A comprehensive view of factors influencing child passenger safety in low- and middle-income countries

IF 3.2 Q3 TRANSPORTATION IATSS Research Pub Date : 2024-09-05 DOI:10.1016/j.iatssr.2024.08.005

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Abstract

Despite the recent decline in child deaths caused by road traffic crashes in high income countries, low- and middle-income countries (LMIC) have yet to experience a similar trend. Children are among the most vulnerable of road users accounting for 30–40 % of all road traffic deaths in LMICs, 50 % of which are vehicle occupants. Previous research suggests that children ages 0–9 are the second most vulnerable age group in Ghana with 54 % of the children being fatally injured in injury-related crashes. However, little has been done to identify the associated factors influencing injury severity outcomes for child passengers in Ghana. This study investigates the factors that are associated with the various injury severity outcomes for child vehicle occupants less than 9 years old involved in road crashes in Ghana from 2014 to 2020. Results indicate that older child passengers (aged 5–8) were associated with lower injury severities compared to younger passengers. Additionally, crashes in which the driver sustained more severe injuries resulted in a higher likelihood of the child passengers sustaining a fatal injury. Findings from this research emphasize the issue of child passenger safety and support transportation policy and decision making to reduce risks of injury for child passengers.

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全面审视影响中低收入国家儿童乘车安全的因素

尽管近期高收入国家因道路交通事故造成的儿童死亡人数有所下降，但中低收入国家（LMIC）尚未出现类似趋势。儿童是最易受伤害的道路使用者之一，占中低收入国家道路交通死亡总数的 30-40%，其中 50% 为车内人员。以前的研究表明，0-9 岁的儿童是加纳第二大最易受伤害的年龄组，54% 的儿童在与伤害相关的车祸中受到致命伤害。然而，在确定影响加纳儿童乘客受伤严重程度的相关因素方面却鲜有建树。本研究调查了 2014 年至 2020 年期间加纳道路交通事故中 9 岁以下儿童乘车者各种伤害严重程度结果的相关因素。结果表明，与年龄较小的乘客相比，年龄较大的儿童乘客（5-8 岁）受伤严重程度较低。此外，在驾驶员受伤更严重的车祸中，儿童乘客受致命伤的可能性更高。该研究结果强调了儿童乘客安全问题，并支持制定交通政策和决策，以降低儿童乘客受伤的风险。

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来源期刊

IATSS Research TRANSPORTATION-

CiteScore

6.40

自引率

6.20%

发文量

审稿时长

42 weeks

期刊介绍： First published in 1977 as an international journal sponsored by the International Association of Traffic and Safety Sciences, IATSS Research has contributed to the dissemination of interdisciplinary wisdom on ideal mobility, particularly in Asia. IATSS Research is an international refereed journal providing a platform for the exchange of scientific findings on transportation and safety across a wide range of academic fields, with particular emphasis on the links between scientific findings and practice in society and cultural contexts. IATSS Research welcomes submission of original research articles and reviews that satisfy the following conditions: 1.Relevant to transportation and safety, and the multiple impacts of transportation systems on security, human health, and the environment. 2.Contains important policy and practical implications based on scientific evidence in the applicable academic field. In addition to welcoming general submissions, IATSS Research occasionally plans and publishes special feature sections and special issues composed of invited articles addressing specific topics.