Burden of injury along the development spectrum: associations between the Socio-demographic Index and disability-adjusted life year estimates from the Global Burden of Disease Study 2017

Haagsma, Juanita A;James, Spencer L;Castle, Chris D;Dingels, Zachary V;Fox, Jack T;Hamilton, Erin B;Liu, Zichen;Lucchesi, Lydia R;Roberts, Nicholas L S;Sylte, Dillon O;Adebayo, Oladimeji M;Ahmadi, Alireza;Ahmed, Muktar Beshir;Aichour, Miloud Taki Eddine;Alahdab, Fares;Alghnam, Suliman A;Aljunid, Syed Mohamed;Al-Raddadi, Rajaa M;Alsharif, Ubai;Altirkawi, Khalid;Anjomshoa, Mina;Antonio, Carl Abelardo T;Appiah, Seth Christopher Yaw;Aremu, Olatunde;Arora, Amit;Asayesh, Hamid;Assadi, Reza;Awasthi, Ashish;Ayala Quintanilla, Beatriz Paulina;Balalla, Shivanthi;Banstola, Amrit;Barker-Collo, Suzanne Lyn;Bärnighausen, Till Winfried;Bazargan-Hejazi, Shahrzad;Bedi, Neeraj;Behzadifar, Masoud;Behzadifar, Meysam;Benjet, Corina;Bennett, Derrick A;Bensenor, Isabela M;Bhaumik, Soumyadeep;Bhutta, Zulfiqar A;Bijani, Ali;Borges, Guilherme;Borschmann, Rohan;Bose, Dipan;Boufous, Soufiane;Brazinova, Alexandra;Campuzano Rincon, Julio Cesar;Cárdenas, Rosario;Carrero, Juan J;Carvalho, Félix;Castañeda-Orjuela, Carlos A;Catalá-López, Ferrán;Choi, Jee-Young J;Christopher, Devasahayam J;Crowe, Christopher Stephen;Dalal, Koustuv;Daryani, Ahmad;Davitoiu, Dragos Virgil;Degenhardt, Louisa;De Leo, Diego;De Neve, Jan-Walter;Deribe, Kebede;Dessie, Getenet Ayalew;deVeber, Gabrielle Aline;Dharmaratne, Samath Dhamminda;Doan, Linh Phuong;Dolan, Kate A;Driscoll, Tim Robert;Dubey, Manisha;El-Khatib, Ziad;Ellingsen, Christian Lycke;El Sayed Zaki, Maysaa;Endries, Aman Yesuf;Eskandarieh, Sharareh;Faro, Andre;Fereshtehnejad, Seyed-Mohammad;Fernandes, Eduarda;Filip, Irina;Fischer, Florian;Franklin, Richard Charles;Fukumoto, Takeshi;Gezae, Kebede Embaye;Gill, Tiffany K;Goulart, Alessandra C;Grada, Ayman;Guo, Yuming;Gupta, Rahul;Haghparast Bidgoli, Hassan;Haj-Mirzaian, Arvin;Haj-Mirzaian, Arya;Hamadeh, Randah R;Hamidi, Samer;Haro, Josep Maria;Hassankhani, Hadi;Hassen, Hamid Yimam;Havmoeller, Rasmus;Hendrie, Delia;Henok, Andualem;Híjar, Martha;Hole, Michael K;Homaie Rad, Enayatollah;Hossain, Naznin;Hostiuc, Sorin;Hu, Guoqing;Igumbor, Ehimario U;Ilesanmi, Olayinka Stephen;Irvani, Seyed Sina Naghibi;Islam, Sheikh Mohammed Shariful;Ivers, Rebecca Q;Jacobsen, Kathryn H;Jahanmehr, Nader;Jakovljevic, Mihajlo;Jayatilleke, Achala Upendra;Jha, Ravi Prakash;Jonas, Jost B;Jorjoran Shushtari, Zahra;Jozwiak, Jacek Jerzy;Jürisson, Mikk;Kabir, Ali;Kalani, Rizwan;Kasaeian, Amir;Kelbore, Abraham Getachew;Kengne, Andre Pascal;Khader, Yousef Saleh;Khafaie, Morteza Abdullatif;Khalid, Nauman;Khan, Ejaz Ahmad;Khoja, Abdullah T;Kiadaliri, Aliasghar A;Kim, Young-Eun;Kim, Daniel;Kisa, Adnan;Koyanagi, Ai;Kuate Defo, Barthelemy;Kucuk Bicer, Burcu;Kumar, Manasi;Lalloo, Ratilal;Lam, Hilton;Lami, Faris Hasan;Lansingh, Van C;Leasher, Janet L;Li, Shanshan;Linn, Shai;Lunevicius, Raimundas;Machado, Flavia R;Magdy Abd El Razek, Hassan;Magdy Abd El Razek, Muhammed;Mahotra, Narayan Bahadur;Majdan, Marek;Majeed, Azeem;Malekzadeh, Reza;Malik, Manzoor Ahmad;Malta, Deborah Carvalho;Manda, Ana-Laura;Mansournia, Mohammad Ali;Massenburg, Benjamin Ballard;Maulik, Pallab K;Meheretu, Hailemariam Abiy Alemu;Mehndiratta, Man Mohan;Melese, Addisu;Mendoza, Walter;Mengesha, Melkamu Merid;Meretoja, Tuomo J;Meretoja, Atte;Mestrovic, Tomislav;Miazgowski, Tomasz;Miller, Ted R;Mini, GK;Mirrakhimov, Erkin M;Moazen, Babak;Mohammad Gholi Mezerji, Naser;Mohammadibakhsh, Roghayeh;Mohammed, Shafiu;Molokhia, Mariam;Monasta, Lorenzo;Mondello, Stefania;Montero-Zamora, Pablo A;Moodley, Yoshan;Moosazadeh, Mahmood;Moradi, Ghobad;Moradi-Lakeh, Maziar;Morawska, Lidia;Velásquez, Ilais Moreno;Morrison, Shane Douglas;Moschos, Marilita M;Mousavi, Seyyed Meysam;Murthy, Srinivas;Musa, Kamarul Imran;Naik, Gurudatta;Najafi, Farid;Nangia, Vinay;Nascimento, Bruno Ramos;Ndwandwe, Duduzile Edith;Negoi, Ionut;Nguyen, Trang Huyen;Nguyen, Son Hoang;Nguyen, Long Hoang;Nguyen, Huong Lan Thi;Ningrum, Dina Nur Anggraini;Nirayo, Yirga Legesse;Ofori-Asenso, Richard;Ogbo, Felix Akpojene;Oh, In-Hwan;Oladimeji, Olanrewaju;Olagunju, Andrew T;Olagunju, Tinuke O;Olivares, Pedro R;Orpana, Heather M;Otstavnov, Stanislav S;P A, Mahesh;Pakhale, Smita;Park, Eun-Kee;Patton, George C;Pesudovs, Konrad;Phillips, Michael R;Polinder, Suzanne;Prakash, Swayam;Radfar, Amir;Rafay, Anwar;Rafiei, Alireza;Rahimi, Siavash;Rahimi-Movaghar, Vafa;Rahman, Muhammad Aziz;Rai, Rajesh Kumar;Ramezanzadeh, Kiana;Rawaf, Salman;Rawaf, David Laith;Renzaho, Andre M N;Resnikoff, Serge;Rezaeian, Shahab;Roever, Leonardo;Ronfani, Luca;Roshandel, Gholamreza;Sabde, Yogesh Damodar;Saddik, Basema;Salamati, Payman;Salimi, Yahya;Salz, Inbal;Samy, Abdallah M;Sanabria, Juan;Sanchez Riera, Lidia;Santric Milicevic, Milena M;Satpathy, Maheswar;Sawhney, Monika;Sawyer, Susan M;Saxena, Sonia;Saylan, Mete;Schneider, Ione J C;Schwebel, David C;Seedat, Soraya;Sepanlou, Sadaf G;Shaikh, Masood Ali;Shams-Beyranvand, Mehran;Shamsizadeh, Morteza;Sharif-Alhoseini, Mahdi;Sheikh, Aziz;Shen, Jiabin;Shigematsu, Mika;Shiri, Rahman;Shiue, Ivy;Silva, João Pedro;Singh, Jasvinder A;Sinha, Dhirendra Narain;Soares Filho, Adauto Martins;Soriano, Joan B;Soshnikov, Sergey;Soyiri, Ireneous N;Starodubov, Vladimir I;Stein, Dan J;Stokes, Mark A;Sufiyan, Mu'awiyyah Babale;Sunshine, Jacob E;Sykes, Bryan L;Tabarés-Seisdedos, Rafael;Tabb, Karen M;Tehrani-Banihashemi, Arash;Tessema, Gizachew Assefa;Thakur, Jarnail Singh;Tran, Khanh Bao;Tran, Bach Xuan;Tudor Car, Lorainne;Uthman, Olalekan A;Uzochukwu, Benjamin S Chudi;Valdez, Pascual R;Varavikova, Elena;Vasconcelos, Ana Maria Nogales;Venketasubramanian, Narayanaswamy;Violante, Francesco S;Vlassov, Vasily;Waheed, Yasir;Wang, Yuan-Pang;Wijeratne, Tissa;Winkler, Andrea Sylvia;Yadav, Priyanka;Yano, Yuichiro;Yenesew, Muluken Azage;Yip, Paul;Yisma, Engida;Yonemoto, Naohiro;Younis, Mustafa Z;Yu, Chuanhua;Zafar, Shamsa;Zaidi, Zoubida;Zaman, Sojib Bin;Zamani, Mohammad;Zhao, Yong;Zodpey, Sanjay;Hay, Simon I;Lopez, Alan D;Mokdad, Ali H;Vos, Theo

Richard Franklin

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.

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Injury Prevention

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1475-5785

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BMJ Group

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DOI

10.1136/injuryprev-2019-043296