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Bivariate ordered probit modelling of motorcycle riders and pillion passengers' injury severities relationship and associated risk factors. 摩托车骑手和乘客受伤严重程度关系及相关风险因素的二元有序概率模型。
IF 2.3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-01 Epub Date: 2024-05-07 DOI: 10.1080/17457300.2024.2349554
Mohammed A Yakubu, Eric N Aidoo, Richard T Ampofo, Williams Ackaah

This study simultaneously modelled the injury severity of motorcycle riders and their pillion passengers and determine the associated risk factors. The analysis is based on motorcycle crashes data in Ashanti region of Ghana spanning from 2017 to 2019. The study implemented bivariate ordered probit model to identify the possible risk factors under the premise that the injury severity of pillion passenger is endogenously related to that of the rider in the event of crash. The model provides more efficient estimates by considered the common unobserved factors shared between rider and pillion passenger. The result shows a significant positive relationship between the two injury severities with a correlation coefficient of 0.63. Thus, the unobservable factors that increase the probability of the rider to sustain more severe injury in the event of crash also increase that of their corresponding pillion passenger. The rider and their pillion passenger injury severities have different propensity to some of the risk factors including passengers' gender, day of week, road width and light condition. In addition, the study found that time of day, weather condition, collision type, and number of vehicles involved in the crash jointly influence the injury severity of both rider and pillion passenger significantly.

本研究同时模拟了摩托车骑手及其乘客的受伤严重程度,并确定了相关风险因素。分析基于加纳阿散蒂地区2017年至2019年的摩托车碰撞事故数据。研究采用了双变量有序概率模型来确定可能的风险因素,前提是在发生碰撞时,乘客的受伤严重程度与骑手的受伤严重程度内生相关。该模型考虑了骑手和副驾驶乘客之间共同的非观测因素,从而提供了更有效的估计。结果显示,两种受伤严重程度之间存在明显的正相关关系,相关系数为 0.63。因此,在发生撞车事故时,增加骑手遭受更严重伤害概率的不可观测因素也会增加其相应乘客的伤害概率。骑手及其乘客的受伤严重程度与一些风险因素(包括乘客的性别、星期、道路宽度和光线条件)的倾向性不同。此外,研究还发现,一天中的时间、天气状况、碰撞类型和碰撞中涉及的车辆数量共同对骑手和乘客的受伤严重程度产生重大影响。
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引用次数: 0
A comparative analysis of risk factors in taxi-related crashes using XGBoost and SHAP. 使用 XGBoost 和 SHAP 对出租车相关碰撞事故的风险因素进行比较分析。
IF 2.3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-01 Epub Date: 2024-05-06 DOI: 10.1080/17457300.2024.2349555
Zhipeng Peng, Jingping Zuo, Hao Ji, Yuan RengTeng, Yonggang Wang

Taxis play a crucial role in urban public transportation, but the traffic safety situation of taxi drivers is far from optimistic, especially considering the introduction of ride-hailing services into the taxi industry. This study conducted a comparative analysis of risk factors in crashes between traditional taxi drivers and ride-hailing taxi drivers in China, including their demographic characteristics, working conditions, and risky driving behaviors. The data was collected from 2,039 traditional taxi drivers and 2,182 ride-hailing taxi drivers via self-reported questionnaires. Four XGBoost models were established, taking into account different types of taxi drivers and crash types. All models showed acceptable performance, and SHAP explainer was used to analyze the model results. The results showed that for both taxi drivers, risk factors related to risky driving behaviors are more important in predicting property damage (PD) crashes, while risk factors related to working conditions are more important in predicting person injury (PI) crashes. However, the relative importance of each risk factor varied depending on the type of crashes and the type of taxi drivers involved. Furthermore, the results also validated certain interactions among the risk factors, indicating that the combination of certain factors generated a greater impact on crashes compared to individual factors alone. These findings can provide valuable insights for formulating appropriate measures to enhance road safety for taxi driver.

出租车在城市公共交通中发挥着重要作用,但出租车司机的交通安全形势却不容乐观,尤其是考虑到出租车行业引入了叫车服务。本研究对中国传统出租车驾驶员和叫车服务出租车驾驶员发生交通事故的风险因素进行了比较分析,包括他们的人口特征、工作条件和危险驾驶行为。研究通过自我报告问卷收集了 2,039 名传统出租车司机和 2,182 名顺风车司机的数据。考虑到不同类型的出租车司机和碰撞类型,建立了四个 XGBoost 模型。所有模型均显示出可接受的性能,并使用 SHAP 解释器对模型结果进行了分析。结果显示,对于两种出租车司机而言,与危险驾驶行为相关的风险因素在预测财产损失(PD)碰撞事故中更为重要,而与工作条件相关的风险因素在预测人员伤害(PI)碰撞事故中更为重要。不过,每个风险因素的相对重要性因碰撞事故类型和涉及的出租车司机类型而异。此外,研究结果还验证了风险因素之间的某些相互作用,表明与单个因素相比,某些因素的组合对碰撞事故的影响更大。这些研究结果可为制定适当措施以加强出租车司机的道路安全提供宝贵的见解。
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引用次数: 0
Accelerated failure time modeling of in-lane street hawkers' lane entry and exit behaviors at signalized intersections. 对信号灯控制交叉路口车道内小贩进出车道行为的加速故障时间建模。
IF 2.3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-09-01 Epub Date: 2024-03-28 DOI: 10.1080/17457300.2024.2331457
Philip Kofi Alimo, Lawrencia Agen-Davis, Ling Wang, Wanjing Ma

In-lane street hawking is the intermittent entry of signalized intersections by traders to sell groceries to drivers and passengers. Studies have shown that hawkers get exposed to traffic injuries but the lack of quantitative analysis of their lane entry and exit behaviors in signalized intersections makes it difficult to improve traffic safety. This study analyzes the significant predictors of in-lane street hawkers' (1) lane entry within 30 s after the red signal illumination, (2) lane exit within 30 s after the green signal illumination, and (3) probability of getting injuries during the green signal time. Drone-based trajectory data were collected from a selected signalized intersection in Accra, Ghana. A Weibull accelerated failure time duration model incorporating Gamma frailty was used to evaluate hawkers' behaviors. Overall, the majority of hawkers exhibited red-light running behaviors exposing them to traffic injuries. An increase in traffic speed, especially beyond 20 km/h, exposed hawkers to injury risks significantly. Notably, hawkers' lane entry decreased significantly as the traffic speed increased. Their lane exit duration was significantly predicted by the queue lengths and traffic volumes. Accordingly, safety practitioners can enhance traffic regulation and control methods in addition to pro-poor social interventions to demotivate hawking at signalized intersections.

车道内摆卖是指商贩间歇性地进入信号灯控制的交叉路口,向司机和乘客兜售杂货。研究表明,小贩会受到交通伤害,但由于缺乏对他们在信号灯控制交叉路口进出车道行为的定量分析,因此很难改善交通安全。本研究分析了车道内小贩(1)在红色信号灯亮起后 30 秒内进入车道,(2)在绿色信号灯亮起后 30 秒内离开车道,以及(3)在绿色信号灯时间内受伤概率的重要预测因素。基于无人机的轨迹数据是从加纳阿克拉一个选定的信号灯十字路口收集的。评估小贩行为时使用了包含伽马脆性的 Weibull 加速失效时间持续模型。总体而言,大多数小贩都有闯红灯行为,并因此受到交通伤害。车速的增加,尤其是超过 20 公里/小时的车速,使小贩的受伤风险大大增加。值得注意的是,随着车速的增加,小贩进入车道的时间明显减少。小贩离开车道的时间明显受排队长度和交通流量的影响。因此,安全从业人员除了采取有利于穷人的社会干预措施外,还可以加强交通管制和控制方法,以消除信号灯路口小贩摆卖的积极性。
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引用次数: 0
Understanding key contributing factors on the severity of traffic violations by elderly drivers: a hybrid approach of latent class analysis and XGBoost based SHAP. 了解老年司机交通违规严重程度的关键因素:基于潜类分析和 XGBoost SHAP 的混合方法。
IF 2.3 4区 医学 Q2 Social Sciences Pub Date : 2024-06-01 Epub Date: 2024-01-29 DOI: 10.1080/17457300.2023.2300479
Zhiyuan Sun, Zhicheng Wang, Xin Qi, Duo Wang, Xin Gu, Jianyu Wang, Huapu Lu, Yanyan Chen

Traffic violation is one of the leading causes of traffic crashes. In the context of global aging, it is important to study traffic violations by elderly drivers for improving traffic safety in preparation for a worldwide aging population. In this study, a hybrid approach of Latent Class Analysis (LCA) and XGBoost based SHAP is proposed to identify hidden clusters and to understand the key contributing factors on the severity of traffic violations by elderly drivers, based on the police-reported traffic violation dataset of Beijing (China). First, LCA is applied to segment the dataset into several latent homogeneous clusters, then XGBoost based SHAP is established on each cluster to identify feature contributions and the interaction effects of the key contributing factors on the severity of traffic violations by elderly drivers. Two comparison groups were set up to analyze factors, which are responsible for the different severities of traffic violations. The results show that elderly drivers can be classified into four groups by age, urban or not, license, and season; factors such as less annual number of traffic violations, national & provincial highway, night and winter are key contributing factors for higher severity of traffic violations, which are consistent with common cognition; key contributing factors for all clusters are similar but not identical, for example, more annual number of traffic violations contribute to more severe violation for all clusters except for Cluster 2; some factors which are not key contributing factors may affect the severity of traffic violations when they are combined with other factors, for example, the combination of lower annual number of traffic violations and county & township highway contributes to more severe violation for Cluster 1. These findings can help government to formulate targeted countermeasures to decrease the severity of traffic violations by specific elderly groups and improve road service for the driving population.

违反交通规则是造成交通事故的主要原因之一。在全球老龄化的背景下,研究老年驾驶员的交通违规行为对于改善交通安全、应对全球人口老龄化具有重要意义。本研究提出了一种基于潜类分析(LCA)和 XGBoost 的 SHAP 混合方法,以中国北京的警方报告交通违章数据集为基础,识别隐藏的聚类,并了解导致老年司机交通违章严重程度的关键因素。首先,应用 LCA 将数据集划分为若干潜在同质聚类,然后在每个聚类上建立基于 XGBoost 的 SHAP,以识别老年驾驶员交通违章严重程度的特征贡献和关键贡献因素的交互效应。为了分析导致交通违规严重程度不同的因素,我们设立了两个对比组。结果显示,老年驾驶员可按年龄、是否城市、驾照和季节分为四组;交通违法年次数少、国道和省道、夜间和冬季等因素是导致交通违法严重程度较高的关键因素,这与人们的普遍认知一致;所有群组的关键诱因相似但不完全相同,例如,除群组 2 外,其他群组的交通违法年次数越多,违法行为越严重;一些非关键诱因与其他因素结合可能会影响交通违法行为的严重程度,例如,交通违法年次数较少与县乡公路结合会导致群组 1 的违法行为更严重。这些研究结果有助于政府制定有针对性的对策,以降低特定老年群体的交通违规严重程度,改善道路交通服务。
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引用次数: 0
Transport fare and road traffic crashes in Nigeria: insights from a geographical analysis. 尼日利亚的交通费和道路交通事故:地理分析的启示。
IF 2.3 4区 医学 Q2 Social Sciences Pub Date : 2024-06-01 Epub Date: 2024-02-23 DOI: 10.1080/17457300.2024.2319620
Richard Adeleke, Ayodeji Emmanuel Iyanda

Road traffic crashes (RTCs) are significantly high in Nigeria with serious social and health consequences. While existing studies on RTCs have mainly focused on the effect of socio-economic, environmental, human and mechanical factors to address the high rates, the relationship between road transport fares and RTCs has been glossed over in literature. Thus, this study examines the influence of road transport fares and other covariates on RTCs. Data on RTCs and the predictors between 2017 and 2022 were obtained from the records of the National Bureau of Statistics and the Federal Road Safety Corps. Spatial statistical techniques were used for the data analysis. RTCs vary across the country, and Northern Nigeria is the hot spot. Results from the spatial analysis show that road transport fares, population density, and illiteracy rate are significant predictors of RTCs. The study recommends striking a balance between fare affordability, the quality of service provided, and the implementation of effective transportation strategies.

在尼日利亚,道路交通事故(RTC)的发生率非常高,造成了严重的社会和健康后果。现有关于道路交通事故的研究主要集中在社会经济、环境、人为和机械因素的影响上,以解决事故率高的问题,但道路运输票价与道路交通事故之间的关系在文献中却被忽略。因此,本研究探讨了道路运输票价和其他协变量对道路交通事故的影响。2017 年至 2022 年期间的道路交通事故和预测因素数据来自国家统计局和联邦道路安全队的记录。数据分析采用了空间统计技术。全国各地的道路交通事故各不相同,尼日利亚北部是热点地区。空间分析的结果表明,道路运输票价、人口密度和文盲率是预测道路交通事故的重要因素。研究建议在票价的可承受性、所提供服务的质量和有效运输战略的实施之间取得平衡。
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引用次数: 0
Analyzing the factors affecting the crash severity level at urban roundabouts in non-lane-based heterogeneous traffic. 非车道异构交通下城市环形交叉口碰撞严重程度影响因素分析
IF 2.3 4区 医学 Q2 Social Sciences Pub Date : 2024-06-01 Epub Date: 2023-11-17 DOI: 10.1080/17457300.2023.2279967
V S Vinayaraj, Vedagiri Perumal

Pivotal crash factors are investigated, and crash-severity model for the safety assessment at roundabouts and its vicinity in non-lane based heterogenous traffic is developed. An ordered-probit model was developed using crash-data collected between 2015-2019 for 20 roundabouts in India. The analysis revealed critical influencing parameters for determining the severity-level of crash outcomes at roundabouts, namely, inscribed-circle diameter, height of central island, number of circulatory lanes, presence of splitter island and median, posted-speed limit, type of collision, type of violation behaviour, collision partner, the pattern of collision, presence of road lane-marking, presence of street-light and age of victims. To precisely quantify the impact of each significant factor, marginal effects analysis was also carried out. The results show that the probability of fatal-injuries increased by 14.28% due to angle-collision, 15% for hit-pedestrians, 20.6% due to the pattern of collision and 15.60% due to the collision-partner, Whereas the probability of occurrence of grievous injury was the highest for rear-end with 17%, followed by sideswipe collision with 16% respectively. This study's findings can aid in developing effective remedies to reduce the crash severity for roundabouts road-users and updating the roundabout design standards, considering the safety perceptive.

研究了关键碰撞因素,建立了非车道异构交通环形交叉路口及其附近安全评价的碰撞严重程度模型。根据2015-2019年间收集的印度20个环形交叉路口的碰撞数据,开发了一个有序概率模型。分析揭示了决定环形交叉路口碰撞结果严重程度的关键影响参数,即铭文圈直径、中心岛高度、循环车道数量、是否存在分隔岛和中位数、张贴速度限制、碰撞类型、违规行为类型、碰撞伙伴、碰撞模式、是否存在车道标记、是否存在路灯和受害者年龄。为了精确量化各显著因子的影响,还进行了边际效应分析。结果表明:角度碰撞致伤概率增加14.28%,碰撞行人致伤概率增加15%,碰撞方式致伤概率增加20.6%,碰撞伙伴致伤概率增加15.60%,追尾致伤概率最高,为17%,侧擦致伤概率次之,分别为16%。本研究的发现有助于制定有效的补救措施,以减少环形交叉路口道路使用者的碰撞严重程度,并在考虑安全感知的情况下更新环形交叉路口的设计标准。
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引用次数: 0
Examining factors affecting driver injury severity in speeding-related crashes: a comparative study across driver age groups. 研究超速相关碰撞事故中影响驾驶员受伤严重程度的因素:跨驾驶员年龄组的比较研究。
IF 2.3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-01 Epub Date: 2024-01-08 DOI: 10.1080/17457300.2023.2300458
Chamroeun Se, Thanapong Champahom, Sajjakaj Jomnonkwao, Vatanavongs Ratanavaraha

This paper investigates the factors influencing the severity of driver injuries in single-vehicle speeding-related crashes, by comparing different driver age groups. This study employed a random threshold random parameter hierarchical ordered probit model and analysed crash data from Thailand between 2012 and 2017. The findings showed that young drivers face a heightened fatality risk when speeding in passenger cars or pickup trucks, hinting at the role of inexperience and risk-taking behaviours. Old drivers exhibit an increased fatality risk when speeding, especially in rainy conditions, on flush median roads, and during evening peak hours, attributed to reduced reaction times and vulnerability to adverse weather. Both young and elderly drivers face escalated fatality risks when speeding on road segments lacking guardrails during adverse weather, with older drivers being particularly vulnerable in rainy conditions. All age groups show an elevated fatality risk when speeding on barrier median roads, underscoring the significant role of speeding, which increases crash impact and limits margins of error and manoeuvrability, thereby highlighting the need for safety measures focusing on driver behaviour. These findings underscore the critical imperative for interventions addressing not only driver conduct but also road infrastructure, collectively striving to curtail the severity of speeding-related crashes.

本文通过比较不同驾驶员年龄组,研究了影响单车超速相关碰撞事故中驾驶员受伤严重程度的因素。本研究采用随机阈值随机参数分层有序概率模型,分析了泰国 2012 年至 2017 年间的碰撞事故数据。研究结果表明,年轻驾驶员在驾驶乘用车或皮卡超速行驶时面临更高的死亡风险,这暗示了经验不足和冒险行为的作用。老司机超速行驶的死亡风险增加,尤其是在雨天、平整的中间道路和晚高峰时段,这归因于反应时间缩短和易受恶劣天气影响。在恶劣天气条件下,年轻和老年驾驶员在缺乏护栏的路段超速行驶时面临的死亡风险都会增加,而老年驾驶员在雨天条件下尤其容易受到影响。所有年龄组的驾驶员在中间护栏道路上超速行驶时死亡风险都会升高,这突出表明了超速行驶的重要作用,因为超速行驶会增加碰撞的影响,限制误差范围和机动性,从而强调了采取以驾驶员行为为重点的安全措施的必要性。这些研究结果突出表明,必须采取干预措施,不仅要解决驾驶员的行为问题,还要解决道路基础设施问题,共同致力于降低与超速有关的碰撞事故的严重程度。
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引用次数: 0
Cell phone distraction behavior of young pedestrians: evidence from China. 年轻行人的手机分心行为:来自中国的证据。
IF 2.3 4区 医学 Q2 Social Sciences Pub Date : 2024-06-01 Epub Date: 2024-01-04 DOI: 10.1080/17457300.2023.2300433
Jianrong Liu, Qiongwen Cao, Yueying Huo

Cell phone use while walking escalates pedestrian safety risks, particularly among students, given their heavy reliance on these devices. Psychological factors wield significant influence on individual behavior, particularly among adolescents who navigate a blend of rational and social-reactive pathways in decision-making. Therefore, this paper employs the Prototype Willingness Model (PWM) to scrutinize psychological determinants of students' cell phone use while walking, drawing on data from 368 valid samples. Structural equation modeling (SEM) dissects the impact of psychological constructs on this behavior, highlighting the significance of both the social response and reasoning pathways within PWM. The study comprehensively analyzes direct, indirect, and overall effects of exogenous variables on behavioral intention and behavior.

步行时使用手机会增加行人安全风险,尤其是学生,因为他们非常依赖这些设备。心理因素对个人行为有重大影响,尤其是青少年,他们在决策过程中混合了理性和社会反应途径。因此,本文采用原型意愿模型(PWM),利用 368 个有效样本的数据,仔细研究了学生在走路时使用手机的心理决定因素。结构方程模型(SEM)剖析了心理结构对这一行为的影响,强调了PWM中社会反应和推理途径的重要性。研究全面分析了外生变量对行为意向和行为的直接、间接和整体影响。
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引用次数: 0
Exploring the heterogeneous effects of riding behaviours and road conditions on delivery rider severities in scooter-style electric bicycle crashes involving vehicles. 探讨在涉及车辆的踏板车式电动自行车碰撞中,骑行行为和道路状况对送货骑手严重程度的异质性影响。
IF 2.3 4区 医学 Q2 Social Sciences Pub Date : 2024-06-01 Epub Date: 2023-11-09 DOI: 10.1080/17457300.2023.2279960
Jingfeng Ma, Qi Cao, Gang Ren, Yuanxiang Yang, Yue Deng, Jingzhi Li

Delivery riders are more vulnerable than other traffic participants, especially in vehicle-involved delivery crashes. This study aims at identifying the unobserved heterogeneities in different factors, based on 4251 vehicle-scooter-style electric bicycle (SSEB) crashes. First, some potential factors are selected from seven perspectives, and the spatiotemporal characteristics are analysed. Second, a latent class clustering method is proposed to clarify the optimal number of clusters by maximizing the heterogeneities across clusters. Third, partial proportional odds (PPO) models for the whole dataset and sub-datasets are developed to explore the heterogeneities across various clusters. Besides, marginal effects are implemented to quantify the heterogeneities. The results evidence that there are remarkable heterogeneities across different clusters, especially in riding behaviours and road conditions. Several factors only significantly affect particular clusters but not the whole dataset. The PPO models for the sub-datasets perform better in identifying the underlying heterogeneities. The results also highlight the greater roles of riding behaviours and road conditions in delivery SSEB-vehicle crashes. The top five influencing factors are running red light, using cell phones, vehicle type, reverse riding and bike lane (their maximum marginal effects exceeding +35%). The findings could support to mitigate the related crash losses.

送货骑手比其他交通参与者更容易受到伤害,尤其是在涉及车辆的送货碰撞中。本研究旨在基于4251起电动自行车(SSEB)碰撞事故,确定不同因素中未观察到的异质性。首先,从七个角度选取了一些潜在因素,并对其时空特征进行了分析。其次,提出了一种潜在类聚类方法,通过最大化聚类之间的异构性来阐明最优聚类数量。第三,开发了整个数据集和子数据集的部分比例优势(PPO)模型,以探索不同集群之间的异质性。此外,边际效应被用来量化异质性。研究结果表明,不同集群之间存在显著的异质性,尤其是在骑行行为和路况方面。几个因素只会显著影响特定的聚类,而不会影响整个数据集。子数据集的PPO模型在识别潜在的异构性方面表现更好。研究结果还强调了驾驶行为和道路状况在交付SSEB车辆碰撞中的更大作用。前五大影响因素是闯红灯、使用手机、车辆类型、倒车和自行车道(其最大边际效应超过+35%)。这些发现可能有助于减轻相关的坠机损失。
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引用次数: 0
The effect of intervention programs on road traffic injury prevention among adolescents and young people: a systematic review. 干预方案对预防青少年道路交通伤害的影响:一项系统综述。
IF 2.3 4区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2024-06-01 Epub Date: 2023-11-28 DOI: 10.1080/17457300.2023.2286639
Fatemeh Malekpour, Maryam Afshari, Seyedeh Melikah Kharghani Moghadam, Zahra Cheraghi, Saeed Bashirian, Babak Moeini, Forouzan Rezapur-Shahkolai

Road traffic injuries (RTIs) are a significant cause of death and disability among young people worldwide. Programs that use injury prevention strategies have been shown to effectively reduce the number of injuries. This systematic review aims to present the available evidence on the effectiveness of intervention programs in preventing RTIs among adolescents and young adults. Articles were identified and retrieved from databases including PubMed, Embase, Web of Science, Scopus, Science Direct, Magiran, SID, and Iran Medex. Two reviewers independently screened the articles. Articles published from the first year of publication until January 2018 that met the eligibility criteria were included in the review. These articles covered randomized controlled trials, pretest/post-test interventions, and controlled pretest/post-test interventions aimed at reducing RTIs among adolescents and young people aged 12-26 years. The framework, provided by Murphy and Haddon, were used to categorize the interventions. According to this framework, the interventions were categorized into five groups including education/behavior change, incentive, engineering/technology, legislation/enforcement, and multifaceted programs. The methodological quality of the studies was assessed using the Effective Public Health Practice Project. Of the initial 3165 findings, 13 studies met the inclusion criteria. Eleven of these studies used educational/behavioral approaches, while two employed multifaceted programs. In the educational/behavioral approach, participants' behaviors were considered as outcome variables. Only one of these studies was not successful. Multifaceted interventions were successful in changing behaviors. No studies were found on the effectiveness of other interventions. Eight studies were assessed as having moderate quality. The systematic review shows that educational/behavioral strategies and multifaceted programs are effective in reducing RTIs among young adults and adolescents. However, there is a lack of studies on other potential interventions. The quality of the included studies was moderate, suggesting a need for more rigorous research.

道路交通伤害是全世界年轻人死亡和残疾的一个重要原因。使用伤害预防策略的项目已被证明可以有效地减少伤害的数量。本系统综述旨在提供有关干预方案在青少年和年轻人中预防RTIs有效性的现有证据。文章从PubMed、Embase、Web of Science、Scopus、Science Direct、Magiran、SID和Iran Medex等数据库中进行识别和检索。两名审稿人独立筛选了这些文章。从出版的第一年到2018年1月,符合资格标准的文章被纳入审查。这些文章涵盖了随机对照试验、测试前/测试后干预和控制测试前/测试后干预,旨在减少青少年和12-26岁年轻人的rti。该框架由Murphy和Haddon提供,用于对干预措施进行分类。根据这一框架,干预措施被分为五组,包括教育/行为改变、激励、工程/技术、立法/执法和多方面的计划。使用有效公共卫生实践项目评估了研究的方法学质量。在最初的3165项发现中,有13项研究符合纳入标准。其中11项研究使用了教育/行为方法,而两项研究采用了多方面的方案。在教育/行为方法中,参与者的行为被视为结果变量。这些研究中只有一项没有成功。多方面的干预在改变行为方面是成功的。没有研究发现其他干预措施的有效性。8项研究被评估为中等质量。系统回顾表明,教育/行为策略和多方面的计划在减少年轻人和青少年的rti方面是有效的。然而,缺乏对其他潜在干预措施的研究。纳入的研究质量一般,表明需要进行更严格的研究。
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引用次数: 0
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