摘要: OBJECTIVES: This study determined the effects of social changes in East Germany since 1989 on patterns injury mortality. METHODS: Death certificate data regarding injuries from 1980 through 1995 and police traffic 1998 were compared with similar West Germany. RESULTS: The number motor vehicle-related deaths increased dramatically between 1991, whereas those declined slightly. mortality more rural has especially involved young men driving automobiles roads persisted reunification Falls, other accidents, suicides have shown no such effect. Homicide among German but remains uncommon. CONCLUSIONS: Recent Germany, including access to vehicles decreased restrictions personal freedom, been associated vehicle crashes mortality, roads.