Journal article
Adolescent transport and unintentional injuries: a systematic analysis using the Global Burden of Disease Study 2019
The Lancet. Public health, Vol.7(8), pp.E657-E669
08/01/2022
DOI: 10.1016/S2468-2667(22)00134-7
PMCID: PMC9329128
PMID: 35779567
Abstract
Background Globally, transport and unintentional injuries persist as leading preventable causes of mortality and morbidity for adolescents. We sought to report comprehensive trends in injury-related mortality and morbidity for adolescents aged 10-24 years during the past three decades.
Methods Using the Global Burden of Disease, Injuries, and Risk Factors 2019 Study, we analysed mortality and disability-adjusted life-years (DALYs) attributed to transport and unintentional injuries for adolescents in 204 countries. Burden is reported in absolute numbers and age-standardised rates per 100 000 population by sex, age group (10-14, 15-19, and 20-24 years), and sociodemographic index (SDI) with 95% uncertainty intervals (UIs). We report percentage changes in deaths and DALYs between 1990 and 2019.
Findings In 2019, 369 061 deaths (of which 214337 [58%] were transport related) and 31.1 million DALYs (of which 16.2 million [52%] were transport related) among adolescents aged 10-24 years were caused by transport and unintentional injuries combined. If compared with other causes, transport and unintentional injuries combined accounted for 25% of deaths and 14% of DALYs in 2019, and showed little improvement from 1990 when such injuries accounted for 26% of adolescent deaths and 17% of adolescent DALYs. Throughout adolescence, transport and unintentional injury fatality rates increased by age group. The unintentional injury burden was higher among males than females for all injury types, except for injuries related to fire, heat, and hot substances, or to adverse effects of medical treatment. From 1990 to 2019, global mortality rates declined by 34.4% (from 17.5 to 11.5 per 100 000) for transport injuries, and by 47.7% (from 15.9 to 8.3 per 100000) for unintentional injuries. However, in low-SDI nations the absolute number of deaths increased (by 80.5% to 42 774 for transport injuries and by 39.4% to 31 961 for unintentional injuries). In the high-SDI quintile in 2010-19, the rate per 100 000 of transport injury DALYs was reduced by 16.7%, from 838 in 2010 to 699 in 2019. This was a substantially slower pace of reduction compared with the 48.5% reduction between 1990 and 2010, from 1626 per 100 000 in 1990 to 838 per 100 000 in 2010. Between 2010 and 2019, the rate of unintentional injury DALYs per 100 000 also remained largely unchanged in high-SDI countries (555 in 2010 vs 554 in 2019; 0.2% reduction). The number and rate of adolescent deaths and DALYs owing to environmental heat and cold exposure increased for the high-SDI quintile during 2010-19.
Interpretation As other causes of mortality are addressed, inadequate progress in reducing transport and unintentional injury mortality as a proportion of adolescent deaths becomes apparent. The relative shift in the burden of injury from high-SDI countries to low and low-middle-SDI countries necessitates focused action, including global donor, government, and industry investment in injury prevention. The persisting burden of DALYs related to transport and unintentional injuries indicates a need to prioritise innovative measures for the primary prevention of adolescent injury. Copyright (C) 2022 The Author(s). Published by Elsevier Ltd.
Details
- Title: Subtitle
- Adolescent transport and unintentional injuries: a systematic analysis using the Global Burden of Disease Study 2019
- Creators
- Amy E Peden - UNSW SydneyPatricia Cullen - UNSW SydneyKate Louise Francis - Murdoch Childrens Res Inst, Ctr Adolescent Hlth, Melbourne, Vic, AustraliaHolger Moeller - UNSW SydneyMargaret M. Peden - UNSW SydneyPengpeng Ye - UNSW SydneyMaoyi Tian - UNSW SydneyZhiyong Zou - Peking UniversitySusan M. Sawyer - The University of MelbourneAmirali Aali - Mashhad Univ Med Sci, Fac Med, Mashhad, Razavi Khorasan, IranZeinab Abbasi-Kangevari - Shahid Beheshti UniversityMohsen Abbasi-Kangevari - Shahid Beheshti UniversityMichael Abdelmasseh - Marshall UniversityMeriem Abdoun - Univ Setif Algeria, Dept Med, Setif, AlgeriaRami Abd-Rabu - Mayo Clin, Evidence Based Practice Ctr, Rochester, MN USADeldar Morad Abdulah - University of DuhokAme Mehadi AbdurehmanGetachew Abebe - Arba Minch UniversityAyele Mamo Abebe - Arba Minch UniversityAidin Abedi - Univ Southern Calif, Dept Neurosurg, Los Angeles, CA 90007 USAHassan Abidi - Yasuj Univ Med Sci, Lab Technol Sci Dept, Yasuj, IranRichard Gyan Aboagye - Univ Hlth & Allied Sci, Dept Family & Community Hlth, Hohoe, GhanaHiwa Abubaker Ali - Univ Human Dev, Sulaymaniyah, IraqEman Abu-Gharbieh - University of SharjahDenberu Eshetie Adane - Debre Tabor UniversityTigist Demssew Adane - University of GroningenIsaac Yeboah Addo - UNSW SydneyOlolade Grace Adewole - Natl Ctr Technol Management, Planning Programming & Linkages, Ife, NigeriaSangeet Adhikari - Arizona State UniversityMohammad Adnan - Indiana UniversityQorinah Estiningtyas Sakilah Adnani - Padjadjaran State Univ, Fac Med, Bandung, IndonesiaAanuoluwapo Adeyimika Bachelor Afolabi - University of IbadanSaira Afzal - King Edward Mem Hosp, Dept Community Med, Lahore, PakistanMuhammad Sohail Afzal - Univ Management & Technol, Dept Life Sci, Lahore, PakistanZahra Babaei Aghdam - Tabriz Univ Med Sci, Med Imaging Sci Res Team, Tabriz, IranBright Opoku Ahinkorah - University of Technology SydneyAraz Ramazan Ahmad - Int Relat & Diplomacy, Coll Nursing, Ranya Al Sulaimaniyah, IraqTauseef Ahmad - Southeast UniversitySajjad Ahmad - Abasyn UniversityAli Ahmadi - Shahid Beheshti UniversityHaroon Ahmed - COMSATS Inst Informat Technol, Dept Biosci, Islamabad, PakistanMuktar Beshir Ahmed - Jimma UniversityAli Ahmed - Monash UniversityAyman Ahmed - Quaid-i-Azam UniversityJivan Qasim Ahmed - University of DuhokTarik Ahmed Rashid - University of Kurdistan HewlerJanardhana P. Aithala - Yenepoya UniversityBudi Aji - Jenderal Soedirman UniversityMeisam Akhlaghdoust - Shahid Beheshti UniversityFares Alahdab - Mayo Clin Fdn Med Educ & Res, Mayo Evidence Based Practice Ctr, Rochester, MN USAFahad Mashhour Alanezi - Imam Abdulrahman Bin Faisal UniversityAstawus Alemayehu - Harar Hlth Sci Coll, Dept Publ Hlth, Harar, EthiopiaHanadi Al Hamad - Hamad Med Corp, Geriatr & Long Term Care Dept, Doha, QatarSyed Shujait Ali - University of SwatLiaqat Ali - Natl Univ Med Sci NUMS, Dept Biol Sci, Rawalpindi, PakistanYousef Alimohamadi - University of TehranVahid Alipour - Iran Univ Med Sci, Hlth Management & Econ Res Ctr, Tehran, IranSyed Mohamed Aljunid - Kuwait UniversityLouay Almidani - University of OxfordSami Almustanyir - Alfaisal UniversityKhalid A. Altirkawi - King Saud UniversityNelson J. Alvis-Zakzuk - University of the CoastEdward Kwabena Ameyaw - University of Technology SydneyTarek Tawfik Amin - Cairo UniversityMehrdad Amir-Behghadami - Tabriz Univ Med Sci, Rd Traffic Injury Res Ctr, Tabriz, IranSohrab Amiri - Baqiyatallah Univ Med Sci, Behav Sci Res Ctr, Tehran, IranHoda Amiri - Kerman Univ Med Sci, Dept Environm Hlth, Kerman, IranTadele Fentabil Anagaw - Bahir Dar UniversityTudorel Andrei - Bucharest Univ Econ Studies, Dept Stat & Econometr, Bucharest, RomaniaCatalina Liliana Andrei - Carol Davila Univ Med & Pharm, Cardiol Dept, Bucharest, RomaniaDavood Anvari - Mazandaran Univ Med Sci, Dept Parasitol, Sari, IranSumadi Lukman Anwar - Universitas Gadjah MadaAnayochukwu Edward Anyasodor - Charles Sturt UniversityJalal Arabloo - Iran Univ Med Sci, Hlth Management & Econ Res Ctr, Tehran, IranMorteza Arab-Zozani - Birjand Univ Med Sci, Social Determinants Hlth Res Ctr, Birjand, IranAsrat Arja - Ethiopian Publ Hlth Inst, Natl Data Management Ctr Hlth NDMC, Addis Ababa, EthiopiaJudie Arulappan - Sultan Qaboos UniversityAshokan Arumugam - University of SharjahArmin Aryannejad - University of TehranSaeed Asgary - Shahid Beheshti UniversityTahira Ashraf - University of LahoreSeyyed Shamsadin Athari - Zanjan Univ Med Sci, Dept Immunol, Zanjan, IranAlok Atreya - Lumbini Med Coll, Dept Forens Med, Palpa, NepalSameh Attia - Justus-Liebig-Universität GießenAvinash Aujayeb - National Health Service ScotlandAtalel Fentahun Awedew - Addis Ababa UniversitySina Azadnajafabad - University of TehranMohammadreza Azangou-Khyavy - Shahid Beheshti UniversitySamad Azari - Iran Univ Med Sci, Hosp Management Res Ctr, Tehran, IranAmirhossein Azari Jafari - Shahroud Univ Med Sci, Sch Med, Shahroud, IranHosein Azizi - University of TehranAhmed Y. Azzam - October 6 UniversityAshish D. Badiye - Govt Inst Forens Sci, Dept Forens Sci, Nagpur, Maharashtra, IndiaNayereh Baghcheghi - Saveh Univ Med Sci, Dept Nursing, Saveh, IranSara Bagherieh - Isfahan Univ Med Sci, Sch Med, Esfahan, IranAtif Amin Baig - Sultan Zainal Abidin UniversityShankar M. Bakkannavar - Kasturba Med Coll & Hosp, Dept Forens Med & Toxicol, Mangalore, IndiaAsaminew Birhanu Balta - Arba Minch UniversityMaciej Banach - Med Univ Lodz, Dept Hypertens, Lodz, PolandPalash Chandra Banik - Bangladesh UniversityGBD 2019 Adolescent Transport and Unintentional Injuries CollaboratorsDavid C Schwebel (Contributor) - Research Administration
- Resource Type
- Journal article
- Publication Details
- The Lancet. Public health, Vol.7(8), pp.E657-E669
- DOI
- 10.1016/S2468-2667(22)00134-7
- PMID
- 35779567
- PMCID
- PMC9329128
- NLM abbreviation
- Lancet Public Health
- ISSN
- 2468-2667
- eISSN
- 2468-2667
- Publisher
- Elsevier
- Number of pages
- 13
- Grant note
- Bill AMP; Melinda Gates Foundation; CGIAR
- Language
- English
- Date published
- 08/01/2022
- Academic Unit
- Research Administration
- Record Identifier
- 9984949465702771
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