Adolescent transport and unintentional injuries: a systematic analysis using the Global Burden of Disease Study 2019

GBD 2019 Adolescent Transport and Unintentional Injuries Collaborators; Amy E. Peden; Patricia Cullen; Kate Louise Francis; Holger Moeller; Margaret M. Peden; Pengpeng Ye; Maoyi Tian; Zhiyong Zou; Susan M. Sawyer; Amirali Aali; Zeinab Abbasi-Kangevari; Mohsen Abbasi-Kangevari; Michael Abdelmasseh; Meriem Abdoun; Rami Abd-Rabu; Deldar Morad Abdulah; Getachew Abebe; Ayele Mamo Abebe; Aidin Abedi; Hassan Abidi; Richard Gyan Aboagye; Hiwa Abubaker Ali; Eman Abu-Gharbieh; Denberu Eshetie Adane; Tigist Demssew Adane; Isaac Yeboah Addo; Ololade Grace Adewole; Sangeet Adhikari; Mohammad Adnan; Qorinah Estiningtyas Sakilah Adnani; Aanuoluwapo Adeyimika Bachelor Afolabi; Saira Afzal; Muhammad Sohail Afzal; Zahra Babaei Aghdam; Bright Opoku Ahinkorah; Araz Ramazan Ahmad; Tauseef Ahmad; Sajjad Ahmad; Ali Ahmadi; Haroon Ahmed; Muktar Beshir Ahmed; Ali Ahmed; Ayman Ahmed; Jivan Qasim Ahmed; Tarik Ahmed Rashid; Janardhana P. Aithala; Budi Aji; Meisam Akhlaghdoust; Fares Alahdab; Fahad Mashhour Alanezi; Astawus Alemayehu; Hanadi Al Hamad; Syed Shujait Ali; Liaqat Ali; Yousef Alimohamadi; Vahid Alipour; Syed Mohamed Aljunid; Louay Almidani; Sami Almustanyir; Khalid A. Altirkawi; Nelson J. Alvis-Zakzuk; Edward Kwabena Ameyaw; Tarek Tawfik Amin; Mehrdad Amir-Behghadami; Sohrab Amiri; Hoda Amiri; Tadele Fentabil Anagaw; Tudorel Andrei; Catalina Liliana Andrei; Davood Anvari; Sumadi Lukman Anwar; Anayochukwu Edward Anyasodor; Jalal Arabloo; Morteza Arab-Zozani; Asrat Arja; Judie Arulappan; Ashokan Arumugam; Armin Aryannejad; Saeed Asgary; Tahira Ashraf; Seyyed Shamsadin Athari; Alok Atreya; Sameh Attia; Avinash Aujayeb; Atalel Fentahun Awedew; Sina Azadnajafabad; Mohammadreza Azangou-Khyavy; Samad Azari; Amirhossein Azari Jafari; Hosein Azizi; Ahmed Y. Azzam; Ashish D. Badiye; Nayereh Baghcheghi; Sara Bagherieh; Atif Amin Baig; Shankar M. Bakkannavar; Asaminew Birhanu Balta; Maciej Banach; Palash Chandra Banik; Hansi Bansal; Mainak Bardhan; Francesco Barone-Adesi; Amadou Barrow; Azadeh Bashiri; Pritish Baskaran; Saurav Basu; Nebiyou Simegnew Bayileyegn; Abebe Ayalew Bekel; Alehegn Bekele Bekele; Salaheddine Bendak; Isabela M. Bensenor; Alemshet Yirga Berhie; Devidas S. Bhagat; Akshaya Srikanth Bhagavathula; Pankaj Bhardwaj; Nikha Bhardwaj; Sonu Bhaskar; Ajay Nagesh Bhat; Krittika Bhattacharyya; Zulfiqar A. Bhutta; Sadia Bibi; Bagas Suryo Bintoro; Saeid Bitaraf; Belay Boda Abule Bodicha; Archith Boloor; Souad Bouaoud; Julie Brown; Katrin Burkart; Nadeem Shafique Butt; Muhammad Hammad Butt; Luis Alberto Cámera; Julio Cesar Campuzano Rincon; Chao Cao; Andre F. Carvalho; Márcia Carvalho; Promit Ananyo Chakraborty; Eeshwar K. Chandrasekar; Jung Chen Chang; Periklis Charalampous; Jaykaran Charan; Vijay Kumar Chattu; Bitew Mekonnen Chekole; Abdulaal Chitheer; Daniel Youngwhan Cho; Hitesh Chopra; Devasahayam J. Christopher; Isaac Sunday Chukwu; Natália Cruz-Martins; Omid Dadras; Saad M.A. Dahlawi; Xiaochen Dai; Giovanni Damiani; Gary L. Darmstadt; Reza Darvishi Cheshmeh Soltani; Aso Mohammad Darwesh; Saswati Das; Anna Dastiridou; Sisay Abebe Debela; Amin Dehghan; Getnet Makasha Demeke; Andreas K. Demetriades; Solomon Demissie; Fikadu Nugusu Dessalegn; Abebaw Alemayehu Desta; Mostafa Dianatinasab; Nancy Diao; Diana Dias da Silva; Daniel Diaz; Lankamo Ena Digesa; Mengistie Diress; Shirin Djalalinia; Linh Phuong Doan; Milad Dodangeh; Paul Narh Doku; Deepa Dongarwar; Haneil Larson Dsouza; Ebrahim Eini; Michael Ekholuenetale; Temitope Cyrus Ekundayo; Ahmed Elabbas Mustafa Elagali; Mostafa Ahmed Elbahnasawy; Hala Rashad Elhabashy; Muhammed Elhadi; Maysaa El Sayed Zaki; Daniel Berhanie Enyew; Ryenchindorj Erkhembayar; Sharareh Eskandarieh; Farshid Etaee; Adeniyi Francis Fagbamigbe; Pawan Sirwan Faris; Abbas Farmany; Andre Faro; Farshad Farzadfar; Ali Fatehizadeh; Seyed Mohammad Fereshtehnejad; Abdullah Hamid Feroze; Getahun Fetensa; Bikila Regassa Feyisa; Irina Filip; Florian Fischer; Behzad Foroutan; Masoud Foroutan; Kayode Raphael Fowobaje; Richard Charles Franklin; Takeshi Fukumoto; Peter Andras Gaal; Muktar A. Gadanya; Yaseen Galali; Nasrin Galehdar; Balasankar Ganesan; Tushar Garg; Mesfin Gebrehiwot Damtew Gebrehiwot; Yosef Haile Gebremariam; Yibeltal Yismaw Gela; Urge Gerema; Mansour Ghafourifard; Seyyed Hadi Ghamari; Reza Ghanbari; Mohammad Ghasemi Nour; Maryam Gholamalizadeh; Ali Gholami; Ali Gholamrezanezhad; Sherief Ghozy; Syed Amir Gilani; Tiffany K. Gill; Iago Giné-Vázquez; Zeleke Abate Girma; James C. Glasbey; Franklin N. Glozah; Mahaveer Golechha; Pouya Goleij; Michal Grivna; Habtamu Alganeh Guadie; Damitha Asanga Gunawardane; Yuming Guo; Veer Bala Gupta; Sapna Gupta; Bhawna Gupta; Vivek Kumar Gupta; Arvin Haj-Mirzaian; Rabih Halwani; Randah R. Hamadeh; Sajid Hameed; Asif Hanif; Arief Hargono; Netanja I. Harlianto; Mehdi Harorani; Ahmed I. Hasaballah; S. M.Mahmudul Hasan; Amr Hassan; Jing Sun

doi:10.1016/S2468-2667(22)00134-7

Adolescent transport and unintentional injuries: a systematic analysis using the Global Burden of Disease Study 2019

GBD 2019 Adolescent Transport and Unintentional Injuries Collaborators, Amy E. Peden, Patricia Cullen, Kate Louise Francis, Holger Moeller, Margaret M. Peden, Pengpeng Ye, Maoyi Tian, Zhiyong Zou, Susan M. Sawyer, Amirali Aali, Zeinab Abbasi-Kangevari, Mohsen Abbasi-Kangevari, Michael Abdelmasseh, Meriem Abdoun, Rami Abd-Rabu, Deldar Morad Abdulah, Getachew Abebe, Ayele Mamo Abebe, Aidin AbediHassan Abidi, Richard Gyan Aboagye, Hiwa Abubaker Ali, Eman Abu-Gharbieh, Denberu Eshetie Adane, Tigist Demssew Adane, Isaac Yeboah Addo, Ololade Grace Adewole, Sangeet Adhikari, Mohammad Adnan, Qorinah Estiningtyas Sakilah Adnani, Aanuoluwapo Adeyimika Bachelor Afolabi, Saira Afzal, Muhammad Sohail Afzal, Zahra Babaei Aghdam, Bright Opoku Ahinkorah, Araz Ramazan Ahmad, Tauseef Ahmad, Sajjad Ahmad, Ali Ahmadi, Haroon Ahmed, Muktar Beshir Ahmed, Ali Ahmed, Ayman Ahmed, Jivan Qasim Ahmed, Tarik Ahmed Rashid, Janardhana P. Aithala, Budi Aji, Meisam Akhlaghdoust, Fares Alahdab, Fahad Mashhour Alanezi, Astawus Alemayehu, Hanadi Al Hamad, Syed Shujait Ali, Liaqat Ali, Yousef Alimohamadi, Vahid Alipour, Syed Mohamed Aljunid, Louay Almidani, Sami Almustanyir, Khalid A. Altirkawi, Nelson J. Alvis-Zakzuk, Edward Kwabena Ameyaw, Tarek Tawfik Amin, Mehrdad Amir-Behghadami, Sohrab Amiri, Hoda Amiri, Tadele Fentabil Anagaw, Tudorel Andrei, Catalina Liliana Andrei, Davood Anvari, Sumadi Lukman Anwar, Anayochukwu Edward Anyasodor, Jalal Arabloo, Morteza Arab-Zozani, Asrat Arja, Judie Arulappan, Ashokan Arumugam, Armin Aryannejad, Saeed Asgary, Tahira Ashraf, Seyyed Shamsadin Athari, Alok Atreya, Sameh Attia, Avinash Aujayeb, Atalel Fentahun Awedew, Sina Azadnajafabad, Mohammadreza Azangou-Khyavy, Samad Azari, Amirhossein Azari Jafari, Hosein Azizi, Ahmed Y. Azzam, Ashish D. Badiye, Nayereh Baghcheghi, Sara Bagherieh, Atif Amin Baig, Shankar M. Bakkannavar, Asaminew Birhanu Balta, Maciej Banach, Palash Chandra Banik, Hansi Bansal, Mainak Bardhan, Francesco Barone-Adesi, Amadou Barrow, Azadeh Bashiri, Pritish Baskaran, Saurav Basu, Nebiyou Simegnew Bayileyegn, Abebe Ayalew Bekel, Alehegn Bekele Bekele, Salaheddine Bendak, Isabela M. Bensenor, Alemshet Yirga Berhie, Devidas S. Bhagat, Akshaya Srikanth Bhagavathula, Pankaj Bhardwaj, Nikha Bhardwaj, Sonu Bhaskar, Ajay Nagesh Bhat, Krittika Bhattacharyya, Zulfiqar A. Bhutta, Sadia Bibi, Bagas Suryo Bintoro, Saeid Bitaraf, Belay Boda Abule Bodicha, Archith Boloor, Souad Bouaoud, Julie Brown, Katrin Burkart, Nadeem Shafique Butt, Muhammad Hammad Butt, Luis Alberto Cámera, Julio Cesar Campuzano Rincon, Chao Cao, Andre F. Carvalho, Márcia Carvalho, Promit Ananyo Chakraborty, Eeshwar K. Chandrasekar, Jung Chen Chang, Periklis Charalampous, Jaykaran Charan, Vijay Kumar Chattu, Bitew Mekonnen Chekole, Abdulaal Chitheer, Daniel Youngwhan Cho, Hitesh Chopra, Devasahayam J. Christopher, Isaac Sunday Chukwu, Natália Cruz-Martins, Omid Dadras, Saad M.A. Dahlawi, Xiaochen Dai, Giovanni Damiani, Gary L. Darmstadt, Reza Darvishi Cheshmeh Soltani, Aso Mohammad Darwesh, Saswati Das, Anna Dastiridou, Sisay Abebe Debela, Amin Dehghan, Getnet Makasha Demeke, Andreas K. Demetriades, Solomon Demissie, Fikadu Nugusu Dessalegn, Abebaw Alemayehu Desta, Mostafa Dianatinasab, Nancy Diao, Diana Dias da Silva, Daniel Diaz, Lankamo Ena Digesa, Mengistie Diress, Shirin Djalalinia, Linh Phuong Doan, Milad Dodangeh, Paul Narh Doku, Deepa Dongarwar, Haneil Larson Dsouza, Ebrahim Eini, Michael Ekholuenetale, Temitope Cyrus Ekundayo, Ahmed Elabbas Mustafa Elagali, Mostafa Ahmed Elbahnasawy, Hala Rashad Elhabashy, Muhammed Elhadi, Maysaa El Sayed Zaki, Daniel Berhanie Enyew, Ryenchindorj Erkhembayar, Sharareh Eskandarieh, Farshid Etaee, Adeniyi Francis Fagbamigbe, Pawan Sirwan Faris, Abbas Farmany, Andre Faro, Farshad Farzadfar, Ali Fatehizadeh, Seyed Mohammad Fereshtehnejad, Abdullah Hamid Feroze, Getahun Fetensa, Bikila Regassa Feyisa, Irina Filip, Florian Fischer, Behzad Foroutan, Masoud Foroutan, Kayode Raphael Fowobaje, Richard Charles Franklin, Takeshi Fukumoto, Peter Andras Gaal, Muktar A. Gadanya, Yaseen Galali, Nasrin Galehdar, Balasankar Ganesan, Tushar Garg, Mesfin Gebrehiwot Damtew Gebrehiwot, Yosef Haile Gebremariam, Yibeltal Yismaw Gela, Urge Gerema, Mansour Ghafourifard, Seyyed Hadi Ghamari, Reza Ghanbari, Mohammad Ghasemi Nour, Maryam Gholamalizadeh, Ali Gholami, Ali Gholamrezanezhad, Sherief Ghozy, Syed Amir Gilani, Tiffany K. Gill, Iago Giné-Vázquez, Zeleke Abate Girma, James C. Glasbey, Franklin N. Glozah, Mahaveer Golechha, Pouya Goleij, Michal Grivna, Habtamu Alganeh Guadie, Damitha Asanga Gunawardane, Yuming Guo, Veer Bala Gupta, Sapna Gupta, Bhawna Gupta, Vivek Kumar Gupta, Arvin Haj-Mirzaian, Rabih Halwani, Randah R. Hamadeh, Sajid Hameed, Asif Hanif, Arief Hargono, Netanja I. Harlianto, Mehdi Harorani, Ahmed I. Hasaballah, S. M.Mahmudul Hasan, Amr Hassan, Jing Sun

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Abstract

Background: Globally, transport and unintentional injuries persist as leading preventable causes of mortality and morbidity for adolescents. We sought to report comprehensive trends in injury-related mortality and morbidity for adolescents aged 10–24 years during the past three decades. Methods: Using the Global Burden of Disease, Injuries, and Risk Factors 2019 Study, we analysed mortality and disability-adjusted life-years (DALYs) attributed to transport and unintentional injuries for adolescents in 204 countries. Burden is reported in absolute numbers and age-standardised rates per 100 000 population by sex, age group (10–14, 15–19, and 20–24 years), and sociodemographic index (SDI) with 95% uncertainty intervals (UIs). We report percentage changes in deaths and DALYs between 1990 and 2019. Findings: In 2019, 369 061 deaths (of which 214 337 [58%] were transport related) and 31·1 million DALYs (of which 16·2 million [52%] were transport related) among adolescents aged 10–24 years were caused by transport and unintentional injuries combined. If compared with other causes, transport and unintentional injuries combined accounted for 25% of deaths and 14% of DALYs in 2019, and showed little improvement from 1990 when such injuries accounted for 26% of adolescent deaths and 17% of adolescent DALYs. Throughout adolescence, transport and unintentional injury fatality rates increased by age group. The unintentional injury burden was higher among males than females for all injury types, except for injuries related to fire, heat, and hot substances, or to adverse effects of medical treatment. From 1990 to 2019, global mortality rates declined by 34·4% (from 17·5 to 11·5 per 100 000) for transport injuries, and by 47·7% (from 15·9 to 8·3 per 100 000) for unintentional injuries. However, in low-SDI nations the absolute number of deaths increased (by 80·5% to 42 774 for transport injuries and by 39·4% to 31 961 for unintentional injuries). In the high-SDI quintile in 2010–19, the rate per 100 000 of transport injury DALYs was reduced by 16·7%, from 838 in 2010 to 699 in 2019. This was a substantially slower pace of reduction compared with the 48·5% reduction between 1990 and 2010, from 1626 per 100 000 in 1990 to 838 per 100 000 in 2010. Between 2010 and 2019, the rate of unintentional injury DALYs per 100 000 also remained largely unchanged in high-SDI countries (555 in 2010 vs 554 in 2019; 0·2% reduction). The number and rate of adolescent deaths and DALYs owing to environmental heat and cold exposure increased for the high-SDI quintile during 2010–19. Interpretation: As other causes of mortality are addressed, inadequate progress in reducing transport and unintentional injury mortality as a proportion of adolescent deaths becomes apparent. The relative shift in the burden of injury from high-SDI countries to low and low–middle-SDI countries necessitates focused action, including global donor, government, and industry investment in injury prevention. The persisting burden of DALYs related to transport and unintentional injuries indicates a need to prioritise innovative measures for the primary prevention of adolescent injury. Funding: Bill & Melinda Gates Foundation.

Original language	English
Pages (from-to)	e657-e669
Number of pages	13
Journal	The Lancet Public Health
Volume	7
Issue number	8
DOIs	https://doi.org/10.1016/S2468-2667(22)00134-7
Publication status	Published - Aug 2022

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10.1016/S2468-2667(22)00134-7

325443562 Published articleFinal published version, 4.68 MBLicence: CC BY

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GBD 2019 Adolescent Transport and Unintentional Injuries Collaborators, Peden, A. E., Cullen, P., Francis, K. L., Moeller, H., Peden, M. M., Ye, P., Tian, M., Zou, Z., Sawyer, S. M., Aali, A., Abbasi-Kangevari, Z., Abbasi-Kangevari, M., Abdelmasseh, M., Abdoun, M., Abd-Rabu, R., Abdulah, D. M., Abebe, G., Abebe, A. M., ... Sun, J. (2022). Adolescent transport and unintentional injuries: a systematic analysis using the Global Burden of Disease Study 2019. The Lancet Public Health, 7(8), e657-e669. https://doi.org/10.1016/S2468-2667(22)00134-7

@article{6704e1b40cb14325b77b0f8dc12b5336,

title = "Adolescent transport and unintentional injuries: a systematic analysis using the Global Burden of Disease Study 2019",

abstract = "Background: Globally, transport and unintentional injuries persist as leading preventable causes of mortality and morbidity for adolescents. We sought to report comprehensive trends in injury-related mortality and morbidity for adolescents aged 10–24 years during the past three decades. Methods: Using the Global Burden of Disease, Injuries, and Risk Factors 2019 Study, we analysed mortality and disability-adjusted life-years (DALYs) attributed to transport and unintentional injuries for adolescents in 204 countries. Burden is reported in absolute numbers and age-standardised rates per 100 000 population by sex, age group (10–14, 15–19, and 20–24 years), and sociodemographic index (SDI) with 95% uncertainty intervals (UIs). We report percentage changes in deaths and DALYs between 1990 and 2019. Findings: In 2019, 369 061 deaths (of which 214 337 [58%] were transport related) and 31·1 million DALYs (of which 16·2 million [52%] were transport related) among adolescents aged 10–24 years were caused by transport and unintentional injuries combined. If compared with other causes, transport and unintentional injuries combined accounted for 25% of deaths and 14% of DALYs in 2019, and showed little improvement from 1990 when such injuries accounted for 26% of adolescent deaths and 17% of adolescent DALYs. Throughout adolescence, transport and unintentional injury fatality rates increased by age group. The unintentional injury burden was higher among males than females for all injury types, except for injuries related to fire, heat, and hot substances, or to adverse effects of medical treatment. From 1990 to 2019, global mortality rates declined by 34·4% (from 17·5 to 11·5 per 100 000) for transport injuries, and by 47·7% (from 15·9 to 8·3 per 100 000) for unintentional injuries. However, in low-SDI nations the absolute number of deaths increased (by 80·5% to 42 774 for transport injuries and by 39·4% to 31 961 for unintentional injuries). In the high-SDI quintile in 2010–19, the rate per 100 000 of transport injury DALYs was reduced by 16·7%, from 838 in 2010 to 699 in 2019. This was a substantially slower pace of reduction compared with the 48·5% reduction between 1990 and 2010, from 1626 per 100 000 in 1990 to 838 per 100 000 in 2010. Between 2010 and 2019, the rate of unintentional injury DALYs per 100 000 also remained largely unchanged in high-SDI countries (555 in 2010 vs 554 in 2019; 0·2% reduction). The number and rate of adolescent deaths and DALYs owing to environmental heat and cold exposure increased for the high-SDI quintile during 2010–19. Interpretation: As other causes of mortality are addressed, inadequate progress in reducing transport and unintentional injury mortality as a proportion of adolescent deaths becomes apparent. The relative shift in the burden of injury from high-SDI countries to low and low–middle-SDI countries necessitates focused action, including global donor, government, and industry investment in injury prevention. The persisting burden of DALYs related to transport and unintentional injuries indicates a need to prioritise innovative measures for the primary prevention of adolescent injury. Funding: Bill & Melinda Gates Foundation.",

author = "{GBD 2019 Adolescent Transport and Unintentional Injuries Collaborators} and Peden, {Amy E.} and Patricia Cullen and Francis, {Kate Louise} and Holger Moeller and Peden, {Margaret M.} and Pengpeng Ye and Maoyi Tian and Zhiyong Zou and Sawyer, {Susan M.} and Amirali Aali and Zeinab Abbasi-Kangevari and Mohsen Abbasi-Kangevari and Michael Abdelmasseh and Meriem Abdoun and Rami Abd-Rabu and Abdulah, {Deldar Morad} and Getachew Abebe and Abebe, {Ayele Mamo} and Aidin Abedi and Hassan Abidi and Aboagye, {Richard Gyan} and {Abubaker Ali}, Hiwa and Eman Abu-Gharbieh and Adane, {Denberu Eshetie} and Adane, {Tigist Demssew} and Addo, {Isaac Yeboah} and Adewole, {Ololade Grace} and Sangeet Adhikari and Mohammad Adnan and Adnani, {Qorinah Estiningtyas Sakilah} and Afolabi, {Aanuoluwapo Adeyimika Bachelor} and Saira Afzal and Afzal, {Muhammad Sohail} and Aghdam, {Zahra Babaei} and Ahinkorah, {Bright Opoku} and Ahmad, {Araz Ramazan} and Tauseef Ahmad and Sajjad Ahmad and Ali Ahmadi and Haroon Ahmed and Ahmed, {Muktar Beshir} and Ali Ahmed and Ayman Ahmed and Ahmed, {Jivan Qasim} and {Ahmed Rashid}, Tarik and Aithala, {Janardhana P.} and Budi Aji and Meisam Akhlaghdoust and Fares Alahdab and Alanezi, {Fahad Mashhour} and Astawus Alemayehu and {Al Hamad}, Hanadi and Ali, {Syed Shujait} and Liaqat Ali and Yousef Alimohamadi and Vahid Alipour and Aljunid, {Syed Mohamed} and Louay Almidani and Sami Almustanyir and Altirkawi, {Khalid A.} and Alvis-Zakzuk, {Nelson J.} and Ameyaw, {Edward Kwabena} and Amin, {Tarek Tawfik} and Mehrdad Amir-Behghadami and Sohrab Amiri and Hoda Amiri and Anagaw, {Tadele Fentabil} and Tudorel Andrei and Andrei, {Catalina Liliana} and Davood Anvari and Anwar, {Sumadi Lukman} and Anyasodor, {Anayochukwu Edward} and Jalal Arabloo and Morteza Arab-Zozani and Asrat Arja and Judie Arulappan and Ashokan Arumugam and Armin Aryannejad and Saeed Asgary and Tahira Ashraf and Athari, {Seyyed Shamsadin} and Alok Atreya and Sameh Attia and Avinash Aujayeb and Awedew, {Atalel Fentahun} and Sina Azadnajafabad and Mohammadreza Azangou-Khyavy and Samad Azari and {Azari Jafari}, Amirhossein and Hosein Azizi and Azzam, {Ahmed Y.} and Badiye, {Ashish D.} and Nayereh Baghcheghi and Sara Bagherieh and Baig, {Atif Amin} and Bakkannavar, {Shankar M.} and Balta, {Asaminew Birhanu} and Maciej Banach and Banik, {Palash Chandra} and Hansi Bansal and Mainak Bardhan and Francesco Barone-Adesi and Amadou Barrow and Azadeh Bashiri and Pritish Baskaran and Saurav Basu and Bayileyegn, {Nebiyou Simegnew} and Bekel, {Abebe Ayalew} and Bekele, {Alehegn Bekele} and Salaheddine Bendak and Bensenor, {Isabela M.} and Berhie, {Alemshet Yirga} and Bhagat, {Devidas S.} and Bhagavathula, {Akshaya Srikanth} and Pankaj Bhardwaj and Nikha Bhardwaj and Sonu Bhaskar and Bhat, {Ajay Nagesh} and Krittika Bhattacharyya and Bhutta, {Zulfiqar A.} and Sadia Bibi and Bintoro, {Bagas Suryo} and Saeid Bitaraf and Bodicha, {Belay Boda Abule} and Archith Boloor and Souad Bouaoud and Julie Brown and Katrin Burkart and Butt, {Nadeem Shafique} and Butt, {Muhammad Hammad} and C{\'a}mera, {Luis Alberto} and {Campuzano Rincon}, {Julio Cesar} and Chao Cao and Carvalho, {Andre F.} and M{\'a}rcia Carvalho and Chakraborty, {Promit Ananyo} and Chandrasekar, {Eeshwar K.} and Chang, {Jung Chen} and Periklis Charalampous and Jaykaran Charan and Chattu, {Vijay Kumar} and Chekole, {Bitew Mekonnen} and Abdulaal Chitheer and Cho, {Daniel Youngwhan} and Hitesh Chopra and Christopher, {Devasahayam J.} and Chukwu, {Isaac Sunday} and Nat{\'a}lia Cruz-Martins and Omid Dadras and Dahlawi, {Saad M.A.} and Xiaochen Dai and Giovanni Damiani and Darmstadt, {Gary L.} and {Darvishi Cheshmeh Soltani}, Reza and Darwesh, {Aso Mohammad} and Saswati Das and Anna Dastiridou and Debela, {Sisay Abebe} and Amin Dehghan and Demeke, {Getnet Makasha} and Demetriades, {Andreas K.} and Solomon Demissie and Dessalegn, {Fikadu Nugusu} and Desta, {Abebaw Alemayehu} and Mostafa Dianatinasab and Nancy Diao and {Dias da Silva}, Diana and Daniel Diaz and Digesa, {Lankamo Ena} and Mengistie Diress and Shirin Djalalinia and Doan, {Linh Phuong} and Milad Dodangeh and Doku, {Paul Narh} and Deepa Dongarwar and Dsouza, {Haneil Larson} and Ebrahim Eini and Michael Ekholuenetale and Ekundayo, {Temitope Cyrus} and Elagali, {Ahmed Elabbas Mustafa} and Elbahnasawy, {Mostafa Ahmed} and Elhabashy, {Hala Rashad} and Muhammed Elhadi and {El Sayed Zaki}, Maysaa and Enyew, {Daniel Berhanie} and Ryenchindorj Erkhembayar and Sharareh Eskandarieh and Farshid Etaee and Fagbamigbe, {Adeniyi Francis} and Faris, {Pawan Sirwan} and Abbas Farmany and Andre Faro and Farshad Farzadfar and Ali Fatehizadeh and Fereshtehnejad, {Seyed Mohammad} and Feroze, {Abdullah Hamid} and Getahun Fetensa and Feyisa, {Bikila Regassa} and Irina Filip and Florian Fischer and Behzad Foroutan and Masoud Foroutan and Fowobaje, {Kayode Raphael} and Franklin, {Richard Charles} and Takeshi Fukumoto and Gaal, {Peter Andras} and Gadanya, {Muktar A.} and Yaseen Galali and Nasrin Galehdar and Balasankar Ganesan and Tushar Garg and Gebrehiwot, {Mesfin Gebrehiwot Damtew} and Gebremariam, {Yosef Haile} and Gela, {Yibeltal Yismaw} and Urge Gerema and Mansour Ghafourifard and Ghamari, {Seyyed Hadi} and Reza Ghanbari and {Ghasemi Nour}, Mohammad and Maryam Gholamalizadeh and Ali Gholami and Ali Gholamrezanezhad and Sherief Ghozy and Gilani, {Syed Amir} and Gill, {Tiffany K.} and Iago Gin{\'e}-V{\'a}zquez and Girma, {Zeleke Abate} and Glasbey, {James C.} and Glozah, {Franklin N.} and Mahaveer Golechha and Pouya Goleij and Michal Grivna and Guadie, {Habtamu Alganeh} and Gunawardane, {Damitha Asanga} and Yuming Guo and Gupta, {Veer Bala} and Sapna Gupta and Bhawna Gupta and Gupta, {Vivek Kumar} and Arvin Haj-Mirzaian and Rabih Halwani and Hamadeh, {Randah R.} and Sajid Hameed and Asif Hanif and Arief Hargono and Harlianto, {Netanja I.} and Mehdi Harorani and Hasaballah, {Ahmed I.} and Hasan, {S. M.Mahmudul} and Amr Hassan and Jing Sun",

note = "Publisher Copyright: {\textcopyright} 2022 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license",

year = "2022",

month = aug,

doi = "10.1016/S2468-2667(22)00134-7",

language = "English",

volume = "7",

pages = "e657--e669",

journal = "The Lancet Public Health",

issn = "2468-2667",

publisher = "Elsevier",

number = "8",

}

GBD 2019 Adolescent Transport and Unintentional Injuries Collaborators, Peden, AE, Cullen, P, Francis, KL, Moeller, H, Peden, MM, Ye, P, Tian, M, Zou, Z, Sawyer, SM, Aali, A, Abbasi-Kangevari, Z, Abbasi-Kangevari, M, Abdelmasseh, M, Abdoun, M, Abd-Rabu, R, Abdulah, DM, Abebe, G, Abebe, AM, Abedi, A, Abidi, H, Aboagye, RG, Abubaker Ali, H, Abu-Gharbieh, E, Adane, DE, Adane, TD, Addo, IY, Adewole, OG, Adhikari, S, Adnan, M, Adnani, QES, Afolabi, AAB, Afzal, S, Afzal, MS, Aghdam, ZB, Ahinkorah, BO, Ahmad, AR, Ahmad, T, Ahmad, S, Ahmadi, A, Ahmed, H, Ahmed, MB, Ahmed, A, Ahmed, A, Ahmed, JQ, Ahmed Rashid, T, Aithala, JP, Aji, B, Akhlaghdoust, M, Alahdab, F, Alanezi, FM, Alemayehu, A, Al Hamad, H, Ali, SS, Ali, L, Alimohamadi, Y, Alipour, V, Aljunid, SM, Almidani, L, Almustanyir, S, Altirkawi, KA, Alvis-Zakzuk, NJ, Ameyaw, EK, Amin, TT, Amir-Behghadami, M, Amiri, S, Amiri, H, Anagaw, TF, Andrei, T, Andrei, CL, Anvari, D, Anwar, SL, Anyasodor, AE, Arabloo, J, Arab-Zozani, M, Arja, A, Arulappan, J, Arumugam, A, Aryannejad, A, Asgary, S, Ashraf, T, Athari, SS, Atreya, A, Attia, S, Aujayeb, A, Awedew, AF, Azadnajafabad, S, Azangou-Khyavy, M, Azari, S, Azari Jafari, A, Azizi, H, Azzam, AY, Badiye, AD, Baghcheghi, N, Bagherieh, S, Baig, AA, Bakkannavar, SM, Balta, AB, Banach, M, Banik, PC, Bansal, H, Bardhan, M, Barone-Adesi, F, Barrow, A, Bashiri, A, Baskaran, P, Basu, S, Bayileyegn, NS, Bekel, AA, Bekele, AB, Bendak, S, Bensenor, IM, Berhie, AY, Bhagat, DS, Bhagavathula, AS, Bhardwaj, P, Bhardwaj, N, Bhaskar, S, Bhat, AN, Bhattacharyya, K, Bhutta, ZA, Bibi, S, Bintoro, BS, Bitaraf, S, Bodicha, BBA, Boloor, A, Bouaoud, S, Brown, J, Burkart, K, Butt, NS, Butt, MH, Cámera, LA, Campuzano Rincon, JC, Cao, C, Carvalho, AF, Carvalho, M, Chakraborty, PA, Chandrasekar, EK, Chang, JC, Charalampous, P, Charan, J, Chattu, VK, Chekole, BM, Chitheer, A, Cho, DY, Chopra, H, Christopher, DJ, Chukwu, IS, Cruz-Martins, N, Dadras, O, Dahlawi, SMA, Dai, X, Damiani, G, Darmstadt, GL, Darvishi Cheshmeh Soltani, R, Darwesh, AM, Das, S, Dastiridou, A, Debela, SA, Dehghan, A, Demeke, GM, Demetriades, AK, Demissie, S, Dessalegn, FN, Desta, AA, Dianatinasab, M, Diao, N, Dias da Silva, D, Diaz, D, Digesa, LE, Diress, M, Djalalinia, S, Doan, LP, Dodangeh, M, Doku, PN, Dongarwar, D, Dsouza, HL, Eini, E, Ekholuenetale, M, Ekundayo, TC, Elagali, AEM, Elbahnasawy, MA, Elhabashy, HR, Elhadi, M, El Sayed Zaki, M, Enyew, DB, Erkhembayar, R, Eskandarieh, S, Etaee, F, Fagbamigbe, AF, Faris, PS, Farmany, A, Faro, A, Farzadfar, F, Fatehizadeh, A, Fereshtehnejad, SM, Feroze, AH, Fetensa, G, Feyisa, BR, Filip, I, Fischer, F, Foroutan, B, Foroutan, M, Fowobaje, KR, Franklin, RC, Fukumoto, T, Gaal, PA, Gadanya, MA, Galali, Y, Galehdar, N, Ganesan, B, Garg, T, Gebrehiwot, MGD, Gebremariam, YH, Gela, YY, Gerema, U, Ghafourifard, M, Ghamari, SH, Ghanbari, R, Ghasemi Nour, M, Gholamalizadeh, M, Gholami, A, Gholamrezanezhad, A, Ghozy, S, Gilani, SA, Gill, TK, Giné-Vázquez, I, Girma, ZA, Glasbey, JC, Glozah, FN, Golechha, M, Goleij, P, Grivna, M, Guadie, HA, Gunawardane, DA, Guo, Y, Gupta, VB, Gupta, S, Gupta, B, Gupta, VK, Haj-Mirzaian, A, Halwani, R, Hamadeh, RR, Hameed, S, Hanif, A, Hargono, A, Harlianto, NI, Harorani, M, Hasaballah, AI, Hasan, SMM, Hassan, A & Sun, J 2022, 'Adolescent transport and unintentional injuries: a systematic analysis using the Global Burden of Disease Study 2019', The Lancet Public Health, vol. 7, no. 8, pp. e657-e669. https://doi.org/10.1016/S2468-2667(22)00134-7

TY - JOUR

T1 - Adolescent transport and unintentional injuries

T2 - a systematic analysis using the Global Burden of Disease Study 2019

AU - GBD 2019 Adolescent Transport and Unintentional Injuries Collaborators

AU - Peden, Amy E.

AU - Cullen, Patricia

AU - Francis, Kate Louise

AU - Moeller, Holger

AU - Peden, Margaret M.

AU - Ye, Pengpeng

AU - Tian, Maoyi

AU - Zou, Zhiyong

AU - Sawyer, Susan M.

AU - Aali, Amirali

AU - Abbasi-Kangevari, Zeinab

AU - Abbasi-Kangevari, Mohsen

AU - Abdelmasseh, Michael

AU - Abdoun, Meriem

AU - Abd-Rabu, Rami

AU - Abdulah, Deldar Morad

AU - Abebe, Getachew

AU - Abebe, Ayele Mamo

AU - Abedi, Aidin

AU - Abidi, Hassan

AU - Aboagye, Richard Gyan

AU - Abubaker Ali, Hiwa

AU - Abu-Gharbieh, Eman

AU - Adane, Denberu Eshetie

AU - Adane, Tigist Demssew

AU - Addo, Isaac Yeboah

AU - Adewole, Ololade Grace

AU - Adhikari, Sangeet

AU - Adnan, Mohammad

AU - Adnani, Qorinah Estiningtyas Sakilah

AU - Afolabi, Aanuoluwapo Adeyimika Bachelor

AU - Afzal, Saira

AU - Afzal, Muhammad Sohail

AU - Aghdam, Zahra Babaei

AU - Ahinkorah, Bright Opoku

AU - Ahmad, Araz Ramazan

AU - Ahmad, Tauseef

AU - Ahmad, Sajjad

AU - Ahmadi, Ali

AU - Ahmed, Haroon

AU - Ahmed, Muktar Beshir

AU - Ahmed, Ali

AU - Ahmed, Ayman

AU - Ahmed, Jivan Qasim

AU - Ahmed Rashid, Tarik

AU - Aithala, Janardhana P.

AU - Aji, Budi

AU - Akhlaghdoust, Meisam

AU - Alahdab, Fares

AU - Alanezi, Fahad Mashhour

AU - Alemayehu, Astawus

AU - Al Hamad, Hanadi

AU - Ali, Syed Shujait

AU - Ali, Liaqat

AU - Alimohamadi, Yousef

AU - Alipour, Vahid

AU - Aljunid, Syed Mohamed

AU - Almidani, Louay

AU - Almustanyir, Sami

AU - Altirkawi, Khalid A.

AU - Alvis-Zakzuk, Nelson J.

AU - Ameyaw, Edward Kwabena

AU - Amin, Tarek Tawfik

AU - Amir-Behghadami, Mehrdad

AU - Amiri, Sohrab

AU - Amiri, Hoda

AU - Anagaw, Tadele Fentabil

AU - Andrei, Tudorel

AU - Andrei, Catalina Liliana

AU - Anvari, Davood

AU - Anwar, Sumadi Lukman

AU - Anyasodor, Anayochukwu Edward

AU - Arabloo, Jalal

AU - Arab-Zozani, Morteza

AU - Arja, Asrat

AU - Arulappan, Judie

AU - Arumugam, Ashokan

AU - Aryannejad, Armin

AU - Asgary, Saeed

AU - Ashraf, Tahira

AU - Athari, Seyyed Shamsadin

AU - Atreya, Alok

AU - Attia, Sameh

AU - Aujayeb, Avinash

AU - Awedew, Atalel Fentahun

AU - Azadnajafabad, Sina

AU - Azangou-Khyavy, Mohammadreza

AU - Azari, Samad

AU - Azari Jafari, Amirhossein

AU - Azizi, Hosein

AU - Azzam, Ahmed Y.

AU - Badiye, Ashish D.

AU - Baghcheghi, Nayereh

AU - Bagherieh, Sara

AU - Baig, Atif Amin

AU - Bakkannavar, Shankar M.

AU - Balta, Asaminew Birhanu

AU - Banach, Maciej

AU - Banik, Palash Chandra

AU - Bansal, Hansi

AU - Bardhan, Mainak

AU - Barone-Adesi, Francesco

AU - Barrow, Amadou

AU - Bashiri, Azadeh

AU - Baskaran, Pritish

AU - Basu, Saurav

AU - Bayileyegn, Nebiyou Simegnew

AU - Bekel, Abebe Ayalew

AU - Bekele, Alehegn Bekele

AU - Bendak, Salaheddine

AU - Bensenor, Isabela M.

AU - Berhie, Alemshet Yirga

AU - Bhagat, Devidas S.

AU - Bhagavathula, Akshaya Srikanth

AU - Bhardwaj, Pankaj

AU - Bhardwaj, Nikha

AU - Bhaskar, Sonu

AU - Bhat, Ajay Nagesh

AU - Bhattacharyya, Krittika

AU - Bhutta, Zulfiqar A.

AU - Bibi, Sadia

AU - Bintoro, Bagas Suryo

AU - Bitaraf, Saeid

AU - Bodicha, Belay Boda Abule

AU - Boloor, Archith

AU - Bouaoud, Souad

AU - Brown, Julie

AU - Burkart, Katrin

AU - Butt, Nadeem Shafique

AU - Butt, Muhammad Hammad

AU - Cámera, Luis Alberto

AU - Campuzano Rincon, Julio Cesar

AU - Cao, Chao

AU - Carvalho, Andre F.

AU - Carvalho, Márcia

AU - Chakraborty, Promit Ananyo

AU - Chandrasekar, Eeshwar K.

AU - Chang, Jung Chen

AU - Charalampous, Periklis

AU - Charan, Jaykaran

AU - Chattu, Vijay Kumar

AU - Chekole, Bitew Mekonnen

AU - Chitheer, Abdulaal

AU - Cho, Daniel Youngwhan

AU - Chopra, Hitesh

AU - Christopher, Devasahayam J.

AU - Chukwu, Isaac Sunday

AU - Cruz-Martins, Natália

AU - Dadras, Omid

AU - Dahlawi, Saad M.A.

AU - Dai, Xiaochen

AU - Damiani, Giovanni

AU - Darmstadt, Gary L.

AU - Darvishi Cheshmeh Soltani, Reza

AU - Darwesh, Aso Mohammad

AU - Das, Saswati

AU - Dastiridou, Anna

AU - Debela, Sisay Abebe

AU - Dehghan, Amin

AU - Demeke, Getnet Makasha

AU - Demetriades, Andreas K.

AU - Demissie, Solomon

AU - Dessalegn, Fikadu Nugusu

AU - Desta, Abebaw Alemayehu

AU - Dianatinasab, Mostafa

AU - Diao, Nancy

AU - Dias da Silva, Diana

AU - Diaz, Daniel

AU - Digesa, Lankamo Ena

AU - Diress, Mengistie

AU - Djalalinia, Shirin

AU - Doan, Linh Phuong

AU - Dodangeh, Milad

AU - Doku, Paul Narh

AU - Dongarwar, Deepa

AU - Dsouza, Haneil Larson

AU - Eini, Ebrahim

AU - Ekholuenetale, Michael

AU - Ekundayo, Temitope Cyrus

AU - Elagali, Ahmed Elabbas Mustafa

AU - Elbahnasawy, Mostafa Ahmed

AU - Elhabashy, Hala Rashad

AU - Elhadi, Muhammed

AU - El Sayed Zaki, Maysaa

AU - Enyew, Daniel Berhanie

AU - Erkhembayar, Ryenchindorj

AU - Eskandarieh, Sharareh

AU - Etaee, Farshid

AU - Fagbamigbe, Adeniyi Francis

AU - Faris, Pawan Sirwan

AU - Farmany, Abbas

AU - Faro, Andre

AU - Farzadfar, Farshad

AU - Fatehizadeh, Ali

AU - Fereshtehnejad, Seyed Mohammad

AU - Feroze, Abdullah Hamid

AU - Fetensa, Getahun

AU - Feyisa, Bikila Regassa

AU - Filip, Irina

AU - Fischer, Florian

AU - Foroutan, Behzad

AU - Foroutan, Masoud

AU - Fowobaje, Kayode Raphael

AU - Franklin, Richard Charles

AU - Fukumoto, Takeshi

AU - Gaal, Peter Andras

AU - Gadanya, Muktar A.

AU - Galali, Yaseen

AU - Galehdar, Nasrin

AU - Ganesan, Balasankar

AU - Garg, Tushar

AU - Gebrehiwot, Mesfin Gebrehiwot Damtew

AU - Gebremariam, Yosef Haile

AU - Gela, Yibeltal Yismaw

AU - Gerema, Urge

AU - Ghafourifard, Mansour

AU - Ghamari, Seyyed Hadi

AU - Ghanbari, Reza

AU - Ghasemi Nour, Mohammad

AU - Gholamalizadeh, Maryam

AU - Gholami, Ali

AU - Gholamrezanezhad, Ali

AU - Ghozy, Sherief

AU - Gilani, Syed Amir

AU - Gill, Tiffany K.

AU - Giné-Vázquez, Iago

AU - Girma, Zeleke Abate

AU - Glasbey, James C.

AU - Glozah, Franklin N.

AU - Golechha, Mahaveer

AU - Goleij, Pouya

AU - Grivna, Michal

AU - Guadie, Habtamu Alganeh

AU - Gunawardane, Damitha Asanga

AU - Guo, Yuming

AU - Gupta, Veer Bala

AU - Gupta, Sapna

AU - Gupta, Bhawna

AU - Gupta, Vivek Kumar

AU - Haj-Mirzaian, Arvin

AU - Halwani, Rabih

AU - Hamadeh, Randah R.

AU - Hameed, Sajid

AU - Hanif, Asif

AU - Hargono, Arief

AU - Harlianto, Netanja I.

AU - Harorani, Mehdi

AU - Hasaballah, Ahmed I.

AU - Hasan, S. M.Mahmudul

AU - Hassan, Amr

AU - Sun, Jing

PY - 2022/8

Y1 - 2022/8

N2 - Background: Globally, transport and unintentional injuries persist as leading preventable causes of mortality and morbidity for adolescents. We sought to report comprehensive trends in injury-related mortality and morbidity for adolescents aged 10–24 years during the past three decades. Methods: Using the Global Burden of Disease, Injuries, and Risk Factors 2019 Study, we analysed mortality and disability-adjusted life-years (DALYs) attributed to transport and unintentional injuries for adolescents in 204 countries. Burden is reported in absolute numbers and age-standardised rates per 100 000 population by sex, age group (10–14, 15–19, and 20–24 years), and sociodemographic index (SDI) with 95% uncertainty intervals (UIs). We report percentage changes in deaths and DALYs between 1990 and 2019. Findings: In 2019, 369 061 deaths (of which 214 337 [58%] were transport related) and 31·1 million DALYs (of which 16·2 million [52%] were transport related) among adolescents aged 10–24 years were caused by transport and unintentional injuries combined. If compared with other causes, transport and unintentional injuries combined accounted for 25% of deaths and 14% of DALYs in 2019, and showed little improvement from 1990 when such injuries accounted for 26% of adolescent deaths and 17% of adolescent DALYs. Throughout adolescence, transport and unintentional injury fatality rates increased by age group. The unintentional injury burden was higher among males than females for all injury types, except for injuries related to fire, heat, and hot substances, or to adverse effects of medical treatment. From 1990 to 2019, global mortality rates declined by 34·4% (from 17·5 to 11·5 per 100 000) for transport injuries, and by 47·7% (from 15·9 to 8·3 per 100 000) for unintentional injuries. However, in low-SDI nations the absolute number of deaths increased (by 80·5% to 42 774 for transport injuries and by 39·4% to 31 961 for unintentional injuries). In the high-SDI quintile in 2010–19, the rate per 100 000 of transport injury DALYs was reduced by 16·7%, from 838 in 2010 to 699 in 2019. This was a substantially slower pace of reduction compared with the 48·5% reduction between 1990 and 2010, from 1626 per 100 000 in 1990 to 838 per 100 000 in 2010. Between 2010 and 2019, the rate of unintentional injury DALYs per 100 000 also remained largely unchanged in high-SDI countries (555 in 2010 vs 554 in 2019; 0·2% reduction). The number and rate of adolescent deaths and DALYs owing to environmental heat and cold exposure increased for the high-SDI quintile during 2010–19. Interpretation: As other causes of mortality are addressed, inadequate progress in reducing transport and unintentional injury mortality as a proportion of adolescent deaths becomes apparent. The relative shift in the burden of injury from high-SDI countries to low and low–middle-SDI countries necessitates focused action, including global donor, government, and industry investment in injury prevention. The persisting burden of DALYs related to transport and unintentional injuries indicates a need to prioritise innovative measures for the primary prevention of adolescent injury. Funding: Bill & Melinda Gates Foundation.

AB - Background: Globally, transport and unintentional injuries persist as leading preventable causes of mortality and morbidity for adolescents. We sought to report comprehensive trends in injury-related mortality and morbidity for adolescents aged 10–24 years during the past three decades. Methods: Using the Global Burden of Disease, Injuries, and Risk Factors 2019 Study, we analysed mortality and disability-adjusted life-years (DALYs) attributed to transport and unintentional injuries for adolescents in 204 countries. Burden is reported in absolute numbers and age-standardised rates per 100 000 population by sex, age group (10–14, 15–19, and 20–24 years), and sociodemographic index (SDI) with 95% uncertainty intervals (UIs). We report percentage changes in deaths and DALYs between 1990 and 2019. Findings: In 2019, 369 061 deaths (of which 214 337 [58%] were transport related) and 31·1 million DALYs (of which 16·2 million [52%] were transport related) among adolescents aged 10–24 years were caused by transport and unintentional injuries combined. If compared with other causes, transport and unintentional injuries combined accounted for 25% of deaths and 14% of DALYs in 2019, and showed little improvement from 1990 when such injuries accounted for 26% of adolescent deaths and 17% of adolescent DALYs. Throughout adolescence, transport and unintentional injury fatality rates increased by age group. The unintentional injury burden was higher among males than females for all injury types, except for injuries related to fire, heat, and hot substances, or to adverse effects of medical treatment. From 1990 to 2019, global mortality rates declined by 34·4% (from 17·5 to 11·5 per 100 000) for transport injuries, and by 47·7% (from 15·9 to 8·3 per 100 000) for unintentional injuries. However, in low-SDI nations the absolute number of deaths increased (by 80·5% to 42 774 for transport injuries and by 39·4% to 31 961 for unintentional injuries). In the high-SDI quintile in 2010–19, the rate per 100 000 of transport injury DALYs was reduced by 16·7%, from 838 in 2010 to 699 in 2019. This was a substantially slower pace of reduction compared with the 48·5% reduction between 1990 and 2010, from 1626 per 100 000 in 1990 to 838 per 100 000 in 2010. Between 2010 and 2019, the rate of unintentional injury DALYs per 100 000 also remained largely unchanged in high-SDI countries (555 in 2010 vs 554 in 2019; 0·2% reduction). The number and rate of adolescent deaths and DALYs owing to environmental heat and cold exposure increased for the high-SDI quintile during 2010–19. Interpretation: As other causes of mortality are addressed, inadequate progress in reducing transport and unintentional injury mortality as a proportion of adolescent deaths becomes apparent. The relative shift in the burden of injury from high-SDI countries to low and low–middle-SDI countries necessitates focused action, including global donor, government, and industry investment in injury prevention. The persisting burden of DALYs related to transport and unintentional injuries indicates a need to prioritise innovative measures for the primary prevention of adolescent injury. Funding: Bill & Melinda Gates Foundation.

UR - http://www.scopus.com/inward/record.url?scp=85134996790&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85134996790&partnerID=8YFLogxK

U2 - 10.1016/S2468-2667(22)00134-7

DO - 10.1016/S2468-2667(22)00134-7

M3 - Article

C2 - 35779567

AN - SCOPUS:85134996790

SN - 2468-2667

VL - 7

SP - e657-e669

JO - The Lancet Public Health

JF - The Lancet Public Health

IS - 8

ER -

Adolescent transport and unintentional injuries: a systematic analysis using the Global Burden of Disease Study 2019

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