World Health Organization's estimates of death related to road traffic crashes and their discrepancy with other countries' national report.

Alireza Razzaghi, Hamid Soori, Alireza Abadi, Ardeshir Khosravi
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Abstract

Background: Due to a lack of effective registry system for road traffic deaths, some international organizations like the World Health Organization provide the estimated number of road traffic deaths. It was shown that there are differences in the number of road traffic deaths between the WHO estimates and national reports even in High-Income Countries. This study aimed to an investigation of reasons for differences between the national reports and world health organization estimates about road traffic deaths.

Methods: This study focus to investigate the World Health Organization reports of Global Status Report for Road Safety in years of 2009, 2013, 2015 and 2018 and related articles about the estimates of deaths related to road traffic crashes and the observed differences between the WHO estimates and national reports.

Results: The findings showed that the observed differences between the WHO estimates and national reports could be due to errors in the road traffic death registration system, errors in the regression model which was used for estimation, proposed variables for estimations, or all of them.

Conclusions: The estimations of WHO about road traffic deaths can be useful for countries especially for those which don't have the road traffic registry system or the registry system does not meet the quality criteria. These estimates may not be sufficiently robust if disregard for spatial differences, the epidemiological pattern of risk factors among the countries, and the type of regression model which was used for estimation.

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世界卫生组织对道路交通事故死亡人数的估计及其与其他国家国家报告的差异。
背景:由于缺乏有效的道路交通死亡登记系统,世界卫生组织等一些国际组织提供了道路交通死亡的估计数字。研究表明,即使在高收入国家,世界卫生组织估计的道路交通死亡人数与国家报告之间也存在差异。本研究旨在调查国家报告与世界卫生组织估计的道路交通死亡人数之间存在差异的原因:本研究的重点是调查世界卫生组织 2009 年、2013 年、2015 年和 2018 年《全球道路安全状况报告》和相关文章中关于道路交通事故相关死亡人数的估计,以及观察到的世界卫生组织估计与国家报告之间的差异:研究结果表明,世卫组织估算值与国家报告之间的差异可能是由于道路交通死亡登记系统错误、用于估算的回归模型错误、拟议的估算变量错误或所有原因造成的:世卫组织对道路交通死亡人数的估计对各国都很有用,尤其是那些没有道路交通登记系统或登记系统不符合质量标准的国家。如果不考虑空间差异、国家间风险因素的流行病学模式以及用于估算的回归模型类型,这些估算结果可能不够可靠。
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