Volume 11, Issue 2 (6-2022)
JCHR 2022, 11(2): 91-98 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Jafari H, Amini-Rarani M, Ranjbar M, Shafiee M, Haj-Hashemi A. Investigating the Effects of Social Determinants of Traffic Crash Mortality in Isfahan City. JCHR 2022; 11 (2) :91-98
URL: http://jhr.ssu.ac.ir/article-1-907-en.html
URL: http://jhr.ssu.ac.ir/article-1-907-en.html
1- Health Policy and Management Research Center, Department of Health Care Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2- Social determinants of health research center, Isfahan University of Medical Sciences, Isfahan, Iran
3- Department of Health Care Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran , a.hashemi3399@gmail.com
2- Social determinants of health research center, Isfahan University of Medical Sciences, Isfahan, Iran
3- Department of Health Care Management, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran , a.hashemi3399@gmail.com
Abstract: (1278 Views)
Abstract
Introduction Many people die as a result of road traffic crashes globally every year. Low- and middle-income countries had higher road crashes mortality compared to high-income countries and Iran is one of the countries with the high road crashes mortality in the world. Regarding the important and basic role the social components plays in health. The current study aims to investigate social determinants of traffic crash mortality in Isfahan during the 2014-2017.
Methods: This study was a cross-sectional data secondary analysis. 29909 traffic crashes were analyzed. Data were extracted from the Hospital Information System (HIS) and analyzed using logistic regression. Social determinants were selected using the Commission on Social Determinants of Health conceptual framework. Data were analyzed with Stata 14 software at a significance level of less than 0.05
Results: we found that 719(2.8%) mortalities were related to traffic accident injury. The death rate due to traffic crash in the hospital was 2.4%. Multivariate logistic regression showed that men (P-value =0.00), unemployed people, less than 65 years of age, injured transported from suburb and passengers of small vans/trucks (P-value <0.00) had higher odds of mortality caused by traffic crashes
Conclusions: Considering the importance of social factors on traffic crashes mortality, health policy-makers should develop preventive programs and adopting policies based on occupation, sex, age, mode of transport of the injured, and the type of vehicles to inform interventions aimed at reducing injury-related mortality.
Introduction Many people die as a result of road traffic crashes globally every year. Low- and middle-income countries had higher road crashes mortality compared to high-income countries and Iran is one of the countries with the high road crashes mortality in the world. Regarding the important and basic role the social components plays in health. The current study aims to investigate social determinants of traffic crash mortality in Isfahan during the 2014-2017.
Methods: This study was a cross-sectional data secondary analysis. 29909 traffic crashes were analyzed. Data were extracted from the Hospital Information System (HIS) and analyzed using logistic regression. Social determinants were selected using the Commission on Social Determinants of Health conceptual framework. Data were analyzed with Stata 14 software at a significance level of less than 0.05
Results: we found that 719(2.8%) mortalities were related to traffic accident injury. The death rate due to traffic crash in the hospital was 2.4%. Multivariate logistic regression showed that men (P-value =0.00), unemployed people, less than 65 years of age, injured transported from suburb and passengers of small vans/trucks (P-value <0.00) had higher odds of mortality caused by traffic crashes
Conclusions: Considering the importance of social factors on traffic crashes mortality, health policy-makers should develop preventive programs and adopting policies based on occupation, sex, age, mode of transport of the injured, and the type of vehicles to inform interventions aimed at reducing injury-related mortality.
Keywords: Road traffic crashes, Road traffic accidents, Social determinants of health, Social factor
Review: Research |
Subject:
Health care management
Received: 2022/06/14 | Accepted: 2022/06/20 | Published: 2022/07/5
Received: 2022/06/14 | Accepted: 2022/06/20 | Published: 2022/07/5
References
1. 2018.http://www.who.int/violence injury prevention/ road safety status/2018/en
2. Heyder A A . Injuries in low-and middle-income countries: a neglected disease in global public health. Injury.2013;44(5):579-80 [DOI:10.1016/j.injury.2013.01.028]
3. Kh. Rahmani, S.S Hashemi Nazari *, M.R Ghadirzadeh .Trend Analysis of Traffic Accidents Deaths in Iran During 2006 - 2012: Hospital or Pre-Hospital Occurred Deaths Volume 15, Issue 2 (5-2016) . JRUMS 2016, 15(2): 115-128
4. Khorami Z, Hashemi Nazari Sُ, Ghadirzadeh MR. [An epidemiology study of deaths from road traffic accidents (Persian)]. J Saf Promot Inj Prev. 2017; 4(4):217-24.
5. Khorasani-Zavareh D. Bo J.A. Haglund Mohammadi R. Traffic injury deaths in West Azarbaijan province of Iran: a cross-sectional interview-based study on victims' characteristics and pre-hospital care. Pages 119-126 . 07 Aug 2009 [DOI:10.1080/17457300903023980]
6. Wilson O, Meleckidzedeck Kh, PM Heda. Road traffic injuries in Kenya: magnitude, causes and status of intervention. Inj Control Saf Promot. Mar-Jun 2003;10(1-2):53-61 [DOI:10.1076/icsp.10.1.53.14103]
7. World Health Organization. The world health report 2000: health systems: improving performance. World Health Organization; 2000
8. Naghibi S A, Kordasiabi M. review of Social Determinants of Health. Clin Exc 2017, 7(2): 50-62
9. Azerbaijan. Vahidi R., Kousha A., Kalantari H.*, Tabrizi J.S.Social Determinants Of Health And Their Related Organizations In East Azerbaijan. JOURNAL OF HEALTH AND HYGIENE WINTER 2013 , Volume 3 , Number 4; Page(s) 20 To 28.
10. Zaboli R, Malmoon Z, Seyedjavadi M, Seyedin H. Developing a conceptual model of social determinants of health inequalities: A qualitative study. Journal of Health Promotion Management. 2014;3(4):74-88 [DOI:10.15171/ijhpm.2014.70]
11. Vahidi R, Kousha A, Kalantari H, Tabrizi J. Social Determinants of Health and Their Related Organizations in East Azerbaijan journal of health. 2013;3(4):20-28.
12. Moradi, A, K. Rahmani, Trend of Traffic Accidents and Fatalities in Iran over 20 Years (1993-2013). J Mazandaran Univ Med Sci 2014. 24(118): 186-97.
13. Hatamabadi H. Epidemiologic study of road traffic injuries by road user type characteristics and road environment in Irán: A community-based approach. Traffic Injury Prevention 2012. 13(1): 61-4. [DOI:10.1080/15389588.2011.623201]
14. erfanpoor, S and Hashemi Nazari, S S , Ghadirzadeh, .An epidemiology study of fatal road traffic accidents in khorasan razavi province in 2011. medical journal of mashhad university of medical sciences, 59 (4). pp. 261-268.
15. Khorrami Z, Hashemi Nazari SS, Ghadirzadeh MR. An Epidemiology study of deaths from road traffic accidents. J Saf Promot Inj Prev. 2016; 4(4): 217-24 .
16. Rakhshani T, Kashfi S M, Idani F, Ebrahimi M R, Hashemi Nazari S S. An Epidemiology Study Of Deaths From Road Traffic Accidents, Iran, Ahvaz JOURNAL OF HEALTH SCIENCES AND SURVEILLANCE SYSTEM January 2018, Volume 6, Number 1; Page(s) 46 To 51.
17. Ataey A, Moradi-Asl E, Mirzaei E, Darsaraei F. Epidemiology of Death and Years of Life Lost (YLL) Due to Accidents in Ardabil Province. Journal of Health.
18. Chalya P.L., Mabula J.B., Dass R.M., Mbelenge N., Ngayomela I.H., Chandika A.B., Gilyoma J.M. Injury characteristics and outcome of road traffic crash victims at Bugando Medical Centre in Northwestern Tanzania. J. Trauma Manag. Outcomes. 2012;6:1-8. doi: 10.1186/1752-2897-6-1 [DOI:10.1186/1752-2897-6-1]
19. Ananthnarayan Chandrasekharan,1 Aditya J Nanavati,1,* Sandhya Prabhakar,1 and Subramaniam Prabhakar1. Factors Impacting Mortality in the Pre-Hospital Period After Road Traffic Accidents in Urban India. Trauma Mon. 2016 Jul; 21(3): e22456 [DOI:10.5812/traumamon.22456]
20. Suriyawongpaisal P, Kanchanasut S. Road traffic injuries in Thailand: Trends, selected underlying determinants and status of intervention. Injury Control and Safety Promotion. 2003;10: 95-104. [DOI:10.1076/icsp.10.1.95.14110]
21. H Etehad 1, Sh Yousefzadeh-Chabok 1, A Davoudi-Kiakalaye 1, A Moghadam Dehnadi 1, H Hemati 1, Z Mohtasham-Amiri 2. Impact of road traffic accidents on the elderly. Arch Gerontol Geriatr. Nov-Dec 2015;61(3):489-93. doi: 10.1016/j.archger.2015.08.008. Epub 2015 Aug 5. [DOI:10.1016/j.archger.2015.08.008]
22. Yousefzadeh chabok, Shahrokh, Ahmadi Dafchahi, Masomeh, Mohammadi Maleksari, Haniyeh, Dehnadi Moghadam, Anosh, Hemati, Hossein, Shabani, Somayeh, Epidemiology of Injuries and their Causes among Traumatic Patients Admitted into Poursina Hospital Rasht, " Journal of Kermanshah University of Medical Sciences (J Kermanshah Univ Med Sci, 2007
23. Kumar N, Ghormade PS, Tingne CV, Keoliya AN. Trends of fatal road traffic accidents in central india. J Forensic Med, Sci Law. 2013; 22(2):8-11.
24. D C Grossman 1, L G Hart, F P Rivara, R V Maier, R Rosenblatt. From roadside to bedside: the regionalization of trauma care in a remote rural county. J Trauma 1995 Jan;38(1):14-21. doi: 10.1097/00005373-199501000-00006. [DOI:10.1097/00005373-199501000-00006]
25. Santamarina-Rubio E. Injury profiles of road traffic deaths. Accident Analysis Prevention 2007. 39(1): 1-5. [DOI:10.1016/j.aap.2006.06.019]
26. Souri H, Rouyanian M., Zali A.R., Movahedinezhad A.A. Study Of Changes On Road Traffic Injury Rates, Before And After Of Four Interventions By Iran Traffic Police. RESEARCHER BULLETIN OF MEDICAL SCIENCES (PEJOUHANDEH) APRIL-MAY 2009 , Volume 14 , Num
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution 4.0 International License. |
