Analysis of road traffic injuries and casualties in China: a ten-year nationwide longitudinal study

Abstract

Background Road traffic injuries (RTIs) are a serious global problem, and a huge challenge for both economic development and public health. Methods This longitudinal study was based on the national data from Chinese authorities. Descriptive analysis was utilized to analyze the prevalence and trend of RTIs among different types, groups and regions. In addition, ridge regression or/and curve regression were also used to explore the relationship between those possible influencing factors and RTIs. Results From 2010 to 2019, the death toll from motor vehicle accidents (MVAs) decreased firstly and then increased, while the death toll from non-MVAs continued to rise since 2012, and the death toll from pedestrian and occupant accidents fluctuated only a little. The mortality rate of MVA was relatively stable from 2010 to 2012, and declined from 2013. The mortality rate of motor vehicle accidents was higher in rural than urban, the same to male compared with female. The results of ridge regression showed that gross domestic product (GDP)-per-capita, total population, number of health personnel and car ownership were positively correlated with the death toll of non-MVAs (P < 0.05). Additionally, the results of curve regression suggested that the quadratic or cubic relationship between each factor and the number of MVAs was well fitted, while only partially fitted in fatalities. Conclusions In recent years, RTIs in China show different trends, and the problem of non-motor vehicle traffic injuries has been neglected which should be paid more attention. Moreover, according to the new trends and traffic conditions in RTIs revealed in this study, it is necessary to formulate targeted intervention measures establish a multi-faceted comprehensive safety system to reduce the disease burden of RTIs as well as the total injuries.

Analysis on alteration of road traffic casualties in western China from multi-department data in recent decade

“…However, the frequency of road accident both in western and eastern fluctuated from 2016 to 2019, with an overall trend of increasing. This trend was also confirmed by recently published literature ( 36 ). The authors considered that the reasonable explanation may be the continuous progress urbanization and the increase in traffic flow ( 37 ).…”

The effects of ambient temperature on road traffic injuries in Jinan city: a time-stratified case-crossover study based on distributed lag nonlinear model

“…Road traffic injuries (RTIs) has not only become a social safety problem that cannot be ignored worldwide ( 1 , 2 ), but a huge challenge to economic development and public health as well ( 3 ), with the development of motorization rapidly. The Global Status Report on Road Safety 2018 showed that around 1.35 million people worldwide died from RTIs each year, and 50 million people suffered non-fatal injuries from traffic crashes, some disabled as a result among them ( 4 ).…”

“…In recent years, although some studies have reported that RTIs showed a downward trend attributed to road safety laws and various policies in China, the mortality of RTIs is still much higher than that in developed countries ( 9–11 ). As a result, it is still a very serious problem in China that should be paid more attention to ( 2 , 12 ).…”

Effects of the establishment of trauma centres on the mortality rate among seriously injured patients: a propensity score matching retrospective study

“…According to statistics, traumatic injury causes more than 700 thousand deaths each year, accounting for 9% of all deaths and ranking as the fifth leading cause of death [ 2 ]. Among the mechanisms, with the development of society, traffic accidents have become the main cause of injury; the overall mortality rate of traffic accidents could be up to 33.87%, especially in China and other countries [ 3 , 4 ].…”