Spatial analysis of road traffic accident deaths in the state of Paraná, 2007-2016
DOI:
https://doi.org/10.33448/rsd-v10i11.19942Keywords:
Spatial Analysis; Traffic Accidents; Mortality Registries; Public policy.Abstract
Brazil is in fifth place among countries with the highest number of land transport accidents. The state of Paraná, Brazil, was the object of this study which conducted spatial analysis with the aim of identifying areas where this phenomenon occurs more and their time series over a 10-year period. This was an ecological and exploratory observational study covering the period 2007 to 2016 in 39 micro-regions of the state of Paraná. Data of road traffic accident deaths as per the International Classification of Diseases (ICD-10, codes V01 to V89) held on the Mortality Information System, were analyzed. Relative risk rates were calculated and choropleth maps were built. A total of 31,651 deaths from the causes examined were recorded according to municipality of occurrence. The most frequent ICD-10 items found were those involving automobile occupants, motorcyclists, pedestrians and cyclists in road traffic accidents. An overall falling trend was found with effect from 2012. The rate by area did not show pronounced spatial dependence and there was considerable variation, whereby the Cerro Azul micro-region had the lowest relative risk in the period, while in Campo Mourão deaths were around 53.3% above the expected level. The estimated average annual trend for the Curitiba micro-region had the steepest fall in the period, while Campo Mourão had the highest rising trend. The trend analysis indicated places where more robust public policy interventions and enforcement actions need to be reviewed.
References
Adeloye, D., Thompson, J. Y., Akanbi, M. A., Azuh, D., Samuel, V., & Omoregbe, C. K. (2016). The burden of road traffic crashes, injuries and deaths in Africa: a systematic review and meta-analysis. Bull World Health Organ, 94(7), 510-521A.
Andrade, S. S. C. A., & Mello-Jorge, M. H. P. (2016). Mortality and potential years of life lost by road traffic injuries in Brazil, 2013. Rev Saúde Pública, 50, 59.
Andreuccetti, G., Carvalho, H. B., Cherpitel, C. J., Ye, Y., Ponce, J. C., Kahn, T., & Leyton V. (2011). Reducing the legal blood alcohol concentration limit for driving in developing countries: a time for change? Results and implications derived from a time-series analysis (2001-10) conducted in Brazil. Addiction, 106(12), 2124-2131.
Banstola, A., & Mytton, J., 2017. Cost-effectiveness of interventions to prevent road traffic injuries in low- and middle-income countries: A literature review. Traffic Inj Prev, 18(4), 357-362.
Barone, R., Pelletti, G., Garagnani, M., Giusti, A., Marzi, M., Rossi, F., Roffi, R., Fais, P., & Pelotti, S. (2019). Alcohol and illicit drugs in drivers involved in road traffic crashes in Italy. An 8-year retrospective study. Forensic Sci Int, 305, 110004.
Bloomberg Philanthropies. (2013). Leading the worldwide movement to improve road safety. Bloomberg Philantropies.
Bon de Sousa, T., Santos, C., Mateus, C., Areal, A., Trigoso, J., & Nunes, C. (2016). Road traffic accidents and self-reported Portuguese car driver's attitudes, behaviors, and opinions: Are they related? Traffic Inj Prev, 17(7), 705-711.
Borges, G., Monteiro, M., Cherpitel, C. J., Orozco, R., Ye, Y., Poznyak, V., Peden, M., Pechansky, F., Cremonte, M., Reid, S. D., & Mendez, J. (2017). Alcohol and road traffic injuries in Latin America and the Caribbean: A case-crossover study. Alcohol Clin Exp Res, 41(10), 1731-1737.
Brasil. (1997). Lei n. 9.503, de 23 de setembro de 1997. Institui o Código de Trânsito Brasileiro. https://www2.camara.leg.br/legin/fed/lei/1997/lei-9503-23-setembro-1997-372348-publicacaooriginal-1-pl.html
Brasil. (2000). Ministério da Saúde. Política Nacional de Redução da Morbimortalidade por Acidentes e Violência. Rev Saúde Pública, 34(4), 427-430.
Brasil. (2008a). Presidência da República. Casa Civil. Subchefia para Assuntos Jurídicos. Lei n. 11.705 de 19 de junho de 2008. http://www.planalto.gov.br/ccivil_03/_ato2007-2010/2008/lei/l11705
Brasil. (2008b). Conselho Nacional de Trânsito. Resolução n. 277, de 28 de maio de 2008. https://www.legisweb.com.br/legislacao/?id=108959
Brasil. (2012). Presidência da República. Casa Civil. Subchefia para Assuntos Jurídicos. Lei n. 12.760, de 20 de dezembro de 2012. http://www.planalto.gov.br/ccivil_03/_ato20112014/2012/lei/l12760.htm
Brasil. (2016). Presidência da República. Secretaria-Geral. Subchefia para Assuntos Jurídicos. Lei n. 13.281, de 04 de maio de 2016. http://www.planalto.gov.br/ccivil_03/_ato2015-2018/2016/lei/l13281.htm
Brasil. (2017). Ministério da Saúde. Projeto Vida no Trânsito. http://www.saude.gov.br/saude-de-a-z/acidentes-e-violencias/41896-projeto-vida-no-transito
Castro, M. S. M., Vieira, V. A., & Assunção, R. M. (2004). Padrões espaço-temporais da mortalidade por câncer de pulmão no sul do Brasil. Rev Bras Epidemiol, 7(2), 131-143.
Confederação Nacional do Transporte (CNT). (2018). Acidentes rodoviários e infraestrutura. http://repositorio.itl.org.br/jspui/handle/123456789/170
Curitiba. (2010). Prefeitura Municipal. Secretaria Municipal de Saúde. Programa Vida no Trânsito. https://mid-transito.curitiba.pr.gov.br/2019/6/pdf/00000759.pdf
Das, A., Gjerde, H., Gopalan, S. S., & Normann, P. T. (2012). Alcohol, drugs, and road traffic crashes in India: a systematic review. Traffic Inj Prev, 13(6), 544-553.
Fell, J. C., & Voas, R. B. (2014). The effectiveness of a 0.05 blood alcohol concentration (BAC) limit for driving in the United States. Addiction, 109(6), 869-874.
Ferris, J., Killian, J., & Lloyd, B. (2017). Alcohol-related serious road traffic injuries between 2000 and 2010: A new perspective to deal with administrative data in Australia. Int J Drug Policy, 43, 104-112.
García-Echalar, A., & Rau, T. (2020). The effects of increasing penalties in drunk driving laws-evidence from Chile. Int J Environ Res Public Health, 17(21), 8103.
GBD 2015 Disease and Injury Incidence and Prevalence Collaborators. (2016). Global, regional, and national incidence, prevalence, and years lived with disability for 310 diseases and injuries, 1990-2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet, 388(10053), 1545-1602.
Haghpanahan, H., Lewsey, J., Mackay, D.F., McIntosh, E., Pell, J., Jones, A., Fitzgerald, N., & Robinson, M. (2019). An evaluation of the effects of lowering blood alcohol concentration limits for drivers on the rates of road traffic accidents and alcohol consumption: a natural experiment. Lancet, 393(10169), 321-329.
India State-Level Disease Burden Initiative Road Injury Collaborators, 2020. Mortality due to road injuries in the states of India: the Global Burden of Disease Study 1990-2017. Lancet Public Health, 5(2), e86-e98.
Instituto Brasileiro de Geografia e Estatística (IBGE) (2010). Censo demográfico 2010. https://censo2010.ibge.gov.br/
Instituto Brasileiro de Geografia e Estatística (IBGE). (2017). Cidades. https://cidades.ibge.gov.br/pesquisas
Instituto de Pesquisa Econômica Aplicada (IPEA). (2015). Estimativa dos custos dos acidentes de trânsito no Brasil com base na atualização simplificada das pesquisas anteriores do Ipea: relatório de pesquisa. http://repositorio.ipea.gov.br/bitstream/11058/7456/1/RP_Estimativa_2015.pdf
Ladeira, R. M., Malta, D. C., Morais Neto, O. L., Montenegro, M. M. S., Soares Filho, A. M., Vasconcelos, C. H., Mooney, M., & Naghavi, M. (2017). Acidentes de transporte terrestre: estudo Carga Global de Doenças, Brasil e unidades federadas, 1990 e 2015. Rev Bras Epidemiol, 20(Suppl 1), 157-170.
Malta, D. C., Berna, R. T. I., Silva, M. M. A., Claro, R. M., Silva Júnior, J. B., & Reis, A. S. C. (2014). Consumo de bebidas alcoólicas e direção de veículos, balanço da lei seca, Brasil 2007 a 2013. Rev Saúde Pública, 48(4), 692-696.
Martínez, P., Contreras, D., & Moreno, M. (2020). Safe mobility, socioeconomic inequalities, and aging: A 12-year multilevel interrupted time-series analysis of road traffic death rates in a Latin American country. PLoS One, 15(1), e0224545.
Mohan, D. (2008). Road traffic injuries: a stocktaking. Best Pract Res Clin Rheumatol, 22(4), 725-739.
Morais Neto, O. L., Montenegro, M. M. S., Monteiro, R. A., Siqueira Júnior, J. B. Silva, M. M. A., Lima, C. M. et al., 2012. Mortalidade por acidentes de transporte terrestre no Brasil na última década: tendência e aglomerados de risco. Ciênc Saúde Coletiva, 17(9), 2223-2236.
Morais Neto, O. L., Silva, M. A. A., Lima, C. M., Malta, D. C., & Silva Jr, J. B. (2013). Projeto Vida no Trânsito: avaliação das ações em cinco capitais brasileiras, 2011-2012. Epidemiol Serv Saúde, 22(3), 373-382.
Nagata, T., Setoguchi, S., Hemenway, D., & Perry. M. J. (2008). Effectiveness of a law to reduce alcohol-impaired driving in Japan. Inj Prev, 14(1), 19-23.
Nantulya, V. M., & Reich, M. R. (2002). The neglected epidemic: road traffic injuries in developing countries. BMJ, 324(7346), 1139-1141.
Nantulya, V. M., & Reich, M. R. (2003). Equity dimensions of road traffic injuries in low- and middle-income countries. Inj Control Saf Promot, 10(1-2), 13-20.
Nistal-Nuño, B. (2017). Impact of a new law to reduce the legal blood alcohol concentration limit - A Poisson regression analysis and descriptive approach. J Res Health Sci, 17(1), e00374.
Paraná. (2006). Instituto Paranaense de Desenvolvimento Econômico e Social. Os vários paranás: identificação de espacialidades socioeconomicoinstitucionais como subsídio a políticas de desenvolvimento regional. IPARDES.
Paraná. (2019). Secretaria de Saúde. Projeto Vida no Trânsito. http://www.saude.pr.gov.br/modules/conteudo/conteudo.php?conteudo=3421
Pereira, M. G. (2008). Epidemiologia: teoria e prática. Guanabara Koogan.
Riebler, A., Sørbye, S. H., Simpson, D., & Rue, H. (2016). An intuitive Bayesian spatial model for disease mapping that accounts for scaling. Stat Methods Med Res, 25(4), 1145-1165.
Rolison, J. J., Regev, S., Moutari, S., & Feeney, A. (2018). What are the factors that contribute to road accidents? An assessment of law enforcement views, ordinary drivers' opinions, and road accident records. Accid Anal Prev, 115, 11-24.
Rue, H., Martino, S., & Chopin, N. (2009). Approximate bayesian inference for latent gaussian models using integrated nested laplace approximations (with discussion). J R Stat Soc, 71(2), 319-392.
Simpson, D., Rue H., Riebler, A., Martins, T. G., & Sørbye, S. H. (2017). Penalising model component complexity: a principled, practical approach to constructing priors. Statist Sci, 32(1), 1-28.
Sun, L. L., Liu, D., Chen, T., & He, M. T. (2019). Road traffic safety: An analysis of the cross-effects of economic, road and population factors. Chin J Traumatol, 22(5), 290-295.
UN Road Safety Collaboration, 2020. Global Plan for the Decade of Action for Road Safety 2011-2020. https://www.who.int/roadsafety/decade_of_action/plan/plan_english.pdf?ua=1
Valen, A., Bogstrand, S. T., Vindenes, V., Frost, J., Larsson, M., Holtan, A., & Gjerde, H. (2019). Driver-related risk factors of fatal road traffic crashes associated with alcohol or drug impairment. Accid Anal Prev, 131, 191-199.
Wijnen, W., & Stipdonk, H. (2016). Social costs of road crashes: An international analysis. Accid Anal Prev, 94, 97-106.
World Health Organization (WHO). (2016). International Statistical Classification of Diseases and Related Health Problems 10th Revision. Version 2016. https://icd.who.int/browse10/2016/en
World Health Organization (WHO). (2018). Management of noncommunicable diseases, disability, violence and injury prevention. Road safety reporty 2018 global status report on road safety. https://www.who.int/violence_injury_prevention/road_safety_status/2018/
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Copyright (c) 2021 Claudia Schneck; Elias Teixeira Krainski; Carlos Eduardo da Rocha Omoto; Daniel Grabasky Accioly; Faissal Nemer Hajar; Vitor Cassal da Cunha; Vitor Machado Guimbala; Marilisa Carneiro Leão Gabardo; Solena Ziemer Kusma
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