Yaser Sarikhani,Seyed Taghi Heydari,Saeed Gholamzadeh,Maryam Mazloom,Payam Peymani,Kamran Bagheri Lankarani,Ahmad Kalateh Sadati,Reza Tabrizi,Maryam Akbari.[J].Chin J Traumatol,2017,20(5):259-263. [doi]
Burden of traffic accidents among pedestrians of Fars province, southern Iran;estimate of years of life lost in a sample of Iranian population from 2009 to 2013
  
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KeyWord: Accidents, trafficPedestriansBurden of diseaseYears of potential life lost
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Author NameAffiliation
Yaser Sarikhani Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran 
Seyed Taghi Heydari Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran 
Saeed Gholamzadeh Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran 
Maryam Mazloom Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran 
Payam Peymani Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran 
Kamran Bagheri Lankarani Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran 
Ahmad Kalateh Sadati Department of Sociology, Yazd University, Yazd, Iran 
Reza Tabrizi Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran 
Maryam Akbari Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran 
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Abstract:
      Purpose: Traffic injuries are among the leading causes of mortality and morbidity worldwide. Pedestrians have been considered as a high-risk group among road users, especially in middle- or low-income communities. This study attempted to determine the burden of pedestrians' fatalities in Fars, the southern province of Iran using years of life lost (YLL) approach. Methods: The data used in this study were retrieved from Fars Forensic Medicine Organization database on pedestrian traffic accidents. The YLL from 2009 to 2013 was estimated using the method presented by World Health organization. Some epidemiological characteristics of pedestrians' fatalities were analyzed by SPSS. Results: Although YLL among 1000 male pedestrians decreased from 2.5 in 2009 to 1.5 in 2013, it increased from 0.9 to 2.1 among 1000 females during the same period. Higher proportion of death was found in female, illiterate, and married pedestrians (p < 0.001). In addition, mortality was higher in pedestrians living the cities, during daytime, at home, and in hospitals (p < 0.001). Conclusion: Consistent with the global trends, burden of pedestrian accidents in Fars was also exceptionally high. Considering the national and cultural aspects of different countries, improving the safety of pedestrians demands a multi-dimensional approach with interventional factors concerning policies, rules, pedestrians, motor vehicles and environmental conditions taken into consideration.
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