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A nationwide population-based study on incidence and cost of non-fatal injuries in Iran
  1. Nima Hafezi-Nejad1,2,
  2. Afarin Rahimi-Movaghar3,4,
  3. Abbas Motevalian4,5,
  4. Masoumeh Amin-Esmaeili3,
  5. Vandad Sharifi6,
  6. Ahmad Hajebi7,
  7. Reza Radgoodarzi3,
  8. Mitra Hefazi3,
  9. Vahid Eslami1,2,8,
  10. Soheil Saadat1,
  11. Vafa Rahimi-Movaghar1
  1. 1Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences (TUMS), Tehran, Iran
  2. 2Students Scientific Research Center (SSRC), Tehran University of Medical Sciences (TUMS), Tehran, Iran
  3. 3Iranian Research Center for HIV/AIDS (IRCHA), Tehran University of Medical Sciences (TUMS), Imam Khomeini Hospital Complex, Tehran, Iran
  4. 4Iranian National Center for Addiction Studies (INCAS), Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Science (TUMS), Tehran, Iran.
  5. 5School of Public Health, Iran University of Medical Sciences (IUMS), Tehran, Iran
  6. 6Department of Psychiatry, Roozbeh Hospital, Tehran University of Medical Sciences (TUMS), Tehran, Iran
  7. 7Mental Health Research Center, Tehran Institute of Psychiatry- Faculty of Behavioral Sciences and Mental Health, Iran University of Medical Sciences (TUMS), Tehran, Iran.
  8. 8Saul B. Korey Department of Neurology, Albert Einstein College of Medicine, Yeshiva University, Bronx, NY, USA.
  1. Correspondence to Professor Vafa Rahimi-Movaghar, Sina Trauma and Surgery Research Center, Tehran University of Medical Sciences (TUMS), Sina Hospital, Hassan-Abad Square, Imam Khomeini Ave, Tehran 11365-3876, Iran; v_rahimi{at}, v_rahimi{at}


Background: Elucidating the epidemiological status of injuries is a critical component of preventive strategies in countries with high incidence of injuries, like Iran. Population-based surveys are able to estimate all types of non-fatal injuries.

Objectives: This study protocol is the core unit in describing Iran's national cost and epidemiology of non-fatal injuries, and also as a guide for other studies.

Study design and methods: In a cross-sectional study, 1525 primary sampling units are randomly selected with probability proportional to size regarding the number of households in each enumeration area based on Iran's 2006 national census. Six of the households are randomly selected. One member of each household is chosen using Kish Grid tables. In all, 9150 subjects are selected. Data on demographics are collected. For each injury during the past three months, activity, place, mechanism, site, type and the place of treatment are coded to match the International Classification of Diseases, 10th revision 2012 (ICD10-2012) classifications. Subjects are contacted via telephone to obtain data on cost of injury. Finally, sampling weights are calculated so that data for each respondent can be inflated to represent other individuals in Iran. Quality control and quality assurance issues are discussed.

Discussion: Our objectives will describe the present impact and the future priorities of injury prevention in Iran.

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