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Unveiling the Kuznets curve in elderly road deaths: the impact of economic growth, income inequality and urbanization. 揭示老年道路死亡的库兹涅茨曲线:经济增长、收入不平等和城市化的影响。
IF 2 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-22 DOI: 10.1080/17457300.2026.2616820
Kun Yang, Teik Hua Law, Megat-Usamah Megat-Johari, Qizhou Hu

Prior research showed a reverse U-shaped or Kuznets curve association between road deaths and income growth. However, no research has linked income growth to elderly road deaths (ERD). This study uses the fixed effects negative binomial panel regression on 82 countries over 30 years to close this gap. Results show a Kuznets curve association between the ERD rate and per capita Real Gross Domestic Product (RGDP). The ERD rate rises with per capita RGDP to a threshold, and then declines as income continues to grow. Additionally, increasing income disparity delays this critical turning point associated with increasing per capita RGDP. This study also reveals a reverse U-shaped association between urbanization (URB) and ERD rate, with ERD rate peaking in countries with diverse traffic conditions and less road choice. Considering economic and demographic changes, this study emphasises the need for ERD rate reduction policies.

先前的研究表明,道路死亡人数与收入增长之间呈倒u型或库兹涅茨曲线关系。然而,没有研究将收入增长与老年人道路死亡(ERD)联系起来。本研究采用固定效应负二项面板回归对82个国家30年的数据进行分析,以缩小这一差距。结果显示,ERD率与人均实际国内生产总值(RGDP)之间呈库兹涅茨曲线关系。ERD比率随着人均RGDP达到一个阈值而上升,然后随着收入的持续增长而下降。此外,收入差距的扩大推迟了这一与人均国内生产总值增长相关的关键转折点。该研究还揭示了城市化(URB)与ERD率之间的反向u型关系,在交通条件多样化和道路选择较少的国家,ERD率达到峰值。考虑到经济和人口的变化,本研究强调需要制定降低ERD率的政策。
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引用次数: 0
From Young-to older-elderly: shifting casualty patterns in traffic accidents within a motorcycle-oriented transport environment. 从年轻人到老年人:在以摩托车为导向的交通环境中交通事故伤亡模式的转变。
IF 2 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-07 DOI: 10.1080/17457300.2025.2611373
Yu-Yun Wang, Ching-Wen Lin, Cheng-Wen Lien, Cheng-Hao Chang, Tzu-Hsuen Yuan

As Taiwan transitions into a super-aged society, elderly road users face increasing risks of traffic accidents due to age-related physiological and cognitive decline. This study compared traffic accident characteristics between young-elderly (65-74 years) and older-elderly (≥75 years) road users in Taiwan, where motorcycles dominate the transportation environment. Chi-square and Mann-Whitney U tests were applied to examine differences in accident characteristics, injury and fatality proportions, and urbanization areas, while logistic regression were used to assess the age-related differences in injury and fatality outcomes. The results showed that motor accidents were prevalent among the elderly. Compared with the young-elderly, the older-elderly had higher injury and fatality proportions, with lower proportion of car accidents but higher proportions of bicycle and pedestrian accidents. In addition, drunk driving was more prevalent among the young-elderly across all vehicle types, whereas unlicensed motor vehicle driving was more common among the older-elderly. These findings reveal distinct risk patterns between elderly subgroups and underscore the need for targeted interventions to enhance traffic safety in both aging populations and motorcycle-dependent societies.

随着台湾进入超高龄社会,老年道路使用者因年龄相关的生理及认知衰退,面临交通意外的风险增加。本研究比较台湾地区以摩托车为主的交通环境中,年轻-高龄(65-74岁)与高龄-高龄(≥75岁)道路使用者的交通事故特征。卡方检验和Mann-Whitney U检验用于检验事故特征、伤害和死亡比例以及城市化地区的差异,而逻辑回归用于评估伤害和死亡结果的年龄相关差异。结果表明,交通事故在老年人中很普遍。与青壮年人群相比,中老年人群的伤害和死亡比例较高,其中车祸比例较低,自行车和行人事故比例较高。此外,在所有类型的车辆中,年轻老年人的酒后驾驶更为普遍,而无照驾驶的机动车在老年人中更为常见。这些发现揭示了老年亚组之间不同的风险模式,并强调需要采取有针对性的干预措施,以加强老年人口和摩托车依赖社会的交通安全。
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引用次数: 0
Epidemiology of road traffic injuries in Oman: insights from the Eastern Mediterranean region. 阿曼道路交通伤害的流行病学:来自东地中海区域的见解。
IF 2 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-06 DOI: 10.1080/17457300.2025.2611369
Hamid Soori

This study examines the epidemiology of road traffic injuries (RTIs) in the Eastern Mediterranean Region (EMR), which ranks third globally in fatalities, with a focus on Oman. The analysis used secondary data from World Road Safety Reports across 22 EMR member states. Trained national coordinators collected data from various sectors. Descriptive statistics summarized fatality rates and trends, while comparative analysis assessed regional differences. Additional sources included UN regulations, the UN Population Division, and World Bank indicators. The EMR, representing about 8.8% of the global population, accounts for 10.51% of all RTI fatalities, with a fatality rate of 16.4 per 100,000, compared to 9.3 in Europe. Among high-income countries, the average rate is 10.0 per 100,000. The highest rates are in Saudi Arabia (18.5) and Oman (11.0). Oman reduced its RTI fatalities from 29.5 per 100,000 in 2013 to 11 in 2023, with 497 fatalities reported that year; 21% involved four-wheeled vehicles and pedestrians. Oman must enhance the enforcement of road safety laws. A focus on protecting vulnerable road users and community involvement is essential for meeting the Sustainable Development Goals of reducing RTI deaths by 2030.

本研究调查了东地中海区域(EMR)道路交通伤害(RTIs)的流行病学,该区域的死亡人数在全球排名第三,重点是阿曼。该分析使用了来自22个EMR成员国的《世界道路安全报告》的二手数据。训练有素的国家协调员从各个部门收集数据。描述性统计总结了死亡率和趋势,而比较分析评估了区域差异。其他数据来源包括联合国法规、联合国人口司和世界银行指标。EMR约占全球人口的8.8%,占所有RTI死亡人数的10.51%,死亡率为16.4 / 10万,而欧洲为9.3 / 10万。在高收入国家,平均比率为10.0 / 10万。最高的是沙特阿拉伯(18.5)和阿曼(11.0)。阿曼的RTI死亡人数从2013年的每10万人29.5人减少到2023年的11人,当年报告的死亡人数为497人;21%的事故涉及四轮车辆和行人。阿曼必须加强道路安全法的执行。重点关注保护弱势道路使用者和社区参与,对于实现到2030年减少交通事故死亡的可持续发展目标至关重要。
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引用次数: 0
Lab-to-road divide: a scoping review of vehicle safety testing limitations. 实验室到道路的划分:车辆安全测试限制的范围审查。
IF 2 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2026-01-05 DOI: 10.1080/17457300.2025.2611372
Shashvat Tripathi, Shahiq Ahmad Wani, Ranju Mohan

Vehicle safety assessment is crucial before launching vehicles on the market. Despite advancements and rigorous evaluation, a significant 'lab-to-road' gap between standardised test performance and actual on-road crash outcomes critically undermines real-world safety. Existing literature on vehicle safety testing and real-world performance was comprehensively analyzed to reveal that this gap arises from multifaceted and interconnected factors, unveiling critical shortcomings in how safety is currently assessed. These include a predominant tendency to test elements in isolation, the slow adaptation of testing methods to evolving vehicle technologies and road dynamics, and a reliance on test scenarios that are unable to capture complex real-world conditions adequately. Bridging this critical divide is essential for fostering public trust and robustly advancing safer vehicle technologies. This review underscores the urgent need for a paradigm shift towards more holistic, adaptive, and evidence-based safety assessment frameworks to ensure innovations effectively safeguard lives and strategically prioritise future research efforts.

在车辆投放市场之前,车辆安全评估是至关重要的。尽管取得了进步和严格的评估,但标准化测试性能与实际道路碰撞结果之间存在巨大的“实验室到道路”差距,严重影响了现实世界的安全性。对现有的车辆安全测试和实际性能的文献进行了综合分析,揭示了这种差距是由多方面和相互关联的因素引起的,揭示了目前安全评估方式的关键缺陷。其中包括孤立测试元素的主要倾向,测试方法对不断发展的车辆技术和道路动态的缓慢适应,以及依赖无法充分捕捉复杂现实世界条件的测试场景。弥合这一关键分歧对于培养公众信任和大力推进更安全的汽车技术至关重要。这篇综述强调了迫切需要向更全面、适应性更强、基于证据的安全性评估框架转变,以确保创新有效地保护生命,并在战略上优先考虑未来的研究工作。
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引用次数: 0
Establishing the content validity of the community safety and peace index. 建立社区安全与安宁指数的内容效度。
IF 2 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-10 DOI: 10.1080/17457300.2025.2574894
Naiema Taliep, Ghouwa Ismail, Shahnaaz Suffla, Mohamed Seedat, Lu-Anne Swart, Ashley van Niekerk, Shrikant I Bangdiwala

There is a relative paucity of research on the drivers, indicators and mediating mechanisms underlying community level safety and peace promotion. We developed community-level safety and peace indicators drawing on two community-based studies. Guided by the values and principles of Community Based Participatory Research (CBPR) and classical test methodology, the initial index development phases included: conceptualisation, identification of dimensions, operationalisation of dimensions, refinement of indicators, item generation, and item reduction phase. Content validity evidence is crucial for developing scientifically sound instruments and demonstrating a clear causal connection between the targeted construct and the items designed to measure it. The aim of this study is to establish the content validity of the Community Safety and Peace Index (CSPI), which primarily drew on local community-based knowledges in its development. The different data sets were triangulated in a retrospective evaluation workshop, three expert panel reviews, community input, and test developers' consensus. The team reached consensus on the conceptualisation and measurement of community safety and peace, operationalisation of key constructs, identification of dimensions, indicators, and questionnaire items.

关于社区层面安全与和平促进的驱动因素、指标和中介机制的研究相对缺乏。我们根据两项基于社区的研究制定了社区一级的安全与和平指标。在基于社区的参与性研究(CBPR)的价值观和原则以及经典测试方法的指导下,最初的指数开发阶段包括:概念化、确定维度、维度的操作化、指标的细化、项目生成和项目减少阶段。内容效度证据对于开发科学合理的工具和展示目标构念与设计用于测量它的项目之间明确的因果关系至关重要。本研究的目的是建立社区安全与和平指数(CSPI)的内容效度,该指数在其发展过程中主要借鉴了当地社区的知识。不同的数据集在回顾性评估研讨会、三个专家小组评审、社区输入和测试开发人员的共识中被三角化。小组就社区安全与和平的概念和测量、关键结构的运作、维度、指标和问卷项目的确定达成共识。
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引用次数: 0
Key factors in electrical safety within utility industries: a structural hierarchical approach. 公用事业行业内电气安全的关键因素:结构分层方法。
IF 2 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-01 Epub Date: 2025-09-29 DOI: 10.1080/17457300.2025.2565174
Beena Puthillath, Bhasi M, Babu C A

Human factors play a vital role in the energy industry and often lead to fatal and non-fatal accidents. Therefore, understanding the underlying reasons behind poor safety climate and safety culture is crucial. This study employs a questionnaire method, considering 8 items of safety culture and 57 items of safety climate. Structural equation modeling was conducted and validated using model fit indices. Results indicate that 4 items of safety culture and 26 items of safety climate contribute to safety issues in the utility sector. The weights of each item under safety culture and safety climate provide insights into which factors and items require attention to reduce safety issues. These findings assist managers, supervisors, policymakers and government bodies in implementing necessary measures to mitigate accidents.

人为因素在能源工业中起着至关重要的作用,经常导致致命和非致命事故。因此,了解不良安全气候和安全文化背后的潜在原因至关重要。本研究采用问卷调查法,考虑8项安全文化和57项安全气候。利用模型拟合指标进行结构方程建模并进行验证。结果表明,4项安全文化和26项安全气候导致了公用事业部门的安全问题。在安全文化和安全气候下,每个项目的权重提供了对哪些因素和项目需要关注以减少安全问题的见解。这些发现有助于管理人员、主管人员、政策制定者和政府机构采取必要措施,减少事故的发生。
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引用次数: 0
HAZOP for safety culture: a novel safety culture index. 安全文化HAZOP:一种新的安全文化指数。
IF 2 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-01 Epub Date: 2025-08-13 DOI: 10.1080/17457300.2025.2533199
Sinjana Choudhuri, O Bala Krishna, J Maiti

Safety culture, defined as the shared values, attitudes and behaviours toward workplace safety, plays a vital role in preventing accidents and ensuring workforce well-being. This article presents a novel method for assessing safety culture using the Hazard and Operability Study (HAZOP), a structured approach for identifying and mitigating process-related risks. We propose that HAZOP can be effectively applied to analyze an organization's Integrated Vibrant Safety Management System (IVSMS) and develop a Safety Culture Index (SCI). The IVSMS comprises 21 elements, including Industry 4.0, Process Safety Management, and Occupational Safety and Health, offering a comprehensive view of safety practices. While these elements are typically weighted equally, our approach accounts for their varying impacts on safety performance, enabling more targeted interventions. These weightings can be adapted to suit different organizations. By evaluating each element through HAZOP, we can uncover strengths and gaps in risk management, communication and mitigation. The resulting SCI provides a quantifiable measure of safety culture, supporting benchmarking and continuous improvement. Strengthening safety culture through this method not only enhances safety outcomes but also contributes to organizational resilience and success.

安全文化被定义为对工作场所安全的共同价值观、态度和行为,在预防事故和确保员工福祉方面发挥着至关重要的作用。本文提出了一种利用危害和可操作性研究(HAZOP)评估安全文化的新方法,这是一种识别和减轻过程相关风险的结构化方法。我们建议,HAZOP可以有效地应用于分析组织的综合动态安全管理系统(IVSMS),并制定安全文化指数(SCI)。IVSMS包括21个要素,包括工业4.0、过程安全管理和职业安全与健康,提供了全面的安全实践视图。虽然这些因素通常权重相等,但我们的方法考虑了它们对安全性能的不同影响,从而实现更有针对性的干预。这些权重可以适应不同的组织。通过HAZOP评估每个要素,我们可以发现风险管理、沟通和缓解方面的优势和差距。由此产生的SCI提供了一个可量化的安全文化衡量标准,支持基准和持续改进。通过这种方法加强安全文化不仅可以提高安全结果,而且有助于组织的弹性和成功。
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引用次数: 0
Addressing global health challenges: a comprehensive framework for determinants of health. 应对全球卫生挑战:健康决定因素综合框架。
IF 2 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-01 Epub Date: 2025-10-01 DOI: 10.1080/17457300.2025.2566336
Sakshi Gupta, Neeraja Lugani Sethi

World Health Organization's (WHO) Healthy Cities Programme (HCP), initiated in 1984, addresses the global health challenges arising from urbanization and globalization within its six regions. In 2021, the Government of India (GOI) recommended to develop 500 Health Cities by 2030, aligning with WHO's HCP. The programme emphasizes addressing social, political, environmental and economic health determinants for policy interventions, guided by existing models of determinants of health (MoDH). However, these models exhibit gaps in capturing determinants in an evolving globalized world. This research conducts content analysis of the proceedings of ten WHO-led Global (GCHP) and international conferences on health promotion (ICHP) to identify the existing and emerging determinants. The integrative literature review of MoDH revealed limitations in addressing emerging legal, technological, and commercial determinants, and spatial scales, thereby informing the development of an updated framework for determinants of health for effective decision-making amidst dynamic global health landscapes.

世界卫生组织(卫生组织)的健康城市方案于1984年发起,在其六个区域内处理城市化和全球化带来的全球健康挑战。2021年,印度政府建议按照世卫组织的卫生规划,到2030年建设500个卫生城市。该方案强调在现有健康决定因素模型的指导下,处理政策干预的社会、政治、环境和经济健康决定因素。然而,在不断发展的全球化世界中,这些模型在捕捉决定因素方面存在差距。本研究对世卫组织主导的十次全球健康促进会议和国际健康促进会议的会议记录进行了内容分析,以确定现有的和新出现的决定因素。MoDH的综合文献综述揭示了在处理新出现的法律、技术和商业决定因素以及空间尺度方面的局限性,从而为在动态的全球卫生格局中制定有效决策的健康决定因素更新框架提供了信息。
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引用次数: 0
Patterns of fatal road crashes in different road types: applying association rules mining in police reported crash data. 不同道路类型的致命交通事故模式:关联规则挖掘在警报交通事故数据中的应用
IF 2 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-01 Epub Date: 2025-10-01 DOI: 10.1080/17457300.2025.2566337
Sankhadeep Pramanik, Jhareswar Maiti, Bhargab Maitra

Road crashes and resulting fatalities are a major concern globally. Low- and Medium-Income Countries (LMIC) contribute to nearly 93% of the global fatalities due to road crashes. In this regard, the present study aims to identify associated factors which influence fatal crashes in the context of an LMIC. Also, it aims to investigate if these associated factors are different for different road categories. The work is carried out by analysing 20,556 police-reported crash data obtained from the state of West Bengal in India. Various factors considered in analysis include roadway characteristics, vehicle characteristics, crash characteristics and human-related factors. The analysis of data using association rules mining reveals that factors associated with fatal crashes vary across different categories of roads. While causal factors on high-speed corridors, i.e. National Highways (NH) and State Highways (SH) show some similarities, such as collision with pedestrians in open area and straight sections, they are substantially different on other roads, such as hitting fixed object, involvement of two-wheeler. However, regardless of road category, speeding and absence of speed limit were found to be important associated factors in all categories of road. The findings derived from the present work may be used advantageously for formulating policy and necessary interventions to reduce fatalities.

道路交通事故及其造成的死亡是全球关注的一个重大问题。低收入和中等收入国家占全球道路交通事故死亡人数的近93%。在这方面,本研究旨在确定在低收入低收入国家背景下影响致命车祸的相关因素。此外,它的目的是调查这些相关因素是否不同的道路类别。这项工作是通过分析从印度西孟加拉邦获得的20,556份警方报告的车祸数据来进行的。分析中考虑的各种因素包括道路特性、车辆特性、碰撞特性和人为因素。使用关联规则挖掘的数据分析显示,与致命碰撞相关的因素在不同类别的道路上有所不同。在高速走廊上,即国道(NH)和国道(SH)的事故成因有一定的相似性,如在开阔区域和直线路段与行人发生碰撞,而在其他道路上,事故成因则有很大的不同,如撞到固定物体、两轮车的卷入等。然而,无论道路类别如何,超速和没有限速被发现是所有类别道路的重要相关因素。从目前的工作中得出的结论可能有利于制定政策和必要的干预措施,以减少死亡。
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引用次数: 0
Editorial. 社论。
IF 2 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2025-12-01 Epub Date: 2025-12-24 DOI: 10.1080/17457300.2025.2597703
Jhareswar Maiti
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引用次数: 0
期刊
International Journal of Injury Control and Safety Promotion
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