2008, Number S1
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salud publica mex 2008; 50 (S1)
Traffic related deaths in Nuevo Leon, Mexico: causes and associated factors
Arreola-Rissa C, Santos-Guzmán J, Esquivel-Guzmán A, Mock CH
Language: English
References: 19
Page: 48-54
PDF size: 162.11 Kb.
ABSTRACT
Objective. The effects of alcohol on mortality due to motor vehicle accidents was studied.
Material and Methods. During the first semester of 2003, a sample of 243 fatality victims of traffic-related accidents and their blood alcohol levels were analyzed in the state of Nuevo Leon, Mexico. The ageadjusted mortality rate for traffic accidents was 8.9/100 000 pop. (13.2 for males and 3.21 for females, per 100 000). Fatal accidents were more common in the Metropolitan Area (MA).
Results. Fatalities were four times greater in males and the mean age was 34.7±18.2 years. Blood alcohol was detected in almost half of the victims who were drivers of the vehicles; the other cases of fatalities may be associated with road/car condition, weather and other factors.
Conclusions. Alcohol intoxication levels were primarily associated with male drivers ages 16 to 45 (
p=0.029); levels increased with age. In females, alcohol played a lesser role, affecting mostly ages 31 to 45 y (
p=0.055).
REFERENCES
Mathers CD, Stein C, Ma Fat D, Rao C, Inoue M, Tomijima N, et al. Global Burden of Disease 2000: Version 2 methods and results. Global Programme on Evidence for Health Policy Discussion Paper Series: No. 50. World Health Organization.
WHO Burden of disease project: mortality and DALYs. Geneva, World Health Organization. Available at: www.who.int/whosis.
Nantulya VM, Reich MR, et al. Report of the Road Traffic Injuries and Health Equity Conference. Cambridge: Harvard Center for Population and Development Studies, 2002
WHO Technical Information System (TIS), Statistics on Homicides, Suicides, Accidents, Injuries, & Attitudes towards Violence. http://www.paho.org/English/AD/DPC/NC/violence-graphs.htm
State judicial police and transit police, Nuevo Leon.
PAHO/SHA, Technical Information System (TIS). Calculation for Age-Standardized Mortality Rate (ASMR) for Selected Countries in Latin America and the Caribbean. http://www.paho.org/english/hcp/hcn/ipm/svnasmr-tables.htm
Secretaría de Salud. Salud México 2003. Información para rendición de cuentas. México: Secretaría de Salud, 2004
Greenspan L, McLellan BA, Greig H. Abbreviated Injury Scale and Injury Severity Score: A Scoring Chart. J Trauma 1985;25(1):60-64.
CONAPO. Proyecciones de la Población de México, 2000-2030. México, DF, 2002. Database: UNIDOS. The population distribution population comes from the Census 2000 information. México: CONAPO, 2002.
Pedestrian traffic injuries in Mexico: a country update. Hijar M, Vazquez-Vela E, Arreola-Risa C. Inj Control Saf Promot 2003;10(1-2):37-43.
CONAPO. Proyecciones de la Población de México, 2000 - 2050. Elaborado a partir de la base de datos de defunciones INEGI/Secretaría de Salud. Dirección General de Información en Salud. México: CONAPO, 2002.
Secretaría de Salud. Encuesta Nacional de Adicciones. México: Secretaría de Salud 1998.
Garcia G, Borges G. Alcohol and the risk of injuries in 3 emergency services in Acapulco, Mexico.Bol Oficina Sanit Panam 1991;111(3):231-239.
Hijar MC, Kraus JF, Tovar V, Carrillo C. Analysis of fatal pedestrian injuries in Mexico City, 1994-1997. Injury 2001;32(4):279-284.
National Highway Traffic Safety Administration. Traffic Safety Facts 1997: A Compilation of Motor Vehicle Crash Data from the Fatality Analysis Reporting System and the General Estimates System. DOT HS 808 806. Washington DC: US Department of Transportation, 1998.
Hijar M, Chu LC, Kraus JF. Cross-national comparison of injury mortality: Los Angeles County, California and Mexico City, Mexico. Int J Epidemiol 2000;29(4):715.
Hijar M, Flores M, López MV, Rosovsky H. Alcohol intake and severity of injuries on highways in Mexico: A comparative analysis. Addiction 1998;93(10):1543.
Morales-García JIC, Fernández-Gárate IH, Tudón-Garcés H, Escobedode la Peña J, Zárate-Aguilar A, Madrazo-Navarro M. Prevalencia de consumo riesgoso y dañino de alcohol en derechohabientes del Instituto Mexicano del Seguro Social. Salud Publica Mex 2002;44(2):113-121.
Shih HC, Hu SC, Yang CC, Ko TJ, Wu JK, Lee CH. Alcohol intoxication increases morbidity in drivers involved in motor vehicle accidents. Am J Emerg Med 2003;21(2):91-94.