The national and provincial burden of transport injuries in Iran between 1990 and 2021

Abstract Transport injuries (TIs) are a major cause of mortality and morbidity worldwide, and Iran, with its rapid demographic transitions in recent decades, is no exception. This study aimed to assess the burden of TIs in Iran and its provinces from 1990 to 2021. Estimates from the Global Burden of...

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Main Authors: Amin Abbasi, Moloud Balafar, Mahboub Pouraghaei, Samad E.J. Golzari, Maryam Soleimanpour, Sajjad Ahmadi, Hassan Soleimanpour
Format: Article
Language:English
Published: Nature Portfolio 2025-03-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-94995-y
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author Amin Abbasi
Moloud Balafar
Mahboub Pouraghaei
Samad E.J. Golzari
Maryam Soleimanpour
Sajjad Ahmadi
Hassan Soleimanpour
author_facet Amin Abbasi
Moloud Balafar
Mahboub Pouraghaei
Samad E.J. Golzari
Maryam Soleimanpour
Sajjad Ahmadi
Hassan Soleimanpour
author_sort Amin Abbasi
collection DOAJ
description Abstract Transport injuries (TIs) are a major cause of mortality and morbidity worldwide, and Iran, with its rapid demographic transitions in recent decades, is no exception. This study aimed to assess the burden of TIs in Iran and its provinces from 1990 to 2021. Estimates from the Global Burden of Diseases (GBD) 2021 were used to report age-standardized rates (ASRs) for the prevalence, incidence, mortality, and disability-adjusted life years (DALYs) of TIs by sex, age group, injury type, province, and Socio-demographic Index (SDI). In 2021, Iran recorded 1.147 million (95% uncertainty interval (UI): 1.014 to 1.287 million) incident cases of TIs with an age-standardized incident rate of 1341.9 per 100,000 (95% UI: 1193.7 to 1495.1). Compared with 1990, its prevalence, incidence, death, and DALY rates decreased by − 52% (95% UI: − 54% to − 50%), − 52% (95% UI: − 55% to − 50%), − 62% (95% UI: − 65% to − 58%), and − 64% (95% UI: − 67% to − 61%), respectively. At the provincial level, Tehran (233.1; 95% UI: 191.3 to 304) had the lowest age-standardized DALY rate, while the highest DALY rate was for Sistan-Baluchistan (2155.3; 95% UI: 1866.2 to 2478.3). In addition, age-standardized DALY rates were mainly higher for males, the 20–24 age group, and provinces with a lower SDI. Despite a significant decrease in TIs in Iran since 1990, they still pose a significant burden, with notable disparities across provinces and demographic groups. Targeted prevention programs focusing on high-risk populations, such as young adults and lower-SDI provinces with lower SDI, are recommended.
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spelling doaj-art-128eb962ffaf4ac8b4976dfb9901d6452025-08-20T02:51:28ZengNature PortfolioScientific Reports2045-23222025-03-0115111210.1038/s41598-025-94995-yThe national and provincial burden of transport injuries in Iran between 1990 and 2021Amin Abbasi0Moloud Balafar1Mahboub Pouraghaei2Samad E.J. Golzari3Maryam Soleimanpour4Sajjad Ahmadi5Hassan Soleimanpour6Emergency and trauma care research center, Imam Reza General Hospital, Tabriz University of Medical SciencesEmergency and trauma care research center, Imam Reza General Hospital, Tabriz University of Medical SciencesEmergency and trauma care research center, Imam Reza General Hospital, Tabriz University of Medical SciencesDepartment of Anesthesiology and Critical Care Medicine, Faculty of Medicine, Tabriz University of Medical SciencesClinical Research Development Unit of Tabriz Valiasr Hospital, Tabriz University of Medical SciencesEmergency and trauma care research center, Imam Reza General Hospital, Tabriz University of Medical SciencesEmergency and trauma care research center, Imam Reza General Hospital, Tabriz University of Medical SciencesAbstract Transport injuries (TIs) are a major cause of mortality and morbidity worldwide, and Iran, with its rapid demographic transitions in recent decades, is no exception. This study aimed to assess the burden of TIs in Iran and its provinces from 1990 to 2021. Estimates from the Global Burden of Diseases (GBD) 2021 were used to report age-standardized rates (ASRs) for the prevalence, incidence, mortality, and disability-adjusted life years (DALYs) of TIs by sex, age group, injury type, province, and Socio-demographic Index (SDI). In 2021, Iran recorded 1.147 million (95% uncertainty interval (UI): 1.014 to 1.287 million) incident cases of TIs with an age-standardized incident rate of 1341.9 per 100,000 (95% UI: 1193.7 to 1495.1). Compared with 1990, its prevalence, incidence, death, and DALY rates decreased by − 52% (95% UI: − 54% to − 50%), − 52% (95% UI: − 55% to − 50%), − 62% (95% UI: − 65% to − 58%), and − 64% (95% UI: − 67% to − 61%), respectively. At the provincial level, Tehran (233.1; 95% UI: 191.3 to 304) had the lowest age-standardized DALY rate, while the highest DALY rate was for Sistan-Baluchistan (2155.3; 95% UI: 1866.2 to 2478.3). In addition, age-standardized DALY rates were mainly higher for males, the 20–24 age group, and provinces with a lower SDI. Despite a significant decrease in TIs in Iran since 1990, they still pose a significant burden, with notable disparities across provinces and demographic groups. Targeted prevention programs focusing on high-risk populations, such as young adults and lower-SDI provinces with lower SDI, are recommended.https://doi.org/10.1038/s41598-025-94995-yTransport injuryGlobal burden of diseaseIranEpidemiology
spellingShingle Amin Abbasi
Moloud Balafar
Mahboub Pouraghaei
Samad E.J. Golzari
Maryam Soleimanpour
Sajjad Ahmadi
Hassan Soleimanpour
The national and provincial burden of transport injuries in Iran between 1990 and 2021
Scientific Reports
Transport injury
Global burden of disease
Iran
Epidemiology
title The national and provincial burden of transport injuries in Iran between 1990 and 2021
title_full The national and provincial burden of transport injuries in Iran between 1990 and 2021
title_fullStr The national and provincial burden of transport injuries in Iran between 1990 and 2021
title_full_unstemmed The national and provincial burden of transport injuries in Iran between 1990 and 2021
title_short The national and provincial burden of transport injuries in Iran between 1990 and 2021
title_sort national and provincial burden of transport injuries in iran between 1990 and 2021
topic Transport injury
Global burden of disease
Iran
Epidemiology
url https://doi.org/10.1038/s41598-025-94995-y
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