Economic impact of fatal and non-fatal road traffic injuries in Guadalajara Metropolitan Area and Jalisco, Mexico
- Ricardo Pérez-Núñez1,
- Leticia Ávila-Burgos1,
- Martha Híjar-Medina2,
- Blanca Pelcastre-Villafuerte1,
- Alfredo Celis3,
- Aarón Salinas-Rodríguez4
- 1Centro de Investigación en Sistemas de Salud del Instituto Nacional de Salud Pública, Cuernavaca, Mexico
- 2Centro de Investigación en Salud Poblacional del Instituto Nacional de Salud Pública, Cuernavaca, Mexico
- 3Centro Universitario de Ciencias de la Salud de la Universidad de Guadalajara, Guadalajara, Mexico
- 4Centro de Investigación en Evaluación y Encuestas del Instituto Nacional de Salud Pública, Cuernavaca, Mexico
- Correspondence to Ricardo Pérez-Núñez, National Institute of Public Health, Universidad #655, Colonia Santa María Ahuacatitlán, Cerr los Pinos y Caminera, CP 62100, Cuernavaca, Morelos, México;
Contributors RPN and LAB conceived and designed this study and were responsible of data collection and analysis. RPN drafted the article. ASR collaborated in data analysis. All authors revised critically the article and approved final version.
- Accepted 11 March 2011
- Published Online First 12 April 2011
Objective To estimate the economic cost of fatal and non-fatal road traffic injuries (RTI) in Guadalajara metropolitan area (GMA) and Jalisco, Mexico during 2007.
Materials and methods Using an incidence-based cost of illness analysis from a household perspective employing a bottom-up approach all direct medical and non-medical costs, and indirect costs were estimated for a sample of RTI people who sought care during 1 month in four different medical facilities. Individuals were surveyed just before discharge from emergency rooms (ER) and hospitalisation services. Hospitalised individuals were followed up at 8 weeks after discharge. Productivity loss was estimated with the human capital approach. Using estimated costs and administrative records of mortality and morbidity, the economic costs were dimensioned for GMA and for Jalisco. A multivariate and probabilistic sensitivity analysis was conducted to evaluate variations resulting from assumptions used.
Results 297 injured were included in the study, 20% were hospitalised and 237 only received care at ER. A total cost of US$21 190 was estimated in all injured receiving care at ER and $83 309 for those hospitalised. Direct cost represents more than 30% of reported income in 8% of the ER users and 80% of hospitalised. Total economic cost was US$329 061 813 for GMA (discount rate of 3%), nearly 51% of the state total (US$650 908 924 or 1.3% of State GNP).
Conclusions This estimation shows the high cost (both, direct and indirect) RTI impose in households affecting their economy and leading families to lose wealth assets, get in debt or impoverished.
- Economic cost
- road traffic injuries
- human capital
- public health
- public health
Funding The present study was financed by the National Institute of Public Health and the National Council of Science and Technology trough research grant 000000000013998 also financed by the principal researcher's doctoral scholarship (File number 43842) and complementary financing obtained by a contribution from the World Bank's Global Road Safety Facility and the Global Forum for Health Research through their grant facility to the Road Traffic Injuries Research Network (number of agreement RTIRNWB-004c).
Competing interests None.
Patient consent Obtained.
Ethics approval This study was conducted with the approval of the National Institute of Public Health, Mexico.
Provenance and peer review Not commissioned; externally peer reviewed.