ArticlePublic health in practice (Oxford, England)2026
The rising burden of non-motor vehicle crashes: An emerging challenge for road traffic injury prevention in China, 1997-2023.
Article in Public health in practice (Oxford, England), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objectives: To evaluate preventive achievements and identify emerging trends and challenges regarding road traffic injuries (RTIs) in China from 1997 to 2023. Study design: Ecological trend study. Methods: Data on road traffic crashes, injuries, and deaths were extracted from China's National Bureau of Statistics. Joinpoint regression analysis was employed to identify significant temporal trends and compute the annual percentage change (APC) and average annual percentage change (AAPC). All outcome variables were log-transformed prior to analysis due to skewed distributions, as determined by normality assessment. Results: Over the 27-year period, the number of road traffic crashes and associated casualties showed three distinct phases: a rapid increase until 2001, a significant decline until around 2011, and a subsequent stabilization or slight rebound. While motor vehicle-related incidents initially drove these trends, injuries ( Conclusions: Despite commendable gains in reducing motor vehicle-related RTIs, China now faces the acute challenge of a rising injury burden involving non-motor vehicles. Consequently, future road safety initiatives must be formulated on a holistic approach that integrates enhanced vehicle safety, road infrastructure optimized for vulnerable users, and precise behavioral interventions targeting high-risk populations. The findings provide an evidence base for prioritizing non-motor vehicle safety in China's next phase of road safety strategy and offer methodological insights for similar trend analyses in other low- and middle-income countries experiencing rapid e-bike adoption.
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