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

BMC Public Health

Guoqing Hu¹  Keita Mamady¹  Xin Deng¹  Li Li¹  Lin Gao¹  Danping Tian¹  Yuanxiu Huang¹ 

[1] Department of Epidemiology and Health Statistics, School of Public Health, Central South University, Changsha, China

关键词: China;    Motor vehicle crash;    Rural areas;    Urban areas;    Road traffic mortality;   

Others  :  1161520
DOI  :  10.1186/1471-2458-13-1111

 received in 2013-04-07, accepted in 2013-11-26,  发布年份 2013

【 摘 要 】

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.

【 授权许可】

   
2013 Huang et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Lozano R, Naghavi M, Foreman K, et al.: Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2013, 380(9859):2095-2128.
• [2]World Health Organization: Global status report on road safety: time for action. Geneva: World Health Organization; 2009.
• [3]Hu G, Wen M, Baker TD, Baker SP: Road-traffic Deaths in China, 1985–2005: Threat and Opportunity. Inj Prev 2008, 14(3):149-153.
• [4]Research Institute of Highway, Ministry of Transport: The blue book of road safety in China (2006–2007). Beijing: China Communications Press; 2008.
• [5]Hu G, Baker SP, Baker TD: Urban–rural disparities in injury mortality in China, 2006. J Rural Health 2010, 26(1):73-77.
• [6]Hsiao M, Malhotra A, Thakur JS, Sheth JK, Nathens AB, Dhingra N, Jha P, Million Death Study Collaborators: Road traffic injury mortality and its mechanisms in India: nationally representative mortality survey of 1.1 million homes. BMJ Open 2013, 3(8):e002621. doi: 10.1136/bmjopen-2013-002621
• [7]Jagnoor J, Suraweera W, Keay L, Ivers RQ, Thakur J, Jha P, Million Death Study Collaborators: Unintentional injury mortality in India, 2005: nationally representative mortality survey of 1.1 million homes. BMC Public Health 2012, 12:487. doi: 10.1186/1471-2458-12-487 BioMed Central Full Text
• [8]Ansari-Moghaddam A, Martiniuk AL, Mohammadi M, Rad M, Sargazi F, Sheykhzadeh K, Jelodarzadeh S, Karimzadeh F: The pattern of injury and poisoning in South East Iran. BMC Int Health Hum Rights 2012, 12:17. doi: 10.1186/1472-698X-12-17 BioMed Central Full Text
• [9]Labinjo M, Juillard C, Kobusingye OC, Hyder AA: The burden of road traffic injuries in Nigeria: results of a population-based survey. Inj Prev 2009, 15(3):157-162.
• [10]Wang SY, Li YH, Chi GB, Xiao SY, Ozanne-Smith J, Stevenson M, Phillips MR: Injury-related fatalities in China: an under-recognised public-health problem. Lancet 2008, 372(9651):1765-1773.
• [11]Olukoga A, Harris G: Field data: distributions and costs of road-traffic fatalities in South Africa. Traffic Inj Prev 2006, 7(4):400-402.
• [12]Goldstein GP, Clark DE, Travis LL, Haskins AE: Explaining regional disparities in traffic mortality by decomposing conditional probabilities. Inj Prev 2011, 17(2):84-90.
• [13]Yang G, Hu J, Rao KQ, Ma J, Rao C, Lopez AD: Mortality registration and surveillance in China: History, current situation and challenges. Popul Health Metr 2005, 3(1):3. BioMed Central Full Text
• [14]Socioeconomic survey team of National Bureau of Statistics of China: Fifty years of cities of People’s Republic of China. Beijing: Xinhua Press; 1999.
• [15]Yang G: Deaths and their risk factors among Chinese population. Beijing: Peking Union Medical University Press; 2005.
• [16]Wang Y, Li L: Assessment of Completeness of Chinese Vital Registration Data. Chin J Health Stat 2007, 24:367-371.
• [17]Zhang L, Zhou JH, Qiu J, Zhang XZ, Yuan DF, Gao ZM, Dai W: Comparative analysis of characteristics and risk factors of traffic injury in aged people from urban and rural areas in Chongqing. Chin J Traumatol 2012, 15(1):27-31.
• [18]Hung KK, Cheung CS, Rainer TH, Graham CA: EMS systems in China. Resuscitation 2009, 80(7):732-735.
• [19]National Bureau of Statistics of China: China Statistical Yearbook 2012. Beijing: China Statistics Press; 2012.
• [20]The Ministry of Health of China: Chinese Health Statistics Yearbook of 2010. Beijing: Peking Union Medical University Press; 2010.