Morbidity and mortality from road injuries: Results from the Global Burden of Disease Study 2017

Spencer L. James, Lydia R. Lucchesi, Catherine Bisignano, Chris D. Castle, Zachary V. Dingels, Jack T. Fox, Erin B. Hamilton, Zichen Liu, Darrah McCracken, Molly R. Nixon, Dillon O. Sylte, Nicholas L.S. Roberts, Oladimeji M. Adebayo, Teamur Aghamolaei, Suliman A. Alghnam, Syed Mohamed Aljunid, Amir Almasi-Hashiani, Alaa Badawi, Masoud Behzadifar, Meysam BehzadifarEyasu Tamru Bekru, Derrick A. Bennett, Jens Robert Chapman, Kebede Deribe, Bereket Duko Adema, Yousef Fatahi, Belayneh K. Gelaw, Eskezyiaw Agedew Getahun, Delia Hendrie, Andualem Henok, Hagos De Hidru, Mehdi Hosseinzadeh, Guoqing Hu, Mohammad Ali Jahani, Mihajlo Jakovljevic, Farzad Jalilian, Nitin Joseph, Manoochehr Karami, Abraham Getachew Kelbore, Md Nuruzzaman Khan, Yun Jin Kim, Parvaiz A. Koul, Carlo La Vecchia, Shai Linn, Reza Majdzadeh, Man Mohan Mehndiratta, Peter T.N. Memiah, Melkamu Merid Mengesha, Hayimro Edemealem Merie, Ted R Miller, Mehdi Mirzaei-Alavijeh, Aso Mohammad Darwesh, Naser Mohammad Gholi Mezerji, Roghayeh Mohammadibakhsh, Yoshan Moodley, Maziar Moradi-Lakeh, Kamarul Imran Musa, Bruno Ramos Nascimento, Rajan Nikbakhsh, Peter S. Nyasulu, Ahmed Omar Bali, Obinna E. Onwujekwe, Sanghamitra Pati, Reza Pourmirza Kalhori, Farkhonde Salehi, Saeed Shahabi, Seifadin Ahmed Shallo, Morteza Shamsizadeh, Zeinab Sharafi, Sharvari Rahul Shukla, Mohammad Reza Sobhiyeh, Joan B. Soriano, Bryan L. Sykes, Rafael Tabarés-Seisdedos, Degena Bahray Bahrey Tadesse, Yonatal Mesfin Tefera, Arash Tehrani-Banihashemi, Boikhutso Tlou, Roman Topor-Madry, Taweewat Wiangkham, Mehdi Yaseri, Sanni Yaya, Muluken Azage Yenesew, Mustafa Z. Younis, Arash Ziapour, Sanjay Zodpey, David M. Pigott, Robert C. Reiner, Simon I. Hay, Alan D. Lopez, Ali H. Mokdad

Research output: Contribution to journalArticlepeer-review


Background: The global burden of road injuries is known to follow complex geographical, temporal and demographic patterns. While health loss from road injuries is a major topic of global importance, there has been no recent comprehensive assessment that includes estimates for every age group, sex and country over recent years. Methods: We used results from the Global Burden of Disease (GBD) 2017 study to report incidence, prevalence, years lived with disability, deaths, years of life lost and disability-adjusted life years for all locations in the GBD 2017 hierarchy from 1990 to 2017 for road injuries. Second, we measured mortality-to-incidence ratios by location. Third, we assessed the distribution of the natures of injury (eg, traumatic brain injury) that result from each road injury. Results: Globally, 1 243 068 (95% uncertainty interval 1 191 889 to 1 276 940) people died from road injuries in 2017 out of 54 192 330 (47 381 583 to 61 645 891) new cases of road injuries. Age-standardised incidence rates of road injuries increased between 1990 and 2017, while mortality rates decreased. Regionally, age-standardised mortality rates decreased in all but two regions, South Asia and Southern Latin America, where rates did not change significantly. Nine of 21 GBD regions experienced significant increases in age-standardised incidence rates, while 10 experienced significant decreases and two experienced no significant change. Conclusions: While road injury mortality has improved in recent decades, there are worsening rates of incidence and significant geographical heterogeneity. These findings indicate that more research is needed to better understand how road injuries can be prevented.

Original languageEnglish
Article number2019043302
JournalInjury Prevention
StatePublished - Oct 2020

Bibliographical note

Publisher Copyright:
© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY. Published by BMJ.


  • burden of disease
  • descriptive epidemiology
  • motorcycle
  • road injuries, pedestrian injuries
  • road traffic accident
  • traumatic brain injury

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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