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Epidemiological Characteristics of Road Accident Mortality and Identification of Hot Spots: Years of Life Lost in Fars Province, Iran Publisher



M Eghbalian MOSTAFA ; F Vaziri FATEME ; H Nasab HABIBEH ; M Yadollahi MAHNAZ ; F Pazhuheian FOROUGH ; M Norouzi MOJTABA
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Source: Iranian Journal of Public Health Published:2025


Abstract

Background: We aimed to analyze the epidemiological characteristics of road accident mortality and identify high-risk areas, considering the years of life lost (YLL) in Fars Province, central Iran. Methods: The present study was conducted cross-sectionally in 2019. We used Kernel Density and hot spot analysis to identify statistically significant clusters of road accidents. For the descriptive analysis, we utilized the chi-square test, considering a P-value of less than 0.05 as statistically significant. To calculate years of life lost, R 4.3.3 software and the “YLL” package were used. Results: A total of 1,604 people died in road accidents, with the majority being male (1,304). The mean age of the subjects was 37.63+36.61 years. The axes with a greater concentration of accidents included ShirazMarvdasht-Abade towards Esfahan, Shiraz-Kazeroun towards Bushehr, and Kazeroun-Noorabad towards Yasouj. Head injury and multiple fractures were the most prevalent causes of death among both sexes. The number of deaths and YLL due to accidents was higher in men than in women, in all age groups. In men, the number of deaths and YLL were more between the ages of 15 and 34 years, while in women, the distribution of the number of deaths and YLL did not differ much until the age of 70 years. Conclusion: There is significant accident hotspots along the Shiraz-Marvdasht-Abade towards Esfahan, Shi-raz-Kazeroun towards Bushehr, and Kazeroun-Noorabad towards Yasouj routes. In addition, the highest number of YLL due to road accidents occurred among teenagers and young adults. Policymakers need to focus on targeted interventions in these high-risk areas and develop strategies aimed at reducing accidents, particularly among younger males, to enhance road safety and decrease mortality rates. © 2025 Elsevier B.V., All rights reserved.
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