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Trend of Fatal Poisoning at National and Provincial Levels in Iran From 1990 to 2015 Publisher Pubmed



Ghodsi Z1 ; Moghaddam SS2 ; Saadat S1 ; Yoosefi M2 ; Rezaei N2 ; Ostadrahimi H1, 3 ; Mehdipour P2 ; Khalafi B4 ; Sobhani S3 ; Haghshenas R2 ; Alaedini M1 ; Jazayeri SB1 ; Sadeghian F1, 5 ; Sharifalhoseini M1 Show All Authors
Authors
  1. Ghodsi Z1
  2. Moghaddam SS2
  3. Saadat S1
  4. Yoosefi M2
  5. Rezaei N2
  6. Ostadrahimi H1, 3
  7. Mehdipour P2
  8. Khalafi B4
  9. Sobhani S3
  10. Haghshenas R2
  11. Alaedini M1
  12. Jazayeri SB1
  13. Sadeghian F1, 5
  14. Sharifalhoseini M1
  15. Bazireh H6
  16. Naghdi K1
  17. Derakhshan P1, 7
  18. Salamati P1
  19. Moradilakeh M8
  20. Mokdad AH9
  21. Oreilly G10
  22. Rahimimovaghar V1
Show Affiliations
Authors Affiliations
  1. 1. Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Students' Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Lung Diseases and Allergy Research Center, Kurdistan University of Medical Science, Sanandaj, Iran
  5. 5. Center for Health Related Social and Behavioral Sciences Research, Shahroud University of Medical Sciences, Shahroud, Iran
  6. 6. Department of Industrial and Environmental Biotechnology, National Institute of Genetic Engineering and Biotechnology (NIGEB), Tehran, Iran
  7. 7. Student Research Committee, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
  8. 8. Preventive Medicine and Public Health Research Center, Iran University of Medical Sciences, Tehran, Iran
  9. 9. Institute for Health Metrics and Evaluation, University of Washington, Washington, United States
  10. 10. Department of Epidemiology and Preventive Medicine, School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia

Source: Public Health Published:2019


Abstract

Objectives: Comprehensive and up-to-date data on fatal injury trends are critical to identify challenges and plan priority setting. This study provides a comprehensive assessment of poisoning mortality trends across Iran. Study design: The data were gathered from various resources, including death registration systems, cemetery databases of Tehran and Esfahan, the Demographic and Health Survey of 2000, and three rounds of national population and housing censuses. Methods: After addressing incompleteness for child and adult death data separately and using a spatio-temporal model and Gaussian process regression, the level and trend of child and adult mortality were estimated. For estimating cause-specific mortality, the cause fraction was calculated and applied to the level and trend of death. Results: From 1990 to 2015, 40,586 deaths due to poisoning were estimated across the country. The poisoning-related age-standardized death rate per 100,000 was estimated to have changed from 3.08 (95% uncertainty interval [UI]: 2.32–4.11) in 1990 to 0.96 (95% UI: 0.73–1.25) in 2015, and the male/female ratio was 1.35 during 25 years of study with an annual percentage change of −5.4% and −4.0% for women and men, respectively. The annual mortality rate was higher among children younger than 5 years and the elderly population (≥70 years) in the study period. Conclusions: This study showed that mortality from poisoning declined in Iran over the period from 1990 to 2015 and varied by province. Understanding the reasons for the differences of poisoning mortality by province will help in developing and implementing measures to reduce this burden in Iran. © 2019 The Royal Society for Public Health
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