Objective: Road safety is an important public health issue worldwide. However, few studies have analyzed the association between criminalizing drunk driving and years of life lost (YLL) due to road traffic deaths (RTDs). Our study can provide useful information about this policy.
Methods: We used interrupted time-series analysis to find the changes in monthly YLL and RTD before and after law enforcement began using RTD data from 2008 to 2014 in Tianjin.
Results: After adjustment for seasonality, months, holidays, and the number of people in each district, criminalizing drunk driving was followed by a 11.1% (95% confidence interval [CI], 1.1–21.1%) reduction in risk of RTDs and a corresponding 778.1-year (95% CI, 200–1,355.1) reduction in monthly YLL. The reduction in YLL was especially significant among males, those aged 16–64 years old, and suburban residents.
Conclusions: This study highlights that the law can lead to a reduction in YLL due to RTDs in Tianjin, China. Large immediate public health benefits resulted from the new road traffic law in China. YLL provides a complementary measure for examining the effect of criminalization on drunk driving RTDs. 相似文献
This article explores the assessment of sustainability in fields subject to wind erosion. In the first part, simple sustainability audits are examined, as of soil depth and nutrients. Direct measurement of these characteristics has many problems, largely because of huge variability in space and time at all scales. Modelling still has its problems, but it may be possible to overcome many of them soon. It is true that wind erosion preferentially removes soil nutrients, but there are imponderables even here. The nutrient balance in many of these soils includes considerable input from dust. In West Africa, it has been shown that the amounts of calcium and potassium that are added in dust are sufficient to fertilize dispersed crops. In mildly acidic sandy soils, such as those found on the widespread palaeo- aeolian deposits, much of the phosphorus is fixed and unavailable to plants by the time it is removed by wind erosion, so that erosion has no added downside. Most of the nutrients carried by dust have been shown to travel close to the ground (even when they are attached to dust-sized particles), and so are trapped in nearby fallow strips, and are thus not lost to the farming system. Second, the sustalnabillty of a whole semi-arid farming system is explored. Wind erosion in semi-arid areas (like China, the Sahel and Norflawestern Europe) generally takes place on aeolian deposits of the recent geological past. Most of these soils are deep enough to withstand centuries of wind erosion before they are totally lost to production, and some of these soils have greater fertility at greater depth (so that wind erosion may even improve the soil). Finally some remarks are made about environmental change in relation to sustainability. 相似文献