Volume 15, Issue 1 (Vol.15, No.1 2019)
irje 2019, 15(1): 57-67 |
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Shahbazi F, Soori H, Khodakarim S, , Ghadirzadeh M, Hashemi Nazari S. Investigation of Geographical and Socioeconomic Inequalities in Mortality from Road Traffic Accidents in Corpses Referred to Legal Medicine Organization of Iran. irje 2019; 15 (1) :57-67
URL: http://irje.tums.ac.ir/article-1-6282-en.html
URL: http://irje.tums.ac.ir/article-1-6282-en.html
1- MSc of Epidemiology, Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Professor of Epidemiology, Safety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Associate Professor of Biostatistics, Department of Epidemiology, School of Paramedical Science, Shahid Beheshti University of Medical Sciences, Tehran, Iran; School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4- Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran
5- Associate Professor of Epidemiology, Safety Promotion and Injury Prevention Research Center, Department of Epidemiology, School of Public Health and safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran ,Saeedh_1999@sbmu.ac.ir
2- Professor of Epidemiology, Safety Promotion and Injury Prevention Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Department of Epidemiology, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
3- Associate Professor of Biostatistics, Department of Epidemiology, School of Paramedical Science, Shahid Beheshti University of Medical Sciences, Tehran, Iran; School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran
4- Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran
5- Associate Professor of Epidemiology, Safety Promotion and Injury Prevention Research Center, Department of Epidemiology, School of Public Health and safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran ,
Abstract: (3482 Views)
Background and Objectives: This research was conducted to investigate the socioeconomic and geographical inequality in mortality from road traffic accidents in Iran in 2016.
Methods: In this descriptive cross-sectional study, the data of 16,584 people that died from road traffic accidents in 2016 were received from the Legal Medicine Organization. Theil entropy index was used to determine inequality in geographic areas. Moreover, relative and absolute concentration indices were used to measure inequality in mortality from RTAs across educational levels.
Results: The mortality rate from road traffic accident was 21.5 per 100,000 people. Theil index was 0.66 for traffic-related deaths among the provinces, indicating an unequal distribution of traffic injuries caused by traffic accidents among the provinces. When inequality was measured at smaller geographical levels, i.e., among cities in each province, the results indicated a fair distribution across smaller geographic levels. The focus index also indicated a fair distribution of traffic accidents among the deceased sub-classes (concentration index & 95% CI: -0.13 (-0.41; 0.16).
Conclusion: Our findings showed that the distribution of mortality from road traffic accidents was unequal at provincial positions. According to our findings, mortality from traffic accidents was distributed equally among the socioeconomic and urban levels. Therefore, health managers can use the findings of this study to develop interventions to reduce inequalities. In addition to targeting factors contributing to known social inequalities in the health and social status, other factors should be considered and applied to evaluate their interventions in the future.
Methods: In this descriptive cross-sectional study, the data of 16,584 people that died from road traffic accidents in 2016 were received from the Legal Medicine Organization. Theil entropy index was used to determine inequality in geographic areas. Moreover, relative and absolute concentration indices were used to measure inequality in mortality from RTAs across educational levels.
Results: The mortality rate from road traffic accident was 21.5 per 100,000 people. Theil index was 0.66 for traffic-related deaths among the provinces, indicating an unequal distribution of traffic injuries caused by traffic accidents among the provinces. When inequality was measured at smaller geographical levels, i.e., among cities in each province, the results indicated a fair distribution across smaller geographic levels. The focus index also indicated a fair distribution of traffic accidents among the deceased sub-classes (concentration index & 95% CI: -0.13 (-0.41; 0.16).
Conclusion: Our findings showed that the distribution of mortality from road traffic accidents was unequal at provincial positions. According to our findings, mortality from traffic accidents was distributed equally among the socioeconomic and urban levels. Therefore, health managers can use the findings of this study to develop interventions to reduce inequalities. In addition to targeting factors contributing to known social inequalities in the health and social status, other factors should be considered and applied to evaluate their interventions in the future.
Type of Study: Research |
Subject:
Epidemiology
Received: 2019/08/5 | Accepted: 2019/08/5 | Published: 2019/08/5
Received: 2019/08/5 | Accepted: 2019/08/5 | Published: 2019/08/5
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