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“Current Incidence of Injuries in Iran; Findings of Steps Survey 2021” Publisher



Shahmohamadi E1 ; Ghasemi E1 ; Mohammadi E1, 2 ; Nasserinejad M1, 3 ; Azadnajafabad S1 ; Malekpour MR1 ; Rashidi MM1 ; Ahmadi N1 ; Rezaei N1 ; Naderian M1, 4 ; Yoosefi M1, 5 ; Farzi Y1 ; Rezaei N1 ; Haghshenas R1 Show All Authors
Authors
  1. Shahmohamadi E1
  2. Ghasemi E1
  3. Mohammadi E1, 2
  4. Nasserinejad M1, 3
  5. Azadnajafabad S1
  6. Malekpour MR1
  7. Rashidi MM1
  8. Ahmadi N1
  9. Rezaei N1
  10. Naderian M1, 4
  11. Yoosefi M1, 5
  12. Farzi Y1
  13. Rezaei N1
  14. Haghshenas R1
  15. Abdolhamidi E1
  16. Golestani A1
  17. Kazemi A1
  18. Delaram Dizaj M1
  19. Nazari N1, 6
  20. Momen Nia Rankohi A1
  21. Darman M7
  22. Djalalinia S8
  23. Moghisi A9
  24. Farzadfar F1, 6
Show Affiliations
Authors Affiliations
  1. 1. Non-communicable Disease Research Center, Endocrinology and Metabolism Population Sciences Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Neurological Surgery, University of Oklahoma Health Sciences Center, Oklahoma, OK, United States
  3. 3. Center for Life Course Health Research, Faculty of Medicine, University of Oulu, Oulu, Finland
  4. 4. Tehran Heart Center, Cardiovascular Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Mathematics and Statistics, Memorial University of Newfoundland, St. John's, NL, Canada
  6. 6. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Deputy of Health, Ministry of Health and Medical Education, Tehran, Iran
  8. 8. Development of Research and Technology center, Deputy of Research and Technology Ministry of Health and Medical Education, Tehran, Iran
  9. 9. Deputy General Director for NCD Management Office, Ministry of Health and Medical Education, IR, Tehran, Iran

Source: Heliyon Published:2023


Abstract

Background: The updated epidemiology of injuries at the national and sub-national levels are required for policymakers to effectively handle the burden of injuries. This paper aimed to assess the incidence and risk factors of different injuries in Iran based on a recent national survey. Methods: We used data from Iran Stepwise approach to surveillance (STEPS) Survey 2021, a population-based study in urban and rural areas of Iran's 31 provinces. A multistage clustered probability design and weighting adjustments were used to select eligible individuals and generate estimations. We estimated the incidence of injuries, assessed sociodemographic variables, and identified potential behavioral risk factors associated with injuries, and results were reported for sociodemographic and geographic stratifications. Result: Data from 27,874 participants of the STEPS survey were assessed, of which 1538 (5.5 %, 95 % CI: [5.2–5.8]) reported having an injury in the past 12 months. Falls (44.4 %) were the most common cause of injury, followed by road traffic injury (21.7 %) and exposure to mechanical forces (16.5 %). Except for falls and burns, males had a higher proportion of all types of injuries. Logistic regression analysis showed that being male (OR: 1.7, [1.5, 2.0]) and being an occasional or heavy alcohol drinker (OR: 2.0, [1.3, 3.0] and OR: 2.7, [1.7, 4.1] respectively) were significant risk factors associated with road traffic injuries. Seatbelt use was 90.0 % among both drivers and front-seat passengers, while the use of safety car seats for children was as low as 9.4 %. Injury incidence varied significantly among provinces, with the highest incidence among males observed in Razavi Khorasan (11.2 %) and among females observed in Tehran (12.0 %). Conclusion: This study investigated the updated epidemiology of injuries in Iran and revealed socioeconomic and geographic disparities across country. This epidemiological information can be used to modify injury prevention programs. © 2023 The Authors
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