International Journal of Injury Control and Safety Promotion最新文献

The management of road safety relies on data from road traffic crashes to identify priorities, monitor trends and evaluate interventions. Both police and hospital records are important sources of information on crashes that result in injury; however, both are known to be incomplete, with the quality and completeness of data being lower in low- and middle-income countries. The aim of this study is to estimate the magnitude of the underreporting of crashes in Dire Dawa City, Ethiopia, as a case study that may be applicable elsewhere. In addition, it gives an opportunity to understand the discrepancies between police and hospital records in Dire Dawa City and how the data systems work in the city. This research compared data on traffic collisions resulting in injury from July 2014 to February 2019 across police and hospital databases and used the capture-recapture technique to estimate the actual numbers of crashes and the degree of under-recording in both sources. It was found that there was substantial under-recording in both sources, with the degree of under-recording varying by urban/rural area, gender, age, road user category and injury severity, as well as by source within these variables. The police figures were lower than the hospital figures, and in all cases but three (rural areas, passengers and serious injury crashes), both sources had more unmatched than matched cases. In addition, the analysis discovered undocumented deaths and injuries in both databases. To summarize, police capture more death instances, but hospitals capture more serious injury cases. The capture-recapture strategy predicted a greater number of instances than currently recorded by police and hospitals. This demonstrates a major under-reporting of crash data from both sources. This level of under-recording can lead to less effective road safety management and evaluation. Replication of this research in other parts of Ethiopia could provide information on local practices that are more or less successful in reducing the level of under-recording, and such results may have implications for other countries with similar problems.

The study of road traffic injuries (RTIs) is crucial for understanding the unique challenges faced by West Asia and North Africa (WANA) states. This research evaluates road safety practices in the WANA region, comparing them to global standards, and employs secondary data analysis from sources such as the Global Road Safety Status Report, Global Road Safety Facility, and the World Health Organization. The analysis examines epidemiological data, preventive measures like seatbelt and child-restraint use, and policy development, including national action plans, to estimate road traffic death rates per 10,000 vehicles and per 100,000 population. Data from 23 countries are analyzed, focusing on road traffic injury rates by user type, road safety laws, and global safety targets. Overall, WANA states account for 10.5% of global RTI fatalities, exceeding both world and European averages. Most pedestrian fatalities occur in Ethiopia (40.0%) and Afghanistan (34.0%). This indicates that low enforcement scores (averaging 5 out of 10) in most WANA countries contribute to the insufficient effectiveness of road safety laws in reducing injuries and deaths. Achieving the Sustainable Development Goal (SDG) to reduce global road traffic deaths by 50% by 2030 requires commitment and cooperation from governments, communities, and stakeholders in the WANA region.

Previous research solely employed a single type of conflict extremes for crash estimation, without considering the joint impact of multiple types of conflict extremes on crash risk. Therefore, two analysis frameworks based on conflict extremes were proposed: separate modeling and cooperative modeling. Based on the trajectories from five diverging areas, longitudinal and lateral conflicts were extracted. Then, a Bayesian hierarchical model for joint multi-location conflict extremes was constructed. Next, the threshold for conflict extremes was determined using automatic mean residual life plots, and a link function was established between the logarithmic scale parameter and dynamic and static variables. Finally, model parameters were estimated using the Markov Chain Monte Carlo simulation method, and a comparative analysis of crash probabilities and overall risks for diverging areas in the two frameworks was conducted by the fitted distributions. The results show that density differences, speed differences, and the ratio of large vehicles are important covariates explaining the non-stationarity of conflict extremes. In terms of crash probability, significant covariates exhibit stronger explanatory power for longitudinal conflicts compared to lateral conflicts. At the overall risk level, the accuracy of the separate modeling is higher compared to the cooperative modeling.

Using the methodology developed by the National Highway Traffic Safety Administration (NHTSA) for motorcyclists, this paper estimates bicycle helmet effectiveness factors (HEFs), defined as the percentage greater chance that a helmeted bicyclist will avoid a fatality or serious injury relative to a non-wearer. We analyse reported motor vehicle-bicycle collisions in Colorado between 2006 and 2014. We conclude that NHTSA's motorcycle HEF methodology did not provide reasonable results given underreporting of low-severity collisions of helmeted bicyclists. The HEF methodology may be applied to bicycles in future research if more complete bicyclist collision reporting can be obtained. To account for underreporting, we calibrated our bicycle HEFs to past research and found that approximately one of every two bicyclists killed may have survived (HEF = 0.50) and one of every three seriously injured bicyclists may have been less seriously injured (HEF = 0.33) if wearing a helmet at the time of the collision.

Public buses and taxis play crucial roles in urban transportation. Ensuring their safety is of paramount importance to develop sustainable communities. This study investigated the significant factors contributing to the injury severity of bus-taxi crashes, using the crash data recorded by the police in Hong Kong from 2009 to 2019. To account for the unobserved heterogeneity, the random parameters logistic model with heterogeneity in means was elaborately developed. The results revealed that taxi driver age, bus age, traffic congestion, and taxi driver behavior had significantly heterogeneous effects on the injury severity of bus-taxi crashes and that the mean value of the random parameter for severe traffic congestion was likely to increase if the taxi's age was <5 years. Taxi driver gender, rainfall, time of day, crash location, bus driver behavior, and collision type were found to significantly affect the bus-taxi crash severity. Specifically, female taxi drivers, old taxis, rainfall, midnight, improper manipulation of bus and taxi drivers, head-on and sideswipe collision types, and non-intersections were associated with a higher likelihood of fatal and severe crashes. Based on our findings, targeted countermeasures were proposed to mitigate the injury severity of bus-taxi crashes.

Traditional approaches to monitoring road safety have primarily focused on measuring outcomes such as the number of fatalities and injuries. While effective in capturing overall trends, this macroscopic approach often overlooks the underlying causes of unsafe conditions. Recognizing these limitations, many countries now embrace a safe system-based approach, which emphasizes a holistic view of road safety, considering various elements and their interactions. In response to this shift, this study introduces a five-step framework designed to provide comprehensive coverage and tailored assistance in selecting and utilizing appropriate Road Safety Indicators (RSIs) for more effective performance monitoring. The framework integrates a novel RSIs taxonomy aligned with critical elements of the safe system. It also incorporates an MCDA-based approach to account for decision-makers' preferences when selecting suitable RSIs. A case study demonstrates the practical application of the proposed steps, including the identification, classification, selection, and development of descriptive sheets for each selected RSI, as well as the continuous updating of the RSIs set. The findings offered valuable insights into the commonly used indicators in international road safety reports, while also revealing the limitations of currents metrics and data in fully capturing critical elements and hierarchical level within the road safety management system.

The aim of this work is to analyze trends in youth transportation fatalities and injuries in North Carolina (NC), assess the implementation of ignition interlock devices (IIDs) in the United States and abroad, discuss policy implications for IIDs, and highlight health equity considerations related to motor vehicle collisions (MVCs). MVCs cause the highest number of unintentional injury-related deaths for children and teenagers in NC, and policymakers should pay special attention to MVCs related to alcohol consumption. IIDs are effective in reducing collision rates and recidivism for driving under the influence of alcohol (DUI). Ignition interlock device requirements have been increasingly implemented globally over the past three decades. However, the adoption of stricter IID policies after first-time DUI offenses in NC and across the U.S. is a prudent public health measure to enhance transportation safety for both adults and children. Evidence-based interventions such as IIDs must also strive to address inequities in transportation safety, and the framing of proposed policies should reflect the tenets of cultural humility.

There is a lack of research that investigates the risk factors of cycling in low- and middle-income countries. We present descriptive epidemiology of crashes that involved at least one fatal cyclist, over a three-year period (2016-2018) in Delhi, India. Next, we used an unmatched case-control approach to identify road design risk factors of cycle fatalities. Cases were road segments with at least one cycle fatality, and controls were those with none. We developed logistic regression models with cases and controls as binary outcomes to estimate the odds ratio of site characteristics. There were 167 crashes involving at least one cyclist fatality over the study period. Fatal cyclists were almost all males. They were less likely to be children or young adults and less likely to be residents of high-income localities, compared to the general population. One in ten crashes included more than one occupant on a cycle and 5% of fatal victims were pillion riders. Seventy percent crashes occurred at midblock, and majority were backend collisions. Regression shows that road width, traffic speed, and volume of heavy vehicles have strong positive effects on the fatality risk of cyclists. These results can inform strategies to design interventions for safety of cyclists.

The shoulder width, as a geometric element, plays a crucial role in enhancing highway safety. Research from high-income countries indicates that improving shoulders on highways leads to substantial safety benefits. However, the safety effectiveness of paved shoulders for low- and middle-income countries (LMICs) highway contexts has limited evidence. This study evaluated the safety effectiveness of the paved shoulder width on 61 km, four-lane, divided rural intercity highways in India. The first objective was to evaluate highway crash patterns using data from 2016 to 2019. The second objective was to evaluate the safety effectiveness of paved shoulder width using the case-control approach. The findings of this study demonstrate a consistent decline in the likelihood of crashes as the shoulder's width increases within the range of zero to 2.5 m for the 100 m segment length and zero to 1.7 m for the 500 m segment length. Nevertheless, model estimates indicate an increased crash risk for shoulders wider than 2.5 m. The results also suggested that the odds ratio for paved shoulder widths ranging from no shoulder to 2.5 m is likely to follow the crash modification factor from the highway safety manual. The findings of this study hold significant implications for the design policy of shoulder width on rural highways in LMICs.

The rail construction industry is notable for its large scale, substantial investment, extensive stakeholders involvement, long construction period, and intricate operation and technology. This industry is among the most dangerous due to the highest number of occupational accident cases worldwide. Therefore, it is crucial to analyse and identify the existing literature on occupational accident factors in rail construction. To address the research aim, the study identified the factors that contribute to occupational accidents using systematic review methodology. This systematic literature review adheres to the rigorous Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 statement. Relevant publications from the past 25 years were retrieved from Scopus, Web of Science (WoS), and Science Direct electronic databases. Through a meticulous review of 43 selected publications, five accident factor themes were discovered: worker, workplace, materials and equipment, organizational, and environmental influences. The detailed analysis of these themes has led to the identification of 19 specific sub-factors within these categories, providing a granular understanding of the intricate elements contributing to accidents. This study offers a foundational understanding of accident factors in the rail construction industry, paving the way for targeted OSH interventions aimed at preventing occupational accidents in the future.