Abstract
Background The epidemiological transition of non-communicable diseases replacing infectious diseases as the main contributors to disease burden has been well documented in global health literature. Less focus, however, has been given to the relationship between sociodemographic changes and injury. The aim of this study was to examine the association between disability-adjusted life years (DALYs) from injury for 195 countries and territories at different levels along the development spectrum between 1990 and 2017 based on the Global Burden of Disease (GBD) 2017 estimates. Methods Injury mortality was estimated using the GBD mortality database, corrections for garbage coding and CODEm-the cause of death ensemble modelling tool. Morbidity estimation was based on surveys and inpatient and outpatient data sets for 30 cause-of-injury with 47 nature-of-injury categories each. The Socio-demographic Index (SDI) is a composite indicator that includes lagged income per capita, average educational attainment over age 15 years and total fertility rate. results For many causes of injury, age-standardised DALY rates declined with increasing SDI, although road injury, interpersonal violence and self-harm did not follow this pattern. Particularly for self-harm opposing patterns were observed in regions with similar SDI levels. For road injuries, this effect was less pronounced. Conclusions The overall global pattern is that of declining injury burden with increasing SDI. However, not all injuries follow this pattern, which suggests multiple underlying mechanisms influencing injury DALYs. There is a need for a detailed understanding of these patterns to help to inform national and global efforts to address injury-related health outcomes across the development spectrum.
| Original language | English |
|---|---|
| Pages (from-to) | T12-I26 |
| Journal | Injury Prevention |
| Volume | 26 |
| DOIs | |
| State | Published - Oct 1 2020 |
Bibliographical note
Publisher Copyright:© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.
Funding
Mihajlo Jakovljevic Serbia acknowledges support through the Grant OI 175 014 of the Ministry of Education Science and Technological Development of the Republic of Serbia. Shahrzad Bazargan-Hejai acknowledges support through the NIH National Center for Advancing Translational Science (NCATS) UCLA CTSI Grant Number UL1TR001881". Ashish Awasthi acknowledges support from the Department of Science and Technology, Government of India, New Delhi through INSPIRE Faculty program. Rafael Tabarés-Seisdedos acknowledges support in part by grant number PROMETEOII/2015/021 from Generalitat Valenciana and the national grant PI17/00719 from ISCIII-FEDER. Abdallah M Samy acknowledges support from a fellowship from the Egyptian Fulbright Mission Program. Eduarda Fernandes acknowledges support ID/MULTI/04378/2019 and UID/QUI/50006/2019 with FCT/MCTES support through Portuguese national funds. Félix Carvalho acknowledges support ID/MULTI/04378/2019 and UID/QUI/50006/2019 with FCT/MCTES support through Portuguese national funds. Ilais Moreno Velásquezis acknowledges support from the Sistema Nacional de Investigacion, SENACYT (Panama). Louisa Degenhardt acknowledges support by an NHMRC research fellowship (#1135991) and by NIH grant NIDA R01DA1104470; The National Drug and Alcohol Research Centre is supported by funding from the Australian Government Department of Health under the Drug and Alcohol Program. Milena Santric Milicevic acknowledges the support from the Ministry of Education, Science and Technological Development, Republic of Serbia (Contract No. 175087). Kebede Deribe KD is supported by a grant from the Wellcome Trust [grant number 201900] as part of his International Intermediate Fellowship. Syed Aljunid acknowledges support from the International Centre for Casemix and Clinical Coding, Faculty of Medicine, National University of Malaysia and Department of Health Policy and Management, Faculty of Public Health, Kuwait University for the approval and support to participate in this research project. Jan-Walter De Neve was supported by the Alexander von Humboldt Foundation. Michael R Phillips acknowledges support from the Chinese National Natural Science Foundation of China (NSFC, No. 81371502). Sheikh Mohammed Shariful Islam acknowledges support from the National Heart Foundation of Australia and from a senior research fellowship from Deakin University. Duduzile Edith Ndwandwe acknowledges support from Cochrane South Africa, South African Medical Research Council.Tissa Wijeratne acknowledges the Department of Medicine, Faculty of Medicine, University of Rajarata, Saliyapura, Anuradhapura, Sri Lanka for their support.
ASJC Scopus Subject Areas
- Public Health, Environmental and Occupational Health
Disciplines
- Public Health