title: Epidemiologic Impact of Rapid Industrialization on Head Injury Based on Traffic Accident Statistics in Korea.
abstract: OBJECTIVE
  The aim of the present study is to estimate the incidence trend of head injury and the mortality based on traffic accident statistics and to investigate the impacts of rapid industrialization and economic growth on epidemiology of head injury in Korea over the period 1970-2012 including both pre-industrialized and post-industrialized stages.
  
  
  METHODS
  We collected data of head injury estimated from traffic accident statistics and seven hospital based reports to see incidence trends between 1970 and 2012. We also investigated the population structure and Gross National Income (GNI) per capita of Korea over the same period. The age specific data were investigated from 1992 to 2012.
  
  
  RESULTS
  The incidence of head injury gradually rose in the 1970s and the 1980s but stabilized until the 1990s with transient rise and then started to decline slowly in the 2000s. The mortality grew until 1991 but gradually declined ever since. However, the old age groups showed rather slight increase in both rates. The degree of decrease in the mortality has been more rapid than the incidence on head injury.
  
  
  CONCLUSIONS
  In Korea during the low income stage, rapid industrialization cause considerable increase in the mortality and the incidence of head injury. During the high income stage, the incidence of head injury gradually declined and the mortality dropped more rapidly than the incidence due to preventive measures and satisfactory medical care. Nevertheless, the old age groups revealed rather slight increase in both rates owing to the large population structure and the declining birth rate.
authors.affiliation: Deaprtment of Neurosurgery, Chungbuk National University Hospital, Cheongju, Korea.
authors.forename: Dong Ho
authors.initials: DH
authors.lastname: Kim
authors.affiliation: Department of Neurosurgery, Jeju National University Hospital, Jeju, Korea.
authors.forename: You Nam
authors.initials: YN
authors.lastname: Chung
authors.affiliation: Deaprtment of Neurosurgery, Chungbuk National University Hospital, Cheongju, Korea.
authors.forename: Young Seok
authors.initials: YS
authors.lastname: Park
authors.affiliation: Deaprtment of Neurosurgery, Chungbuk National University Hospital, Cheongju, Korea.
authors.forename: Kyung Soo
authors.initials: KS
authors.lastname: Min
authors.affiliation: Deaprtment of Neurosurgery, Chungbuk National University Hospital, Cheongju, Korea.
authors.forename: Mou Seop
authors.initials: MS
authors.lastname: Lee
authors.affiliation: Deaprtment of Neurosurgery, Chungbuk National University Hospital, Cheongju, Korea.
authors.forename: Young Gyu
authors.initials: YG
authors.lastname: Kim
keywords: Epidemiology; Head injury; Industrialization