Journal article
Epidemiology of Road Traffic Incidents in Peru 1973-2008: Incidence, Mortality, and Fatality
PloS one, v 9(6), pp e99662-e99662
13 Jun 2014
PMID: 24927195
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Background: The epidemiological profile and trends of road traffic injuries (RTIs) in Peru have not been well-defined, though this is a necessary step to address this significant public health problem in Peru. The objective of this study was to determine trends of incidence, mortality, and fatality of RTIs in Peru during 1973-2008, as well as their relationship to population trends such as economic growth.
Methods and Findings: Secondary aggregated databases were used to estimate incidence, mortality and fatality rate ratios (IRRs) of RTIs. These estimates were standardized to age groups and sex of the 2008 Peruvian population. Negative binomial regression and cubic spline curves were used for multivariable analysis. During the 35-year period there were 952,668 road traffic victims, injured or killed. The adjusted yearly incidence of RTIs increased by 3.59 (95% CI 2.43-5.31) on average. We did not observe any significant trends in the yearly mortality rate. The total adjusted yearly fatality rate decreased by 0.26 (95% CI 0.15-0.43), while among adults the fatality rate increased by 1.25 (95% CI 1.09-1.43). Models fitted with splines suggest that the incidence follows a bimodal curve and closely followed trends in the gross domestic product (GDP) per capita
Conclusions: The significant increasing incidence of RTIs in Peru affirms their growing threat to public health. A substantial improvement of information systems for RTIs is needed to create a more accurate epidemiologic profile of RTIs in Peru. This approach can be of use in other similar low and middle-income settings to inform about the local challenges posed by RTIs.
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Details
- Title
- Epidemiology of Road Traffic Incidents in Peru 1973-2008: Incidence, Mortality, and Fatality
- Creators
- J. Jaime Miranda - Salud Sin Limites Peru, Programa Invest Accidentes Transito, Lima, PeruLuis A. Lopez-Rivera - EsSALUDD. Alex Quistberg - University of WashingtonEdmundo Rosales-Mayor - Universidad Peruana Cayetano HerediaCamila Gianella - Asociación Civil Impacta Salud y EducaciónAda Paca-Palao - EsSALUDDiego Luna - University of the PacificLuis Huicho - Universidad Peruana Cayetano HerediaPIAT Working Grp
- Publication Details
- PloS one, v 9(6), pp e99662-e99662
- Publisher
- Public Library Science
- Number of pages
- 20
- Grant note
- 268200900033C-1-0-1 / National Heart, Lung, and Blood Institute Global Health Initiative 5T32HD057822 / Eunice Kennedy Shriver National Institute of Child Health and Human Development of the National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) T32HD057822 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) Instituto Nacional Salud de Peru as part of the Programa de Investigacion en Accidentes de Transito (PIAT - Road Traffic Incident Investigation Program)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Urban Health Collaborative; Environmental and Occupational Health
- Web of Science ID
- WOS:000338278100061
- Scopus ID
- 2-s2.0-84903148779
- Other Identifier
- 991021966370104721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health