Road Traffic Accidents in Yazd Province, Iran: A Longitudinal Study (2012–2016)

Document Type : Original Article

Authors

1 Department of Epidemiology, School of Public Health, Shahid Sadoughi University of Medical Sciences

2 Yard Governors Office of Traffic Coordinator, Yazd

3 Department of Epidemiology and Biostatistics, School of Public Health, North Khorasan University of Medical Sciences, Bojnurd

4 Department of Biostatistics, Shahid Beheshti Univesity of Medical Sciences, Tehran

5 Yazd Cardiovascular Research Center, Afshar Hospital, Shahid Sadoughi University of Medical Sciences,

6 Department of ITC, Malek Ashtar University of Technology, Tehran

7 Faculty of Nursing, North Khorasan University of Medical Sciences, Bojnurd, Iran

10.4103/atr.atr_9_18

Abstract

Background and Objectives: The victims of road traffic accidents (RTAs) are mainly young. Hence, reduction of mortality from RTAs
should be considered as one of the most important priorities for health‑care systems. This study aimed at assessing the mortality rate of RTAs
in Yazd Province during 2012–2016. Subjects and Methods: In this descriptive‑analytic study, data were obtained from data collection
forms of forensic medicine organizations in Yazd. The general equation estimation method was used to compare the number of accidents by
distinguishing independent variables. To investigate the trend, a decomposition method was used to analyze a time series with a trend and
a seasonal pattern in the Minitab software. Results: In this study, 1437 people who died due to RTAs during 2012–2016 were studied. The
number of deaths in men was 1076 (75%), almost three times of women. The risk of death from RTAs in married couples, the main road,
heavy car driving and driving out‑of‑town were 1.6, 3.6, 1.9, and 3.2, respectively. An indirect and significant linear relationship was found
between the number of accidents and time during 2012–2016. Conclusion: According to the results of this study, the most cases of events
are in the age group of 20–30 years. Therefore, prevention should be done for this age group. Furthermore, findings of this study show that
decreasing in fatal RTA can be attributed to the exacerbation of traffic regulations and its implementation.

Keywords


1. Soodejani M, Shirani Faradonbeh R, Hashemi S, Zahedi A, Dehghani A. Epidemiology of accidents and injuries in the city of Lordegan in 2012: A short report. J Rafsanjan Univ Med Sci 2015;13:917‑22.
2. Rasouli MR, Nouri M, Zarei MR, Saadat S, Rahimi‑Movaghar V. Comparison of road traffic fatalities and injuries in Iran with other countries. Chin J Traumatol 2008;11:131‑4.
3. Yousefzadeh‑Chabok S, Ranjbar‑Taklimie F, Malekpouri R, RazzaghiA. A time series model for assessing the trend and forecasting the road traffic accident mortality. Arch Trauma Res 2016;5:e36570.
4. Allock A, Agnihotri AK, Sulakshana S, Goorah DG. Fatal road traffic accidents in Mauritius (2006–2011) – A retrospective study. Arch Med Biomed Res 2016;3:32‑8.
5. Naghavi M, Shahraz S, Bhalla K, Jafari N, Pourmalek F, Bartels D, et al. Adverse health outcomes of road traffic injuries in Iran after rapid motorization. Arch Iran Med 2009;12:284‑94.
6. Hasanzadeh J, Moradinazar M, Najafi F, Ahmadi‑Jouybary T. Trends of mortality of road traffic accidents in fars province, Southern Iran, 2004‑2010. Iran J Public Health 2014;43:1259‑65.
7. Nazari R, Bijani A, Haji HF, Beheshti Z, Sharifnia S, Hojati H. Mortality and injury severity in the accident victims referred to the Hefdah Shahrivar Hospital of amol 2007. Journal of Babol University of Medical Sciences (JBUMS) 2011;13:76-81.
8. Ning P, Schwebel DC, Huang H, Li L, Li J, Hu G. Global progress in road injury mortality since 2010. PLoS One 2016;11:e0164560.
9. Moradi A, Soori H, Kavousi A, Eshghabadi F. Methods for studying of frequency, spatial distribution and severity of traffic crashes related to pedestrians in urban areas. Payesh 2016;15:639-52.
10. Taravatmanesh S, Hashemi‑Nazari SS, Ghadirzadeh MR, Taravatmanesh L. Epidemiology of fatal traffic injuries in the Sistan and Baluchistan province in 2011. Saf Promot Inj Prev 2015;3:161‑8.
11. Nantulya VM, Reich MR. The neglected epidemic: Road traffic injuries in developing countries. BMJ 2002;324:1139‑41.
12. Vakili M, Mirzaei M, Pirdehghan A, Sadeghian M, Jafarizadeh M, Alimi M, et al. The burden of road traffic injuries in Yazd province‑Iran. Bull Emerg Trauma 2016;4:216‑22.
13. Kilamanu W, Xia JC, Caulfield C, editors. Analysis of Spatial and Temporal Distribution of Single and Multiple Vehicle Crash in Western Australia: A Comparison Study. Proceedings of International Congress on Modelling and Simulation. New Zealand: Modelling and Simulation Society of Australia; 2011.
14. Fallahzadeh H, Dehgani A. Epidemiology of road traffic mortality and injuries in Yazd, Iran during 2003‑2008. Chin J Traumatol 2011;14:293‑6.
15. Montazeri A. Road‑traffic‑related mortality in Iran: A descriptive study. Public Health 2004;118:110‑3.
16. Sanaei‑Zadeh H, Vahabi R, Nazparvar B, Amoei M. An epidemiological study and determination of causes of traffic accident‑related deaths in Tehran, Iran (during 2000‑2001). J Clin Forensic Med 2002;9:74‑7.
17. Hashemi NS, Kazemian M, Hosseini F. Trend of five years traffic accident mortality in Khuzestan province (2006‑2010). Journal of Forensic Medicine 2011;17:123-9.
18. Ganveer GB, Tiwari RR. Injury pattern among non‑fatal road traffic accident cases: A cross‑sectional study in central India. Indian J Med Sci 2005;59:9‑12.
19. Khosravi Shadmani F, Soori H, Ainy E, Zayeri F, Mehmandar M. Comparison of road traffic death occurrence within urban and metropolitan roads focusing on environmental factors. Hakim 2012;15:339‑45.
20. St Bernard G, Matthews W. A contemporary analysis of road traffic crashes, fatalities and injuries in Trinidad and Tobago. Inj Control Saf Promot 2003;10:21‑7.
21. Hamzeh B, Najafi F, Karamimatin B, Ahmadijouybari T, Salari A, Moradinazar M. Epidemiology of traffic crash mortality in west of Iran in a 9 year period. Chin J Traumatol 2016;19:70‑4.
22. Ferrando J, Plasència A, Ricart I, Canaleta X, Seguí‑Gómez M. Motor‑vehicle injury patterns in emergency‑department patients in a South‑European urban setting. Annu Proc Assoc Adv Automot Med 2000;44:445‑58.
23. Mehmandar M, Soori H, Mehrabi Y. Predicting and analyzing the trend of traffic accidents deaths in Iran in 2014 and 2015. Int J Crit Illn Inj Sci 2016;6:74‑8.
24. Zarei M, Rahimi‑Movaghar V, Saadat S, Panahi F, Dehghanpour R, Samii A, et al. Road traffic crashes mortality and morbidity in Iran in 1997‑2006. Hakim Res J 2008;11:42‑6.