{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T08:03:14Z","timestamp":1779696194871,"version":"3.53.1"},"reference-count":27,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Public Health Research"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Road traffic accidents (RTAs) are a leading cause of injury deaths in Bangladesh, but local geographic patterns remain poorly understood. This study aimed to identify high- and low-risk districts for RTA mortality and track changes from 2022 to 2024 to inform targeted interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this district-level ecological study, we analyzed DGHS official RTA mortality data across all 64 districts. Population-adjusted rates were computed; Moran\u2019s I and Getis-Ord Gi* assessed spatial autocorrelation for hotspots\/coldspots; SaTScan detected space-time clusters.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Raw counts were randomly distributed, but adjusted rates showed significant dispersion (Moran\u2019s I = -0.143, p=0.006 in 2023), with high-risk districts bordering low-risk ones. Persistent northwestern spatial hotspots included Naogaon, Natore, and Bogra. Spatio-temporal analysis identified high-rate clusters in 2024 for Dhaka (RR 6.14, p=0.001) and Rajshahi (RR 10.07, p=0.001), alongside stable low-mortality clusters in northern (RR 0.07) and southern (RR 0.19) regions. Methodological limitations include the use of uniform population projection rates and the ecological design, which precludes causal inference.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>RTA mortality reflects distinct local epidemics, not a uniform crisis. Geographic disparities support a precision public health approach, with prioritization of high-risk corridors and urban zones for targeted interventions, alongside investigation of protective factors in low-risk clusters.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/22799036261455688","type":"journal-article","created":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T11:54:46Z","timestamp":1779450886000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Spatial and spatio-temporal patterns of road traffic accident mortality in Bangladesh, 2022\u20132024: A district-level geospatial analysis"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1765-8477","authenticated-orcid":false,"given":"Pratyay","family":"Hasan","sequence":"first","affiliation":[{"name":"Dhaka Dental College & Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-3321-371X","authenticated-orcid":false,"given":"Tazdin Delwar","family":"Khan","sequence":"additional","affiliation":[{"name":"Ibrahim Cardiac Hospital & Research Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ishteaque","family":"Alam","sequence":"additional","affiliation":[{"name":"Daffodil International University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8910-0823","authenticated-orcid":false,"given":"Mohammad Emdadul","family":"Haque","sequence":"additional","affiliation":[{"name":"Bangabandhu Sheikh Mujib Medical University"},{"name":"(BSMMU)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Minhajul","family":"Abedin","sequence":"additional","affiliation":[{"name":"Military Institute of Science and Technology"},{"name":"(MIST)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,22]]},"reference":[{"key":"e_1_3_6_2_2","volume-title":"Global Status Report on Road Safety 2023","author":"World Health Organization","year":"2023","unstructured":"World Health Organization. Global Status Report on Road Safety 2023. World Health Organization, 2023. https:\/\/www.who.int\/teams\/social-determinants-of-health\/safety-and-mobility\/global-status-report-on-road-safety-2023"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000042157"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2025.1514011"},{"key":"e_1_3_6_5_2","first-page":"1","volume-title":"ARI Database: Accident Statistics and Characteristics Document","author":"Accident Research Institute (ARI)","year":"2014","unstructured":"Accident Research Institute (ARI). ARI Database: Accident Statistics and Characteristics Document. Bangladesh University of Engineering and Technology (BUET), 2014, pp. 1\u20136."},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40890-021-00118-3"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2016.05.025"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.aap.2003.12.003"},{"key":"e_1_3_6_9_2","doi-asserted-by":"publisher","DOI":"10.1080\/00140139.2021.1876928"},{"key":"e_1_3_6_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.trpro.2017.12.104"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.3390\/su151914478"},{"key":"e_1_3_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.trpro.2020.10.039"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1538-4632.1992.tb00261.x"},{"key":"e_1_3_6_14_2","unstructured":"Kulldorff M. SaTScanTM User Guide for Version 10.1. 2022. https:\/\/www.satscan.org\/techdoc.html Accessed 10 November 2025."},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/1467-985X.00186"},{"key":"e_1_3_6_16_2","unstructured":"Directorate General of Health Services (DGHS). Medical Certificate Cause of Deaths Module (Real Time Health Information Dashboard). 2023. https:\/\/dashboard.dghs.gov.bd\/pages\/dashboard_mccod_test.php accessed 7 May 2025."},{"key":"e_1_3_6_17_2","volume-title":"Population & Housing Census 2022 Preliminary Report","author":"Bangladesh Bureau of Statistics (BBS)","year":"2022","unstructured":"Bangladesh Bureau of Statistics (BBS). Population & Housing Census 2022 Preliminary Report. Bangladesh Bureau of Statistics, 2022."},{"key":"e_1_3_6_18_2","unstructured":"United Nations Office for the Coordination of Humanitarian Affairs (OCHA). Bangladesh - Subnational Administrative Boundaries (ADM0-ADM4) 2022. https:\/\/data.humdata.org\/dataset\/cod-ab-bgd"},{"key":"e_1_3_6_19_2","doi-asserted-by":"crossref","unstructured":"Anselin L Rey SJ. GeoDa: An Introduction to Spatial Data Science. 2024. Center for Spatial Data Science University of Chicago. https:\/\/geodacenter.github.io\/","DOI":"10.1201\/9781003274919"},{"key":"e_1_3_6_20_2","unstructured":"OpenStreetMap contributors. OpenStreetMap. 2025. https:\/\/www.openstreetmap.org"},{"key":"e_1_3_6_21_2","unstructured":"Conrtibutors of Contextility Arribas-Bel D. contextily: context geo tiles in Python https:\/\/github.com\/geopandas\/contextily (2025). 2023."},{"key":"e_1_3_6_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-94-015-7799-1"},{"key":"e_1_3_6_23_2","doi-asserted-by":"publisher","DOI":"10.5194\/agile-giss-6-40-2025"},{"issue":"2","key":"e_1_3_6_24_2","first-page":"462","article-title":"Public Health Consequences of Road Traffic Accident Patterns in Bangladesh: A Comprehensive Analysis","volume":"8","author":"Saha A","year":"2025","unstructured":"Saha A, Khandaker A, Saha S, et al. Public Health Consequences of Road Traffic Accident Patterns in Bangladesh: A Comprehensive Analysis. Fortune Journal of Health Sciences 2025; 8(2): 462\u2013469. https:\/\/doi.org\/10.26502\/fjhs.296","journal-title":"Fortune Journal of Health Sciences"},{"key":"e_1_3_6_25_2","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph192416970"},{"key":"e_1_3_6_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.tra.2005.02.022"},{"key":"e_1_3_6_27_2","doi-asserted-by":"publisher","DOI":"10.4236\/jdaip.2019.72003"},{"key":"e_1_3_6_28_2","doi-asserted-by":"publisher","DOI":"10.1080\/00140139.2023.2216407"}],"container-title":["Journal of Public Health Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/22799036261455688","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/22799036261455688","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/22799036261455688","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T07:16:17Z","timestamp":1779693377000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/22799036261455688"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4]]},"references-count":27,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2026,4]]}},"alternative-id":["10.1177\/22799036261455688"],"URL":"https:\/\/doi.org\/10.1177\/22799036261455688","relation":{},"ISSN":["2279-9036","2279-9036"],"issn-type":[{"value":"2279-9036","type":"print"},{"value":"2279-9036","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4]]},"article-number":"22799036261455688"}}