RT Journal Article SR Electronic T1 Burden of injury along the development spectrum: associations between the Socio-demographic Index and disability-adjusted life year estimates from the Global Burden of Disease Study 2017 JF Injury Prevention JO Inj Prev FD BMJ Publishing Group Ltd SP i12 OP i26 DO 10.1136/injuryprev-2019-043296 VO 26 IS Suppl 2 A1 Juanita A Haagsma A1 Spencer L James A1 Chris D Castle A1 Zachary V Dingels A1 Jack T Fox A1 Erin B Hamilton A1 Zichen Liu A1 Lydia R Lucchesi A1 Nicholas L S Roberts A1 Dillon O Sylte A1 Oladimeji M Adebayo A1 Alireza Ahmadi A1 Muktar Beshir Ahmed A1 Miloud Taki Eddine Aichour A1 Fares Alahdab A1 Suliman A Alghnam A1 Syed Mohamed Aljunid A1 Rajaa M Al-Raddadi A1 Ubai Alsharif A1 Khalid Altirkawi A1 Mina Anjomshoa A1 Carl Abelardo T Antonio A1 Seth Christopher Yaw Appiah A1 Olatunde Aremu A1 Amit Arora A1 Hamid Asayesh A1 Reza Assadi A1 Ashish Awasthi A1 Beatriz Paulina Ayala Quintanilla A1 Shivanthi Balalla A1 Amrit Banstola A1 Suzanne Lyn Barker-Collo A1 Till Winfried Bärnighausen A1 Shahrzad Bazargan-Hejazi A1 Neeraj Bedi A1 Masoud Behzadifar A1 Meysam Behzadifar A1 Corina Benjet A1 Derrick A Bennett A1 Isabela M Bensenor A1 Soumyadeep Bhaumik A1 Zulfiqar A Bhutta A1 Ali Bijani A1 Guilherme Borges A1 Rohan Borschmann A1 Dipan Bose A1 Soufiane Boufous A1 Alexandra Brazinova A1 Julio Cesar Campuzano Rincon A1 Rosario Cárdenas A1 Juan J Carrero A1 Félix Carvalho A1 Carlos A Castañeda-Orjuela A1 Ferrán Catalá-López A1 Jee-Young J Choi A1 Devasahayam J Christopher A1 Christopher Stephen Crowe A1 Koustuv Dalal A1 Ahmad Daryani A1 Dragos Virgil Davitoiu A1 Louisa Degenhardt A1 Diego De Leo A1 Jan-Walter De Neve A1 Kebede Deribe A1 Getenet Ayalew Dessie A1 Gabrielle Aline deVeber A1 Samath Dhamminda Dharmaratne A1 Linh Phuong Doan A1 Kate A Dolan A1 Tim Robert Driscoll A1 Manisha Dubey A1 Ziad El-Khatib A1 Christian Lycke Ellingsen A1 Maysaa El Sayed Zaki A1 Aman Yesuf Endries A1 Sharareh Eskandarieh A1 Andre Faro A1 Seyed-Mohammad Fereshtehnejad A1 Eduarda Fernandes A1 Irina Filip A1 Florian Fischer A1 Richard Charles Franklin A1 Takeshi Fukumoto A1 Kebede Embaye Gezae A1 Tiffany K Gill A1 Alessandra C Goulart A1 Ayman Grada A1 Yuming Guo A1 Rahul Gupta A1 Hassan Haghparast Bidgoli A1 Arvin Haj-Mirzaian A1 Arya Haj-Mirzaian A1 Randah R Hamadeh A1 Samer Hamidi A1 Josep Maria Haro A1 Hadi Hassankhani A1 Hamid Yimam Hassen A1 Rasmus Havmoeller A1 Delia Hendrie A1 Andualem Henok A1 Martha Híjar A1 Michael K Hole A1 Enayatollah Homaie Rad A1 Naznin Hossain A1 Sorin Hostiuc A1 Guoqing Hu A1 Ehimario U Igumbor A1 Olayinka Stephen Ilesanmi A1 Seyed Sina Naghibi Irvani A1 Sheikh Mohammed Shariful Islam A1 Rebecca Q Ivers A1 Kathryn H Jacobsen A1 Nader Jahanmehr A1 Mihajlo Jakovljevic A1 Achala Upendra Jayatilleke A1 Ravi Prakash Jha A1 Jost B Jonas A1 Zahra Jorjoran Shushtari A1 Jacek Jerzy Jozwiak A1 Mikk Jürisson A1 Ali Kabir A1 Rizwan Kalani A1 Amir Kasaeian A1 Abraham Getachew Kelbore A1 Andre Pascal Kengne A1 Yousef Saleh Khader A1 Morteza Abdullatif Khafaie A1 Nauman Khalid A1 Ejaz Ahmad Khan A1 Abdullah T Khoja A1 Aliasghar A Kiadaliri A1 Young-Eun Kim A1 Daniel Kim A1 Adnan Kisa A1 Ai Koyanagi A1 Barthelemy Kuate Defo A1 Burcu Kucuk Bicer A1 Manasi Kumar A1 Ratilal Lalloo A1 Hilton Lam A1 Faris Hasan Lami A1 Van C Lansingh A1 Janet L Leasher A1 Shanshan Li A1 Shai Linn A1 Raimundas Lunevicius A1 Flavia R Machado A1 Hassan Magdy Abd El Razek A1 Muhammed Magdy Abd El Razek A1 Narayan Bahadur Mahotra A1 Marek Majdan A1 Azeem Majeed A1 Reza Malekzadeh A1 Manzoor Ahmad Malik A1 Deborah Carvalho Malta A1 Ana-Laura Manda A1 Mohammad Ali Mansournia A1 Benjamin Ballard Massenburg A1 Pallab K Maulik A1 Hailemariam Abiy Alemu Meheretu A1 Man Mohan Mehndiratta A1 Addisu Melese A1 Walter Mendoza A1 Melkamu Merid Mengesha A1 Tuomo J Meretoja A1 Atte Meretoja A1 Tomislav Mestrovic A1 Tomasz Miazgowski A1 Ted R Miller A1 GK Mini A1 Erkin M Mirrakhimov A1 Babak Moazen A1 Naser Mohammad Gholi Mezerji A1 Roghayeh Mohammadibakhsh A1 Shafiu Mohammed A1 Mariam Molokhia A1 Lorenzo Monasta A1 Stefania Mondello A1 Pablo A Montero-Zamora A1 Yoshan Moodley A1 Mahmood Moosazadeh A1 Ghobad Moradi A1 Maziar Moradi-Lakeh A1 Lidia Morawska A1 Ilais Moreno Velásquez A1 Shane Douglas Morrison A1 Marilita M Moschos A1 Seyyed Meysam Mousavi A1 Srinivas Murthy A1 Kamarul Imran Musa A1 Gurudatta Naik A1 Farid Najafi A1 Vinay Nangia A1 Bruno Ramos Nascimento A1 Duduzile Edith Ndwandwe A1 Ionut Negoi A1 Trang Huyen Nguyen A1 Son Hoang Nguyen A1 Long Hoang Nguyen A1 Huong Lan Thi Nguyen A1 Dina Nur Anggraini Ningrum A1 Yirga Legesse Nirayo A1 Richard Ofori-Asenso A1 Felix Akpojene Ogbo A1 In-Hwan Oh A1 Olanrewaju Oladimeji A1 Andrew T Olagunju A1 Tinuke O Olagunju A1 Pedro R Olivares A1 Heather M Orpana A1 Stanislav S Otstavnov A1 Mahesh P A A1 Smita Pakhale A1 Eun-Kee Park A1 George C Patton A1 Konrad Pesudovs A1 Michael R Phillips A1 Suzanne Polinder A1 Swayam Prakash A1 Amir Radfar A1 Anwar Rafay A1 Alireza Rafiei A1 Siavash Rahimi A1 Vafa Rahimi-Movaghar A1 Muhammad Aziz Rahman A1 Rajesh Kumar Rai A1 Kiana Ramezanzadeh A1 Salman Rawaf A1 David Laith Rawaf A1 Andre M N Renzaho A1 Serge Resnikoff A1 Shahab Rezaeian A1 Leonardo Roever A1 Luca Ronfani A1 Gholamreza Roshandel A1 Yogesh Damodar Sabde A1 Basema Saddik A1 Payman Salamati A1 Yahya Salimi A1 Inbal Salz A1 Abdallah M Samy A1 Juan Sanabria A1 Lidia Sanchez Riera A1 Milena M Santric Milicevic A1 Maheswar Satpathy A1 Monika Sawhney A1 Susan M Sawyer A1 Sonia Saxena A1 Mete Saylan A1 Ione J C Schneider A1 David C Schwebel A1 Soraya Seedat A1 Sadaf G Sepanlou A1 Masood Ali Shaikh A1 Mehran Shams-Beyranvand A1 Morteza Shamsizadeh A1 Mahdi Sharif-Alhoseini A1 Aziz Sheikh A1 Jiabin Shen A1 Mika Shigematsu A1 Rahman Shiri A1 Ivy Shiue A1 João Pedro Silva A1 Jasvinder A Singh A1 Dhirendra Narain Sinha A1 Adauto Martins Soares Filho A1 Joan B Soriano A1 Sergey Soshnikov A1 Ireneous N Soyiri A1 Vladimir I Starodubov A1 Dan J Stein A1 Mark A Stokes A1 Mu'awiyyah Babale Sufiyan A1 Jacob E Sunshine A1 Bryan L Sykes A1 Rafael Tabarés-Seisdedos A1 Karen M Tabb A1 Arash Tehrani-Banihashemi A1 Gizachew Assefa Tessema A1 Jarnail Singh Thakur A1 Khanh Bao Tran A1 Bach Xuan Tran A1 Lorainne Tudor Car A1 Olalekan A Uthman A1 Benjamin S Chudi Uzochukwu A1 Pascual R Valdez A1 Elena Varavikova A1 Ana Maria Nogales Vasconcelos A1 Narayanaswamy Venketasubramanian A1 Francesco S Violante A1 Vasily Vlassov A1 Yasir Waheed A1 Yuan-Pang Wang A1 Tissa Wijeratne A1 Andrea Sylvia Winkler A1 Priyanka Yadav A1 Yuichiro Yano A1 Muluken Azage Yenesew A1 Paul Yip A1 Engida Yisma A1 Naohiro Yonemoto A1 Mustafa Z Younis A1 Chuanhua Yu A1 Shamsa Zafar A1 Zoubida Zaidi A1 Sojib Bin Zaman A1 Mohammad Zamani A1 Yong Zhao A1 Sanjay Zodpey A1 Simon I Hay A1 Alan D Lopez A1 Ali H Mokdad A1 Theo Vos YR 2020 UL http://injuryprevention.bmj.com/content/26/Suppl_2/i12.abstract AB Background The epidemiological transition of non-communicable diseases replacing infectious diseases as the main contributors to disease burden has been well documented in global health literature. Less focus, however, has been given to the relationship between sociodemographic changes and injury. The aim of this study was to examine the association between disability-adjusted life years (DALYs) from injury for 195 countries and territories at different levels along the development spectrum between 1990 and 2017 based on the Global Burden of Disease (GBD) 2017 estimates.Methods Injury mortality was estimated using the GBD mortality database, corrections for garbage coding and CODEm—the cause of death ensemble modelling tool. Morbidity estimation was based on surveys and inpatient and outpatient data sets for 30 cause-of-injury with 47 nature-of-injury categories each. The Socio-demographic Index (SDI) is a composite indicator that includes lagged income per capita, average educational attainment over age 15 years and total fertility rate.Results For many causes of injury, age-standardised DALY rates declined with increasing SDI, although road injury, interpersonal violence and self-harm did not follow this pattern. Particularly for self-harm opposing patterns were observed in regions with similar SDI levels. For road injuries, this effect was less pronounced.Conclusions The overall global pattern is that of declining injury burden with increasing SDI. However, not all injuries follow this pattern, which suggests multiple underlying mechanisms influencing injury DALYs. There is a need for a detailed understanding of these patterns to help to inform national and global efforts to address injury-related health outcomes across the development spectrum.