{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T15:15:36Z","timestamp":1788189336996,"version":"build-2803163510"},"reference-count":29,"publisher":"Pan American Health Organization","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,31]]},"abstract":"<title>ABSTRACT<\/title>\n                  <sec>\n                    <title>Objective.<\/title>\n                    <p>To assess mortality and disability due to injuries in the Americas, with a focus on subregional and gender disparities, and changes over time.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>Methods.<\/title>\n                    <p>Data from the 2021 World Health Organization Global Health Estimates were analyzed, covering all injury causes (ICD-10: V01\u2013Y89) across 35 countries in the Americas from 2000 to 2021. Age-standardized mortality and disability-adjusted life year (DALY) rates were calculated by sex, cause, and subregion. Inequalities were quantified using absolute differences, relative ratios, and the index of disparity (IDisp).<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>Results.<\/title>\n                    <p>In 2021, injuries caused over 662 000 deaths and 40.6 million DALYs in the Americas, with men accounting for nearly three-quarters of the burden. While age-standardized injury rates declined in most subregions, marked inequalities persisted. Interpersonal violence was the leading cause of injury-related mortality and disability, followed by road injuries, especially among men and boys aged 15\u201339 years. Self-harm increased substantially in both sexes, and falls rose in association with population aging. Interpersonal violence and drowning showed the highest between-country disparities, with IDisp values of 85.3 and 88.9, respectively, in 2021.<\/p>\n                  <\/sec>\n                  <sec>\n                    <title>Conclusions.<\/title>\n                    <p>Although some progress has been made in reducing injury burden in parts of the Americas, substantial challenges, including in some cases widening inequalities, remain. A renewed commitment to violence and injury prevention \u2013 rooted in equity, intersectoral action, and regional collaboration \u2013 is essential to reducing avoidable harms across the life course.<\/p>\n                  <\/sec>","DOI":"10.26633\/rpsp.2026.64","type":"journal-article","created":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T14:28:31Z","timestamp":1788186511000},"page":"1","source":"Crossref","is-referenced-by-count":0,"title":["Inequalities in injury burden in the Americas, 2000\u20132021: A systematic analysis"],"prefix":"10.26633","volume":"50","author":[{"given":"Ian Richard","family":"Hambleton","sequence":"first","affiliation":[{"name":"The University of the West Indies at Cave Hill, Bridgetown, Barbados"},{"name":"ian.hambleton@cavehill.uwi.edu"},{"name":"https:\/\/orcid.org\/0000-0002-5638-9794"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Britta","family":"Baer","sequence":"additional","affiliation":[{"name":"Pan American Health Organization, Washington, D.C., United States of America"},{"name":"https:\/\/orcid.org\/0000-0003-1082-0785"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo","family":"P\u00e9rez-N\u00fa\u00f1ez","sequence":"additional","affiliation":[{"name":"Pan American Health Organization, Washington, D.C., United States of America"},{"name":"https:\/\/orcid.org\/0000-0001-7830-1768"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Selvi","family":"Jeyaseelan","sequence":"additional","affiliation":[{"name":"Leeds Beckett University, Leeds, United Kingdom"},{"name":"https:\/\/orcid.org\/0000-0002-3561-2854"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberta","family":"Caixeta","sequence":"additional","affiliation":[{"name":"Pan American Health Organization, Washington, D.C., United States of America"},{"name":"https:\/\/orcid.org\/0000-0003-3943-8176"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvana","family":"Luciani","sequence":"additional","affiliation":[{"name":"Pan American Health Organization, Washington, D.C., United States of America"},{"name":"https:\/\/orcid.org\/0000-0002-3122-1258"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramon","family":"Martinez","sequence":"additional","affiliation":[{"name":"Pan American Health Organization, Washington, D.C., United States of America"},{"name":"https:\/\/orcid.org\/0000-0003-0641-0206"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anselm","family":"Hennis","sequence":"additional","affiliation":[{"name":"Pan American Health Organization, Washington, D.C., United States of America"},{"name":"https:\/\/orcid.org\/0009-0004-0005-7979"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"11167","reference":[{"key":"ref1","unstructured":"Pan American Health Organization. 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Inj Prev. 2018;24(Suppl 1):i1\u2013i2. https:\/\/doi.org\/10.1136\/injuryprev-2017-042355.","DOI":"10.1136\/injuryprev-2017-042355"}],"container-title":["Revista Panamericana de Salud P\u00fablica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/iris.paho.org\/bitstreams\/083bac5b-3066-474f-87d4-5ac8d426cb3b\/download","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T14:28:35Z","timestamp":1788186515000},"score":1,"resource":{"primary":{"URL":"https:\/\/iris.paho.org\/handle\/10665.2\/72156"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,31]]},"references-count":29,"alternative-id":["RPSP.2026.64"],"URL":"https:\/\/doi.org\/10.26633\/rpsp.2026.64","relation":{},"ISSN":["1020-4989","1680-5348"],"issn-type":[{"value":"1020-4989","type":"print"},{"value":"1680-5348","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,31]]}}}