Road traffic injury mortality among children and adolescents
DOI:
https://doi.org/10.36517/2175-6783.20262796427Keywords:
Accidents, Traffic; Infant Mortality; Accident Prevention; Adolescent; Morbidity.Abstract
Objective: to analyze deaths from road traffic crashes among children and adolescents. Methods: an ecological time-series study was conducted using data from the Mortality Information System on road traffic crash deaths among children and adolescents aged 0–19 years from 2003 to 2022. Data were described using relative frequencies and mortality rates per 100,000 population. Trends in mortality rates were estimated over the study period. Results: during the study period, 2,065 deaths were recorded. Adolescents aged 15–19 years had the highest mortality rates from land transport accidents, with rates of 18.40 per 100,000 population in 2003 and 14.45 per 100,000 population in 2022. A significant reduction was observed in the mortality rate for the overall group aged 0–19 years (β = -0.195; p=0.006); however, no statistically significant association was found between year and mortality rate among infants younger than 1 year (p=0.775) or adolescents aged 15–19 years (p=0.423). Conclusion: the analysis showed a reduction in deaths from road traffic crashes; however, risk remained high among adolescents. Contributions to practice: these findings can inform planning and intersectoral decision-making for the prevention and control of road traffic crashes.
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References
1. Jaulkar S, Parihar, A. Different types of injury associated with road traffic accidents. Multidisciplinary Reviews. 2025;8(11):e2025111. doi: http://doi.org/10.31893/multirev.2025111
2. Malta DC, Ferreira ACM, Prates EJS, Andrade FMD, Silva MMA, Lima CM, et al. Risk and protective factors for road transportation accidents among Brazilian adolescents, PeNSE 2015/2019. Rev Min Enferm. 2022;26:e-1461. doi: https://dx.doi.org/10.35699/2316-9389.2022.38675
3. Tiwari RR, Patel S, Soju A, Trivedi P. Road use pattern and street crossing habits of schoolchildren in India. Front Public Health. 2021;9:628147. doi: https://doi.org/10.3389/fpubh.2021.628147
4. Carvalho Junior JG, Melo AAD, Lopes HAM, Lopes IRM. Social impact on public administration: traffic accidents on Brazilian highways. Rev Aracê. 2024;6(1):328-43. doi: https://doi.org/10.5638/arev6n1-019
5. Yoshino M, Ueda T, Takada H, Kanno A, Maeda M, Matsumoto H, et al. Post-traumatic stress disorder among children involved in traffic accidents and their parents in Japan. J Nippon Med Sch. 2022;89(1):47-55. doi: https://doi.org/10.1272/jnms.JNMS.2022_89-105
6. Liquin EG, Gopnik A. Children are more exploratory and learn more than adults in an approach-avoid task. Cognition. 2022;(218):104940. doi: https://doi.org/10.1016/j.cognition.2021.104940
7. Camboin FF, Toso BRGO, Caldeira S, Silva MAI. Traffic accidents in childhood: prevention from the nurse’s perspective. Rev Gaúcha Enferm. 2021;42;(esp):e20200171. doi: https://dx.doi.org/10.1590/1983-1447.2021.20200171
8. Kumar V, Barik S, Raj V, Varshney S. Prevention of “bygone futures” due to road traffic injuries in children. Eur J Trauma Emerg Surg. 2024;50(6):2799-805. doi: https://doi.org/10.1007/s00068-023-02378-7
9. World Health Organization. Global status report on road safety 2023 [Internet]. 2023 [cited Jan 23, 2026]. Available from: https://www.who.int/publications/i/item/9789240086517
10. Pham J, Buttazzoni A, Gilliland J. Applying the multiphase optimization strategy to evaluate the feasibility and effectiveness of an online road safety education intervention for children and parents: a pilot study. BMC Public Health. 2024;24(1):1782. doi: https://doi.org/10.1186/s12889-024-19208-z
11. Instituto Brasileiro de Geografia e Estatística. Censo Demográfico 2022 [Internet]. 2024 [cited Jan 23, 2026]. Available from: https://censo2022.ibge.gov.br/panorama/?utm_source=ibge&utm_medium=%20home&utm_campaign=portal
12. World Health Organization. World health statistics 2023: monitoring health for the SDGs, sustainable development goals [Internet]. 2023 [cited Jan 23, 2026]. Available from: https://www.who.int/publications/i/item/9789240074323
13. Villavicencio F, Perin J, Eilerts-Spinelli H, Yeung D, Prieto-Merino D, Hug L, et al. Global, regional, and national causes of death in children and adolescents younger than 20 years: an open data portal with estimates for 2000–21. Lancet Glob Health; 2024;12:e16-e17. doi: https://doi.org/10.1016/S2214-109X(23)00496-5
14. Ministério da Saúde (BR). Departamento de Informação e informática do Sistema único de Saúde [Internet]. 2024 [cited Jan 23, 2026]. Available from:https://datasus.saude.gov.br/mortalidade-desde-1996-pela-cid-10/
15. Souza RC, Abreu LC, Bebiano BC, Leitão FNC, Rodrigues LMR. Trend of traffic accident mortality rate among motorcyclists in the state of São Paulo, Brazil, from 2015 to 2020. Rev Bras Epidemiol. 2022;25:e220037. doi: https://dx.doi.org/10.1590/1980-549720220037.2
16. United Nations Educational, Scientific and Cultural Organization. Ready to learn and thrive: School health and nutrition around the world [Internet]. 2023 [cited Jan 29, 2026]. Available from: https://www.unicef.org/media/135076/file/Ready_to_Learn_and_Thrive_Report.pdf
17. Baffour AA, Akweongo P, Sackey SO, Lowery WM, Dambach P, Tuoyire DA, et al. Determinants of motorcycle-related head injuries among children and youth: an unmatched case-control study in northern Ghana. Inj Prev. 2025:ip-2024-045526. doi: https://doi.org/10.1136/ip-2024-045526
18. Costa ALM, Oliveira-Figueirêdo DST, Rocha FL. Factors associated with child and adolescent deaths due to road traffic accidents on Brazilian federal highways. Ciênc Saúde Coletiva. 2025;30(10):e08722025. doi: https://dx.doi.org/10.1590/1413-812320253010.08722025
19. Afacho AA, Belayneh T, Markos T, Geleta D. Incidence and predictors of mortality among road traffic accident victims admitted to hospitals at Hawassa city, Ethiopia. PLoS One. 2024:29;19(5):e0296946. doi: http://doi.org/10.1371/journal.pone.0296946
20. Conselho Nacional de Trânsito (BR). Resolução CONTRAN nº 277, de 28 de maio de 2008. Dispõe sobre o transporte de crianças em veículos automotores [Internet]. 2008 [cited Jan 27, 2026]. Available from: https://www.gov.br/transportes/pt-br/assuntos/transito/conteudo-contran/resolucoes/resolucao_contran_277.pdf
21. Morgan CH, Stager LM, Schwebel DC, Shen J. A systematic review and meta-analysis on the efficacy of virtual reality pedestrian interventions to teach children how to cross streets safely. J Pediatr Psychol. 2023;48(12):1003-20. doi: https://doi.org/10.1093/jpepsy/jsad058
22. Cloutier MS, Beaulieu E, Fridman L, Macpherson AK, Hagel BE, Howard AW, et al. State-of-the-art review: preventing child and youth pedestrian motor vehicle collisions: critical issues and future directions. Inj Prev. 2021;27(1):77-84. doi: https://doi.org/10.1136/injuryprev-2020-043829
23. Ministério da Saúde (BR). Ciclo de boletins sobre a situação de saúde da juventude brasileira: Informe I Violências e acidentes [Internet]. 2025 [cited Jan 29, 2026]. Available from: https://fiocruz.br/documento/2025/08/informe-i-violencias-e-acidentes-ciclo-de-informes-sobre-situacao-de-saude-da
24. Piona SK, Florêncio NS, Baltazar AM, Pinto AFV, Santos AS, Bubach S, et al. Tendência da mortalidade por acidentes de transporte terrestre em crianças brasileiras. Medicina (Ribeirão Preto). 2025;58(2):e-225130. doi: https://revistas.usp.br/rmrp/article/view/225130
25. Malta DC, Minayo MCS, Cardoso LSM, Veloso GA, Teixeira RA, Pinto IV, et al. Mortality among Brazilian adolescents and young adults between 1990 to 2019: an analysis of the Global Burden of Disease study. Ciênc Saúde Coletiva. 2021;26(9):4069-86. doi: https://dx.doi.org/10.1590/1413-81232021269.12122021
26. Sartin EB, Pfeiffer MR, Hartka T, Zonfrillo MR, Vaca FE, Metzger KB. Congruency of crash- and hospital-reported injuries among child passengers. Am J Prev Med. 2024;67(6):841-8. doi: https://doi.org/10.1016/j.amepre.2024.07.008
27. Kendi S, Johnston BD. Council on injury, violence, and poison prevention; epidemiology and prevention of child pedestrian injury. Pediatrics. 2023;152(1):e2023062508. doi: https://dx.doi.org/10.1542/peds.2023-062508
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Data Availability Statement
The authors declare that the data are available within the article and are publicly available, having been extracted from the Mortality Information System. They can be accessed at https://datasus.saude.gov.br/mortalidade-desde-1996-pela-cid-10/.
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Copyright (c) 2026 Alline Kosanke e Silva, Franciéle Marabotti Costa Leite, Nathália Miguel Teixeira Santana, Isaura Barros Alves Pinto, Franciele Foschiera Camboin

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