PDF(Pubmed)
Abstract：
UNASSIGNED: Injuries, often preventable, prompted urgent action within the United Nations\' 2030 Agenda for Sustainable Development Goals (SDGs) to improve global health. South Africa (SA) has high rates of injury mortality, but accurate reporting of official national data is hindered by death misclassification.
UNASSIGNED: Two nationally representative surveys for 2009 and 2017 are utilised to assess SA\'s progress towards SDG targets for violence and road traffic injuries, alongside changes in suicide and under-5 mortality rates for childhood injuries, and compare these estimates with those of the Global Burden of Disease for SA.
UNASSIGNED: The surveys utilised multi-stage, stratified cluster sampling from eight provinces, with mortuaries as primary sampling units. Post-mortem files for non-natural deaths were reviewed, with additional data from the Western Cape. Age-standardised rates, 95% confidence intervals (CIs), and incidence rate ratios (IRRs) were calculated for manner of death rate comparisons and for age groups.
UNASSIGNED: The all-injury age-standardised mortality rate decreased significantly between 2009 and 2017. Homicide and transport remained the leading causes of injury deaths, with a significant 31% decrease in road traffic mortality (IRR = 0.69), from 36.1 to 25.0 per 100 000 population.
UNASSIGNED: Despite a reduction in SA\'s road traffic mortality rate, challenges to achieve targets related to young and novice drivers and male homicide persist. Achieving SA\'s injury mortality SDG targets requires comprehensive evaluations of programmes addressing road safety, violence reduction, and mental well-being. In the absence of reliable routine data, survey data allow to accurately assess the country\'s SDG progress through commitment to evidence-based policymaking.
Main findings The significant decrease in South Africa’s injury mortality rates between 2009 and 2017 appears to largely be driven by the significant 31% decrease in road traffic mortality rates.Added knowledge The 2009 and 2017 survey comparison provides an enhanced understanding of the profile for injury-related deaths, compared to misclassified vital statistics data, to track progress towards reaching Sustainable Development Goals.Global health impact for policy and action The significant reduction in road traffic mortality across all age groups suggests South Africa is making progress towards Sustainable Development Goal Target 3.6 for road safety. However, reducing violence, suicide, and newborn and under-5 injury mortality requires more targeted interventions.
UNASSIGNED: Two nationally representative surveys for 2009 and 2017 are utilised to assess SA\'s progress towards SDG targets for violence and road traffic injuries, alongside changes in suicide and under-5 mortality rates for childhood injuries, and compare these estimates with those of the Global Burden of Disease for SA.
UNASSIGNED: The surveys utilised multi-stage, stratified cluster sampling from eight provinces, with mortuaries as primary sampling units. Post-mortem files for non-natural deaths were reviewed, with additional data from the Western Cape. Age-standardised rates, 95% confidence intervals (CIs), and incidence rate ratios (IRRs) were calculated for manner of death rate comparisons and for age groups.
UNASSIGNED: The all-injury age-standardised mortality rate decreased significantly between 2009 and 2017. Homicide and transport remained the leading causes of injury deaths, with a significant 31% decrease in road traffic mortality (IRR = 0.69), from 36.1 to 25.0 per 100 000 population.
UNASSIGNED: Despite a reduction in SA\'s road traffic mortality rate, challenges to achieve targets related to young and novice drivers and male homicide persist. Achieving SA\'s injury mortality SDG targets requires comprehensive evaluations of programmes addressing road safety, violence reduction, and mental well-being. In the absence of reliable routine data, survey data allow to accurately assess the country\'s SDG progress through commitment to evidence-based policymaking.
Main findings The significant decrease in South Africa’s injury mortality rates between 2009 and 2017 appears to largely be driven by the significant 31% decrease in road traffic mortality rates.Added knowledge The 2009 and 2017 survey comparison provides an enhanced understanding of the profile for injury-related deaths, compared to misclassified vital statistics data, to track progress towards reaching Sustainable Development Goals.Global health impact for policy and action The significant reduction in road traffic mortality across all age groups suggests South Africa is making progress towards Sustainable Development Goal Target 3.6 for road safety. However, reducing violence, suicide, and newborn and under-5 injury mortality requires more targeted interventions.
摘要：
■受伤，往往是可以预防的,在联合国“2030年可持续发展议程”（SDG）内采取紧急行动，以改善全球健康。南非（SA）的伤害死亡率很高，但是死亡错误分类阻碍了官方国家数据的准确报告。
■2009年和2017年的两项全国代表性调查被用来评估SA在实现暴力和道路交通伤害的可持续发展目标方面的进展。随着儿童伤害的自杀率和5岁以下儿童死亡率的变化，并将这些估计与SA的全球疾病负担进行比较。
■调查利用了多阶段，从8个省分层整群抽样，以太平间为主要抽样单位。审查了非自然死亡的验尸文件，西开普省的额外数据。年龄标准化费率，95%置信区间(CI)，和发病率比率(IRRs)计算死亡率比较方式和年龄组.
■在2009年至2017年期间，全伤害年龄标准化死亡率显着下降。凶杀和运输仍然是伤害死亡的主要原因，道路交通死亡率显著下降31%(IRR=0.69)，从36.1到25.0每10万人口。
■尽管SA的道路交通死亡率有所下降，实现与年轻和新手司机以及男性杀人有关的目标的挑战仍然存在。要实现SA的伤害死亡率可持续发展目标，需要对解决道路安全的计划进行全面评估，减少暴力,和心理健康。在缺乏可靠的常规数据的情况下，调查数据可以通过对循证决策的承诺来准确评估该国的可持续发展目标进展。
主要发现2009年至2017年间，南非的伤害死亡率显着下降，这在很大程度上是由于道路交通死亡率显着下降了31％。增加的知识2009年和2017年的调查比较提供了对伤害相关死亡概况的更好理解。与错误分类的重要统计数据相比，跟踪实现可持续发展目标的进展。全球健康对政策和行动的影响所有年龄组道路交通死亡率的显著降低表明，南非正在实现道路安全的可持续发展目标3.6。然而,减少暴力,自杀,新生儿和5岁以下伤害死亡率需要更有针对性的干预措施.
■2009年和2017年的两项全国代表性调查被用来评估SA在实现暴力和道路交通伤害的可持续发展目标方面的进展。随着儿童伤害的自杀率和5岁以下儿童死亡率的变化，并将这些估计与SA的全球疾病负担进行比较。
■调查利用了多阶段，从8个省分层整群抽样，以太平间为主要抽样单位。审查了非自然死亡的验尸文件，西开普省的额外数据。年龄标准化费率，95%置信区间(CI)，和发病率比率(IRRs)计算死亡率比较方式和年龄组.
■在2009年至2017年期间，全伤害年龄标准化死亡率显着下降。凶杀和运输仍然是伤害死亡的主要原因，道路交通死亡率显著下降31%(IRR=0.69)，从36.1到25.0每10万人口。
■尽管SA的道路交通死亡率有所下降，实现与年轻和新手司机以及男性杀人有关的目标的挑战仍然存在。要实现SA的伤害死亡率可持续发展目标，需要对解决道路安全的计划进行全面评估，减少暴力,和心理健康。在缺乏可靠的常规数据的情况下，调查数据可以通过对循证决策的承诺来准确评估该国的可持续发展目标进展。
主要发现2009年至2017年间，南非的伤害死亡率显着下降，这在很大程度上是由于道路交通死亡率显着下降了31％。增加的知识2009年和2017年的调查比较提供了对伤害相关死亡概况的更好理解。与错误分类的重要统计数据相比，跟踪实现可持续发展目标的进展。全球健康对政策和行动的影响所有年龄组道路交通死亡率的显著降低表明，南非正在实现道路安全的可持续发展目标3.6。然而,减少暴力,自杀,新生儿和5岁以下伤害死亡率需要更有针对性的干预措施.
