ArticlePloS one2016
The Economic Burden of Road Traffic Injuries on Households in South Asia.
Article in PloS one, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Road Traffic Injuries, Trends, and Patterns: A Five-Year Retrospective Analysis Using Secondary Police Data in Nepal.JNMA; journal of the Nepal Medical Association · 2026Article
- Promoting health and safety in public transportation: A call to action for sub-Saharan Africa.African journal of primary health care & family medicine · 2025Article
- Factors associated with road traffic injury in a high-risk zone of Bangladesh: a mixed-method study.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025Article
- Prevention of "bygone futures" due to road traffic injuries in children.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Review
- Achieving Surgical, Obstetric, Trauma, and Anesthesia (SOTA) care for all in South Asia.Frontiers in public health · 2024Review
- Global burden and trends of transport injuries from 1990 to 2019: an observational trend study.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2023Article
- Trauma Care Scenarios Following Road Traffic Crashes in Bangladesh: A Scoping Review.Global health, science and practice · 2023Article
- Article
- Financial risk protection from out-of-pocket health spending in low- and middle-income countries: a scoping review of the literature.Health research policy and systems · 2022Article
- Studies of the effectiveness of transport sector interventions in low- and middle-income countries: An evidence and gap map.Campbell systematic reviews · 2021Article
- The risks of warm nights and wet days in the context of climate change: assessing road safety outcomes in Boston, USA and Santo Domingo, Dominican Republic.Injury epidemiology · 2021Article
- The impact of temperature, rainfall, and health worker density index on road traffic fatalities in Pakistan.Environmental science and pollution research international · 2020Article
- Cost Analysis of Accidents according to Demographic Factors in Iran.Iranian journal of public health · 2019Article
- Road traffic fatalities and its determinants in high-income countries: a continent-wise comparison.Environmental science and pollution research international · 2019Article
- Public health crisis of road traffic accidents in India: Risk factor assessment and recommendations on prevention on the behalf of the Academy of Family Physicians of India.Journal of family medicine and primary care · 2019Article
- The association between meteorological variables and road traffic injuries: a study from Macao.PeerJ · 2019Article
- Economic Burden of Accidents and Injuries in India: What Does 75Indian journal of community medicine : official publication of Indian Association of Preventive & Social MedicineArticle
- An assessment of measures to reduce injuries and mortality among motorcyclists: A cross-sectional survey-based study.International journal of critical illness and injury scienceArticle
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Globally, road traffic injuries accounted for about 1.36 million deaths in 2015 and are projected to become the fourth leading cause of disability-adjusted life years (DALYs) lost by 2030. One-fifth of these deaths occurred in South Asia where road traffic injuries are projected to increase by 144% by 2020. Despite this rapidly increasing disease burden there is limited evidence on the economic burden of road traffic injuries on households in South Asia. We applied a novel coarsened exact matching method to assess the household economic burden of road traffic injuries using nationally representative World Health Survey data from five South Asian countries- Bangladesh, India, Nepal, Pakistan and Sri Lanka collected during 2002-2003. We examined the impact of road traffic injuries on household out-of-pocket (OOP) health spending, household non-medical consumption expenditure and the employment status of the traffic injury-affected respondent. We exactly matched a household (after 'coarsening') where a respondent reported being involved in a road traffic injury to households where the respondent did not report a road traffic injury on each of multiple observed household characteristics. Our analysis found that road traffic injury-affected households had significantly higher levels of OOP health spending per member (I$0.75, p<0.01), higher OOP spending on drugs per member (I$0.30, p = 0.03), and higher OOP hospital spending per member (I$0.29, p<0.01) in the four weeks preceding the survey. Indicators of "catastrophic spending" were also significantly higher in road traffic injury-affected households: 6.45% (p<0.01) for a threshold of OOP health spending to total household spending ratio of 20%, and 7.40% (p<0.01) for a threshold of OOP health spending to household 'capacity to pay' ratio of 40%. However, no statistically significant effects were observed for household non-medical consumption expenditure, and employment status of the road traffic injury-affected individual. Our analysis points to the need for financial risk protection against the road traffic injury-related OOP health expenditure and a focus on prevention.
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