| BMC Public Health | |
| Magnitude of, trends in, and associated factors of road traffic collision in central Ethiopia | |
| Gezahegn Tesfaye1  Demeke Assefa2  Fekede Asefa1  | |
| [1] Department of Public Health, College of Health and Medical Sciences, Haramaya University, P.O. Box 235, Harar, Ethiopia;School of Public Health, College of Health Sciences, Addis Ababa University, P.O. Box 19304, Addis Ababa, Ethiopia | |
| 关键词: Road traffic collisions fatality; Road traffic collision; Trends; Magnitude; | |
| Others : 1126177 DOI : 10.1186/1471-2458-14-1072 |
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| received in 2014-09-25, accepted in 2014-10-03, 发布年份 2014 | |
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【 摘 要 】
Background
Road traffic collision (RTC) is one of many public health problems. Globally, about 1.2 million people die due to RTCs every year. Of these, 85% reside in low- and middle-income countries. Despite low road network density and vehicle ownership, Ethiopia has a relatively high collision record. Collisions in the Addis Ababa and Oromia Regions account for 58% of all fatal collisions in Ethiopia. The aim of this study was to assess the magnitude of, trends in and factors associated with RTCs in central Ethiopia.
Methods
A retrospective study was conducted using relevant police reports obtained from eight police stations found between Akaki and Adama towns located in central Ethiopia. The study included reports from July 2007 to June 2012. Both quantitative and qualitative techniques were employed, and bivariate and multivariate analyses were performed to identify the factors associated with the RTCs.
Results
From July 2007 to June 2012, 2,335 collisions were registered, though the outcomes of 24 of these crashes were not recorded. Among these collisions, 389 (16.7%) resulted in death, 316 (13.5%) brought about severe injuries, 290 (12.4%) caused slight injuries, and 1,316 (56.4%) caused property damage. These collisions affected about 1,745 individuals. While 515 (29.5%) people died, 549 (31.5%) were severely injured, and the remaining 681 (39%) were slightly injured. Driving at midnight [AOR 1.67, 95% CI; 1.2-2.4], driving above the speed limit [AOR 5.3, 95% CI; 2.9-9.6], failing to give priority for other vehicles and pedestrians [AOR 5.03, 95% CI; 2.3-9.3], and vehicular technical problems [AOR 19, 95% CI; 6.4-56] were determinants of RTC fatality.
Conclusions
RTCs steadily increased in the study area over this period of time. This calls for urgent interventions. Ensuring that drivers obey traffic rules and enforcing the speed limit appear to be the most critical parts of necessary interventions.
【 授权许可】
2014 Asefa et al.; licensee BioMed Central Ltd.
【 预 览 】
| Files | Size | Format | View |
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| 20150218082628639.pdf | 746KB | ||
| Figure 5. | 31KB | Image | |
| Figure 4. | 30KB | Image | |
| Figure 3. | 39KB | Image | |
| Figure 2. | 31KB | Image | |
| Figure 1. | 40KB | Image |
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【 参考文献 】
- [1]WHO: World Report on Road Traffic Injury Prevention. Geneva: WHO; 2004.
- [2]Safe Car Guide: International Injury & Fatality Statistics. 2004.
- [3]Esiyok B, Korkusuz I, Canturk G, Alkan AH, Karaman GA, Hanci HI: Road traffic accidents and disability: A crosssection study from Turkey. Disabil Rehabil 2005, 27(21):1333-1338.
- [4]Emanuel L: “Road Traffic Injury Is An Escalating Burden In Africa”. Plose Med 2007, 4(6):967-970.
- [5]Road traffic injury research nework: Capacity Development For Road Traffic Injury Research In Low And Middle Income Countries, Supporting Junier Researchers. World Bank; 2010. http://rtirn.net webcite
- [6]TRL and Ross Silcock Partnership: Study for Sectoral Road Safety Program in Ethiopia. Addis Ababa: Transport Research Laboratory; 2001.
- [7]BMC: Qualitative Research Review Guidelines Rats. http://www.biomedcentral.com/ifora/rats webcite
- [8]Tulu GS, Washington S, King MJ: G C: Characteristics of Police-reported Road Traffic Crashes in Ethiopia over a Six Year Period In Proceedings of the 2013 Australasian Road Safety Research, Policing & Education Conference. Brisbane: Queensland; 2013.
- [9]Marzooqi AH, Badi M, Jack AE: Road Traffic Accidents in Dubai, 2002–2008. Asia-Pacific J Public Health Supple 2010, 22(3):31-39.
- [10]Lunevicius R, Herbert HK, Hyder A: The epidemiology of road traffic injuries in the Republic of Lithuania, 1998–2007. Eur J Pub Health 2010, 20(6):702-707.
- [11]Ivan C, Anne TM: Declines in fatal crashes of older drivers: Changes in crash risk and survivability. Accid Anal Prev 2011, 43(3):666-673.
- [12]Wang YG, Shen-sen H: Multipattern Road Traffic Crashes and Injuries: A Case Study of Xi’an City. Acta Polytechnica Hungarica 2011, 8(4):171-181.
- [13]Ward H, Christie N, Lyons R, Broughton J, Ward P, Clarke D: Road Safety Research Report No. 76 Trends in Fatal Car-occupant Accidents. London: Department for Transport; 2007.
- [14]Mekonnon T: Empirical analysis on traffic accidents involving human injuries the case of addisababa. Addis Ababa: Addis Ababa University; 2007.
- [15]Qirjako G, Burazeri G, Hysa B, Roshi E: Factors Associated with Fatal Traffic Accidents in Tirana, Albania: Crosssectional Study. Croat Med J 2008, 49(6):734-740.
- [16]Burgut HR, Bener A, Csidahmed H, Aleuz R: Sanya R, khan WA: Risk factors contributing to road traffic crashes in a fast-developing country: the neglected health problem. Turkish J Trauma Emergency Surg 2010, 16(6):497-502.
- [17]Deus DK: Risk Factors and Road Traffic Accidents in Tanzania: A Case Study of KibahaDistrict facultate for sunfunnsvitenskapOgteknologiledelse. 2006.
- [18]Hassen A, Godesso A, Abebe L, Girma E: Risky driving behaviors for road traffic accident among drivers in Mekele city. Northern Ethiopia BMC Res Notes 2011, 4:535. BioMed Central Full Text
- [19]Peden M: McGee K, Krug E: Injury, A leading cause of the global burden of disease, 2000. Geneva: WHO; 2002.
- [20]Laflamme L, Vaez M: Car crash and injury among young drivers: contribution of social, circumstantial and car attributes. Int J Inj Contr Saf Promot 2007, 14(1):5-10.
- [21]Bedard M, Guyatt GH, Stones MJ, Hirdes JP: The independent contribution of driver, crash, and vehicle characteristics to driver fatalities. Accid Anal Prev 2002, 34(6):717-727.
- [22]Chalya PL, Mabula JB, Dass RM, Mbelenge M, Ngayomela IH, Chandika AB, Gilyona JM: Injury characteristics and outcome of road traffic crash victims at Bugando Medical Centre in Northwestern Tanzania. J Trauma Management Outcomes 2012, 6:1. BioMed Central Full Text
- [23]Clarke D, Ward P, Truman W, Bartle C: Fatal Vehicle-occupant Collisions: An In-depth Study. Road Safety Research Report.london 2007.
- [24]Eckersley W, Salmon R: MulugetaGebru: Khat, driver impairment and road traffic injuries: a view from Ethiopia. Bull World Health Organ 2010, 88:235-236.
- [25]Odero W, Meleckidzedeck K, Heda PM: Road traffic injuries in Kenya: magnitude, causes and status of intervention. In Control Saf Promot 2003, 10(2):53-61.
- [26]Mike M: Traffic crash victimizations of California children and teenagers by drinking over 21 drivers. Californian J Health Promotion 2009, 7(2):56-66.
- [27]Lardelli-Claret P, Moleon-Jimenez JJ, Luna-del-Castillo DJ, Garcia-marthin M, Bueno-Cavanillas A, Galvez-Vargas R: Driver dependent factors and the risk of causing a collision for two wheeled motor vehicles. Injury Prevention 2005, 11:225-231.
- [28]Segni G, Berhanu G: Causes of road traffic accidents and possible counter measures on Addis Ababa-Shashemene roads. Addis Ababa: Addis Ababa University; 2007.
- [29]Sobngwi-Tambekoua J, Bhatti J, Kounga G, Salmi LR, Lagarde E: Road traffic crashes on the Yaoundé-Douala road section. Cameroon Accident Analysis Prevention 2010, 42(2):422-426.
- [30]Silva MM, Duarte CE, Prado RR, Nascimento AF: Mortality of motorcyclists in traffi c accidents in the Brazilian Federal District from 1996 to 2007. Rev Saude Publica 2011, 45(3):1-9.
- [31]Vinand MN, Michael RR: The neglected epidemic: road traffic injuries in developing countries. BMJ 2002, 324(7346):1139-1141.
- [32]Chisholm D, Nac H: Road traffic injury prevention: an assessment of risk exposure and intervention cost-effectiveness in different world regions world health organization Final version. Geneva: WHO; 2008.
- [33]Sharma D, Singh SU, Mukherjee S: A study on road traffic accidents in Anand-Gujarat. Health Line 2011, 2(2):12-15.
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