Measurement of the Burden of Road Injuries in Colombia, 1990–2021

To analyze the burden of road injuries in Colombia from 1990 to 2021, disaggregated by sex, age groups, and road injury category. Observational study based on the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021. National data on prevalence, incidence, mortality, years of life lost (YLL), years lived with disability (YLD), and disability-adjusted life-years (DALY) were obtained. Data are reported in years and age-standardized and age-specific rates per 100,000 inhabitants. A log-linear segmented regression model was employed to analyze trends in DALY rates of road injuries from 1990 to 2021. From 1990 to 2021, the age-standardized prevalence and incidence rates (per 100,000 inhabitants) due to road injury decreased by -30.6% (95% UI: -34.3; -26.4) and -27.5% (95% UI: -30.7; -24.4), respectively. The age-standardized mortality rate trend of road injuries decreased by -40.6% (95% UI: -50.0; -31.0). Meanwhile, the age-standardized DALY rate decreased by -39.7% (95% UI: -47.9; -31.3) during the study period. In all indicators, men's rates were higher than women's. By road injury category, the age-standardized rates increased significantly for motorcyclist road injuries, particularly among men. Road injuries in Colombia have declined but remain significant, especially for young men. Motorcycle injuries show alarming increases in mortality and DALY rates.