Sclerosis Research Center, Tehran University of Medical Sciences, Tehran, Iran.
  40. Department of Medical Surgical Nursing, Tabriz University of Medical Sciences, Tabriz, Iran.
  41. Student Research Committee, Iran University of Medical Sciences, Tehran, Iran.
  42. Institute of Public Health, United Arab Emirates University, Al Ain, United Arab Emirates.
  43. Department of Public Health and Preventive Medicine, Charles University, Prague, Czech Republic.
  44. Department of Family and Community Medicine, University of Sulaimani, Sulaimani, Iraq.
  45. Department of Family and Community Medicine, Arabian Gulf University, Manama, Bahrain.
  46. School of Health and Environmental Studies, Hamdan Bin Mohammed Smart University, Dubai, United Arab Emirates.
  47. Institute of Pharmaceutical Sciences, University of Veterinary and Animal Sciences, Lahore, Pakistan.
  48. Department of Pharmacy Administration and Clinical Pharmacy, Xian Jiaotong University, Xian, China.
  49. Guilan Road Trauma Research Center, Guilan University of Medical Sciences, Rasht, Iran.
  50. Social Determinants of Health Research Center, Guilan University of Medical Sciences, Rasht, Iran.
  51. Institute of Research and Development, Duy Tan University, Da Nang, Vietnam.
  52. Department of Computer Science, University of Human Development, Sulaymaniyah, Iraq.
  53. College of Science and Engineering, Hamad Bin Khalifa University, Doha, Qatar.
  54. Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  55. Health Services Management Research Center, Tabriz University of Medical Sciences, Tabriz, Iran.
  56. Institute for Prevention of Non-communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.
  57. Health Services Management Department, Qazvin University of Medical Sciences, Qazvin, Iran.
  58. University of La Verne, La Verne, CA, USA.
  59. Department of Medicine, October 6 University, Giza, Egypt.
  60. Health Promotion Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
  61. Epidemiology Department, Jazan University, Jazan, Saudi Arabia.
  62. Department of Psychiatry, Kermanshah University of Medical Sciences, Kermanshah, Iran.
  63. Neurophysiology Research Center, Hamadan University of Medical Sciences, Hamadan, Iran.
  64. Brain Engineering Research Center, Institute for Research in Fundamental Sciences, Tehran, Iran.
  65. First Faculty of Medicine, Charles University, Prague, Czech Republic.
  66. Pathology Department, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
  67. Clinical Research Development Center, Kermanshah University of Medical Sciences, Kermanshah, Iran.
  68. School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
  69. School of Medicine, University of Manitoba, Winnipeg, MB, Canada.
  70. Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran.
  71. Caspian Digestive Disease Research Center, Guilan University of Medical Sciences, Rasht, Iran.
  72. Department of Epidemiology and Biostatistics, Tehran University of Medical Sciences, Tehran, Iran.
  73. Forensic Medicine Division, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
  74. Internal Medicine Department, King Saud University, Riyadh, Saudi Arabia.
  75. Department of Epidemiology and Biostatistics, Shahrekord University of Medical Sciences, Shahrekord, Iran.
  76. National Institute of Health Research (NIHR), Tehran University of Medical Sciences, Tehran, Iran.
  77. Social Determinants of Health Research Center, Kurdistan University of Medical Sciences, Sanandaj, Iran.
  78. Department of Epidemiology and Biostatistics, Kurdistan University of Medical Sciences, Sanandaj, Iran.
  79. Department of Health Policy, Management, and Economics, Tehran University of Medical Sciences, Tehran, Iran.
  80. Obesity Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
  81. Department of Parasitology and Mycology, Shiraz University of Medical Sciences, Shiraz, Iran.
  82. Department of Chemistry, Sharif University of Technology, Tehran, Iran.
  83. Department of Immunology, Mazandaran University of Medical Sciences, Sari, Iran.
  84. Molecular and Cell Biology Research Center, Mazandaran University of Medical Sciences, Sari, Iran.
  85. Department of Computer Science, Boston University, Boston, MA, USA.
  86. Department of Family and Community Medicine, University of Sharjah, Sharjah, United Arab Emirates.
  87. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran.
  88. Public Health and Community Medicine Department, Cairo University, Giza, Egypt.
  89. Urology Department, Cairo University, Cairo, Egypt.
  90. Department of Entomology, Ain Shams University, Cairo, Egypt.
  91. Department of Geriatrics and Long Term Care, Hamad Medical Corporation, Doha, Qatar.
  92. Faculty of Health and Social Sciences, Bournemouth University, Bournemouth, UK.
  93. Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.
  94. Independent Consultant, Karachi, Pakistan.
  95. School of Medicine, Alborz University of Medical Sciences, Karaj, Iran.
  96. Faculty of Caring Science, Work Life, and Social Welfare, University of Borås, Borås, Sweden.
  97. Department of Vascular and Endovascular Surgery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
  98. Nursing Care Research Center, Semnan University of Medical Sciences, Semnan, Iran.
  99. Department of Community and Family Medicine, Iran University of Medical Sciences, Tehran, Iran.
  100. Foundation University Medical College, Foundation University Islamabad, Islamabad, Pakistan.
  101. Department of Health Care Management and Economics, Urmia University of Medical Science, Urmia, Iran.
  102. Social Determinants of Health Research Center, Ardabil University of Medical Science, Ardabil, Iran.
  103. Department of Parasitology and Entomology, Tarbiat Modares University, Tehran, Iran.
  104. Student Research Committee, Babol University of Medical Sciences, Babol, Iran.
  105. Department of Community Medicine, Ardabil University of Medical Science, Ardabil, Iran.
  106. Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA.
  107. Department of Health Metrics Sciences, School of Medicine, University of Washington, Seattle, WA, USA.

PMID: 34488316 DOI: 10.34172/aim.2021.74

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 100000 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 100000, 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 100000, 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 100000, 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 100000, 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 (3454121; UI 2297890- 4342908) 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 100000 population), the number of transport-related fatalities in the EMR is growing and needs to be addressed urgently.

© 2021 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Keywords: Accidents; Epidemiology; Incidence; Mortality; Road traffic injuries

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