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China's Progress in Reducing Road Traffic Mortality: An Analysis of National Surveillance Data from 2006 to 2016

30 Pages Posted: 4 Oct 2018

See all articles by Lijun Wang

Lijun Wang

Chinese Center for Disease Control and Prevention (China CDC)

Peishan Ning

Central South University

Yin Peng

Chinese Center for Disease Control and Prevention (China CDC)

Peixia Cheng

Central South University

David Schwebel

University of Alabama at Birmingham

Jiangmei Liu

Chinese Center for Disease Control and Prevention (China CDC)

Yue Wu

Central South University

Yunning Liu

Chinese Center for Disease Control and Prevention (China CDC)

Jinlei Qi

Chinese Center for Disease Control and Prevention (China CDC)

Xinying Zeng

Chinese Center for Disease Control and Prevention (China CDC)

Maigeng Zhou

Collaborative Innovation Center for Diagnosis Treatment of Infectious Diseases - National Center for Chronic and Noncommunicable Disease Control and Prevention

Guoqing Hu

Central South University - Xiangya School of Public Health

More...

Abstract

Background: The United Nations (UN) proclaimed "halving the number of global deaths and injuries from road traffic accidents by 2020" as a target of the Sustainable Development Goals (SDGs). Using national Diseases Surveillance Points (DSPs) data, we examined progress in reducing road traffic injury mortality rates from 2006 to 2016 in China.

Methods: Crude and age-standardized mortality with standard errors were calculated. Joinpoint regression analysis was used to examine and quantify trends in overall and subgroup road traffic mortality from 2006 to 2016. Subgroup analyses were performed by place (urban/rural), sex, age group, geographic location (province) and road user.

Findings: In 2016, the crude road traffic mortality was 9·6 per 100,000 population in China. Overall age-adjusted road traffic mortality increased from 9·8 to 15·7 per 100,000 population from 2006 to 2011, and then gradually decreased to 9·1 per 100,000 population by 2016. Subgroup mortality rates generally followed similar trends. Males, older adults, rural residents, and a few provinces (e.g. Ningxia, Guangxi, Hubei) consistently had higher road traffic mortality rates than females, younger persons, urban residents, and most provinces. Mortality changes varied across place (urban/rural), sex, age group, and geographic location (province) between 2006 and 2016, revealing large urban-rural and provincial disparities, and illuminating pedestrians as the most vulnerable road users. Deaths among occupants of cars and three-wheeled motor vehicles respectively constituted 53% and 20% of total occupant mortality from road traffic crashes between 2006 and 2016.

Interpretation: Despite the continuous and substantial decrease since 2011, road traffic mortality is unlikely to reach the SDGs target of halving by 2020 in China. Systematic and sustainable efforts are needed to accelerate progress in road traffic safety in China.

Funding Statement: The authors state: "None declared."

Declaration of Interests: The authors have no conflicts of interest to declare.

Ethics Approval Satement: This analysis was approved by the ethics committee of Xiangya School of Public Health, Central South University (NO.XYGW-2017-01). Data analyses were de-identified.

Suggested Citation

Wang, Lijun and Ning, Peishan and Peng, Yin and Cheng, Peixia and Schwebel, David and Liu, Jiangmei and Wu, Yue and Liu, Yunning and Qi, Jinlei and Zeng, Xinying and Zhou, Maigeng and Hu, Guoqing, China's Progress in Reducing Road Traffic Mortality: An Analysis of National Surveillance Data from 2006 to 2016 (September 18, 2018). Available at SSRN: https://ssrn.com/abstract=3251499 or http://dx.doi.org/10.2139/ssrn.3251499

Lijun Wang

Chinese Center for Disease Control and Prevention (China CDC)

155 Changbai Road
Changping District
Beijing, Changping District 102206
China

Peishan Ning

Central South University

Changsha, Hunan 410083
China

Yin Peng

Chinese Center for Disease Control and Prevention (China CDC)

155 Changbai Road
Changping District
Beijing, Changping District 102206
China

Peixia Cheng

Central South University

Changsha, Hunan 410083
China

David Schwebel

University of Alabama at Birmingham

Birmingham, AL 35294-4460
United States

Jiangmei Liu

Chinese Center for Disease Control and Prevention (China CDC)

155 Changbai Road
Changping District
Beijing, Changping District 102206
China

Yue Wu

Central South University

Changsha, Hunan 410083
China

Yunning Liu

Chinese Center for Disease Control and Prevention (China CDC)

155 Changbai Road
Changping District
Beijing, Changping District 102206
China

Jinlei Qi

Chinese Center for Disease Control and Prevention (China CDC)

155 Changbai Road
Changping District
Beijing, Changping District 102206
China

Xinying Zeng

Chinese Center for Disease Control and Prevention (China CDC)

155 Changbai Road
Changping District
Beijing, Changping District 102206
China

Maigeng Zhou

Collaborative Innovation Center for Diagnosis Treatment of Infectious Diseases - National Center for Chronic and Noncommunicable Disease Control and Prevention ( email )

Beijing 100050
China

Guoqing Hu (Contact Author)

Central South University - Xiangya School of Public Health ( email )

Changsha
China

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