Epidemiological Characteristics of Road Traffic Injuries Involving Children in Three Central American Countries, 2012–2015
Autor: | Virginia Núñez-Samudio, Francisco Mayorga-Marín, Iván Landires, Humberto López Castillo |
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Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Costa Rica
medicine.medical_specialty Latin Americans Adolescent Panama Health Toxicology and Mutagenesis injury prevention Population lcsh:Medicine Article traffic crashes 03 medical and health sciences 0302 clinical medicine 0502 economics and business Injury prevention Epidemiology Case fatality rate parasitic diseases medicine Humans 030212 general & internal medicine Child education Retrospective Studies childhood 050210 logistics & transportation education.field_of_study business.industry Mortality rate Public health 05 social sciences lcsh:R Accidents Traffic Infant Newborn Public Health Environmental and Occupational Health Infant Central America Guatemala Infant mortality infant mortality Child Preschool Wounds and Injuries business Demography |
Zdroj: | International Journal of Environmental Research and Public Health Volume 18 Issue 1 International Journal of Environmental Research and Public Health, Vol 18, Iss 37, p 37 (2021) |
ISSN: | 1660-4601 |
DOI: | 10.3390/ijerph18010037 |
Popis: | Although motor vehicle collisions (MVCs) are a worldwide public health concern due to their high injury, mortality, and fatality rates, few studies have addressed the epidemiologic behavior of MVCs in Latin American youth. Thus, this study was aimed at describing and comparing the characteristics of MVCs involving 0 to 14-year-olds in Costa Rica, Guatemala, and Panama. A secondary aim was to estimate the crude MVC-related injury, fatality, and mortality rates and their trends over time. We conducted a descriptive, retrospective study using publicly available data for Costa Rica, Panama, and Guatemala between 2012 and 2015. We examined the reported MVC cases and calculated the crude injury, fatality, and mortality rates and their trends over time (&alpha = 0.05). Publicly available data reported 12,020 MVC-related injuries and 431 MVC-related deaths involving 0 to 14-year-olds. The most frequent mechanisms involved 0 to 14-year-olds as passengers or pedestrians in MVCs (> 85% of all cases). The highest crude MVC-related injury and mortality rates were reported for Panama (119.35 and 2.14 per 100,000 population, respectively, in 0 to 14-years-olds), while Guatemala had the highest median MVC-related fatality rate (8.84 per 100,000 events &chi 2 [2] = 377.8 p < 0.001) with a statistically significant trend increasing over time (r = 0.947 p = 0.027). Although several factors play a role in the prevention of MVCs among 0 to 14-year-olds, we found that Costa Rica was the only country that implemented a policy on child restraint systems resulting in the lowest rates of MVC-related injury, mortality, and fatality. These results could be used by decision makers from the aforementioned Central American countries to develop adequate policies addressing MVC preventative strategies to protect Central American infants and children. |
Databáze: | OpenAIRE |
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