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Road safety policies and motor vehicle fatalities in Ecuador: a geographical and temporal analysis from 1990 to 2022.

BMJ Public Health · 2026 · PMC13264848 · PMID 42299252

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an increasing trendno p-value reported
7 In addition, a 2022 study, covering 1990–2018, revealed that older adults had clearly higher mortality rates and an increasing trend in the years of life potentially lost, which reinforces the persistence of the increase in mortality in vulnerable groups. 24 On the other hand, some recent studies show more nuanced trends.

also in 63,971 other papers

a decreasing trendno p-value reported
A decreasing trend characterised the first period between 1990 and 2002.

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Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.