title: Trends in traffic fatalities in Mexico: examining progress on the decade of action for road safety 2011-2020.
abstract: OBJECTIVE
  We explore demographic, temporal and geographic patterns of 256,588 road traffic fatalities from 1998 to 2013 in Mexico, in context of UN´s decade of action for road safety 2010-2020 (DARS).
  
  
  METHODS
  Combined traffic mortality data and population counts were analyzed using mixed-effects logistic regression, distinguishing sex-age groups, vulnerable and protected road users, and municipal size.
  
  
  RESULTS
  Rapid growth from 1998 to 2008 in traffic mortality rates has been reversed since 2009. Most deaths averted are among young male protected road users (reduction of 0.95 fatalities per 100,000 per year in males 12-49). In spite of a steady decrease over the full study period, mortality rates remain high in vulnerable road users over 50, with a high mortality rate of 26 per 100,000 males over 75 years in 2013.
  
  
  CONCLUSIONS
  Progress on the reduction of deaths advances in Mexico, in line with DARS targets. National road safety efforts require strengthening. Initiatives should target vulnerable road users, specifically adults >50 years in urban areas. Strengthening of drink driving programs aimed at young drivers/occupants is promising.
authors.affiliation: Mexicanos Contra la Corrupción y la Impunidad (MCCI), Mexico, Mexico. cervantes@post.harvard.edu.|Carlos Peralta Chair of Public Health, Anahuac University, Mexico, Mexico. cervantes@post.harvard.edu.
authors.forename: Arturo
authors.initials: A
authors.lastname: Cervantes-Trejo
authors.affiliation: National Institute for Educational Evaluation (INEE), Mexico, Mexico.
authors.forename: Iwin
authors.initials: I
authors.lastname: Leenen
authors.affiliation: National Institute for Educational Evaluation (INEE), Mexico, Mexico.
authors.forename: John Stewart
authors.initials: JS
authors.lastname: Fabila-Carrasco
authors.affiliation: National Council for Road Safety (COSEVI), San José, Costa Rica.
authors.forename: Roy
authors.initials: R
authors.lastname: Rojas-Vargas
mesh_terms: D000063:Accidents, Traffic / Q000401:mortality* / Q000639:trends*; D000293:Adolescent; D000328:Adult; D000368:Aged; D001334:Automobile Driving; D002648:Child; D002675:Child, Preschool; D016208:Databases, Factual; D005260:Female; D006801:Humans; D007223:Infant; D016015:Logistic Models; D008297:Male; D008800:Mexico / Q000453:epidemiology; D008875:Middle Aged; D012449:Safety; D055815:Young Adult
keywords: Generalized linear mixed models; Mexico; Mortality; Policy programs; Road safety; Traffic accidents