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Neglected increases in rural road traffic mortality in China: findings based on health data from 2005 to 2010

机译:被忽略的中国农村道路交通死亡率增加:基于2005年至2010年健康数据的调查结果

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Background Recent changes in rural road traffic mortality have not been examined in China although rural residents were reported as having greater risk of road traffic injury than urban residents. We aimed to examine changes in urban and rural road traffic mortality rates between 2005 and 2010 in China. Methods Mortality rates came from the publicly available health data of the Ministry of Health-Vital Registration System that is based on a national representative sample (about 10% of total population), including 41 surveillance points in urban areas (15 large cities and 21 middle/small cities) and 85 surveillance points in rural areas. The causes of deaths were coded using the Tenth International Classification of Diseases (ICD-10). Linear regression was used to test the statistical significance of changes in mortality rates. We calculated the percent change in rates to quantify the change between 2005 and 2010, which was calculated as regression coefficient * 100 * 5 divided by the rate in 2005. Results In rural areas, road traffic mortality increased by 70%, changing from 13.3 per 100,000 population in 2005 to 22.7 per 100,000 population in 2010. In contrast, the road traffic mortality merely increased by 4% in the study time period, rising from 13.1 to 13.9 per 100,000 population in urban areas. Both the increases in road traffic mortality from motor vehicle crashes and from non-motor vehicle crashes were larger in rural areas than in urban areas (106% vs. 4%; 29% vs. 3%). Conclusion The tremendous increase in road traffic mortality in rural areas calls for urgent actions to reduce road traffic injuries to motor vehicle occupants, motorcyclists, bicyclists and pedestrians in in rural areas.
机译:背景技术尽管据报道农村居民比城市居民有更大的道路交通伤害风险,但中国尚未研究农村道路交通死亡率的最新变化。我们旨在研究2005年至2010年间中国城乡道路交通死亡率的变化。方法死亡率来自卫生部生命登记系统的公共卫生数据,该数据基于全国代表性样本(约占总人口的10%),包括城市地区(15个大城市和21个中游城市)的监测点/小城市)和农村地区的85个监视点。使用第十届国际疾病分类(ICD-10)对死亡原因进行编码。线性回归用于检验死亡率变化的统计显着性。我们计算了比率变化的百分比以量化2005年至2010年之间的变化,计算方法是将回归系数* 100 * 5除以2005年的比率。结果在农村地区,道路交通死亡率从每人的13.3增加了70%。从2005年的100,000人口增加到2010年的100,000人口的22.7。相比之下,道路交通死亡率在研究期间仅增加了4%,从城市地区的100,000人口的13.1上升到13.9。农村地区因机动车碰撞和非机动车碰撞造成的道路交通死亡率的增加都大于城市地区(106%比4%; 29%比3%)。结论农村地区道路交通死亡率的剧增,要求采取紧急行动,减少农村地区机动车辆乘员,摩托车手,自行车手和行人的道路交通伤害。

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