Years of Life Lost Due to Road Traffic Injuries in Kermanshah Province

Background: Remarkably, one of the main causes of years of life lost due to premature death (YLL) is due to road traffic injuries (RTIs), which usually occurs at an earlier age in life. Objectives: This study aimed to determine the trend of YLL due to road traffic injuries in Kermanshah Province during the years ۲۰۰۹ - ۲۰۱۴. Methods: This study relied on census data from forensic medicine reports. YLL related to RTIs were calculated according to the global burden of disease (GBD) ۲۰۱۰ guidelines, and the age and sex demographics of the population were obtained from the Governor General’s Office records for ۲۰۰۹ - ۲۰۱۴. The external causes of death were determined using the international classification of diseases (ICD-۱۰) codes. To assess the YLL trend and its significance, negative binomial regression through the use of Stata ۱۱ was implemented. Results: The mean age of the ۳,۲۳۱ subjects studied was ۳۹.۸۳ ± ۲۱.۲۷ years. A total of ۷۸.۴% of the subjects were males. The average number of fatal RTIs in the six-year period was ۲۷.۸ per ۱۰۰,۰۰۰ persons. The YLL rate was ۱۴۹,۹۹۵ (۷۶.۵ per ۱۰۰۰) including both sexes. The YLL rates due to premature mortality were ۱۱۸,۳۹۳ (۱۱۹.۸ per ۱۰۰۰) for males, and ۳۱,۶۰۲ for females (۳۲.۵ per ۱۰۰۰). The highest YLL rates for both sexes were in the age group of ۱۵ - ۴۴ years. The six-year trend of YLL due to premature mortality was therefore descending; with respect to the incremental period of one year, the YLL decreased by ۷% on average (β = - ۰.۰۷; CI: - ۰.۰۹, - ۰.۰۵). Conclusions: Despite the decrease in the mortality and YLL rates due to TRIs in recent years, these figures are higher global numbers; therefore, there needs to be more serious intervention.

Keywords:

Trend , YLL , Road traffic injuries