International Journal of Injury Control and Safety Promotion最新文献

The significant burden of home injuries has become a growing concern that affect thousands of people every year across Canada. This study examined the relationship between neighbourhood deprivation and unintentional injuries occurring at home leading to hospitalizations in British Columbia (BC) between 2015 and 2019. This study used de-identified hospitalization data on unintentional home-related injuries from the Discharge Abstract Database (DAD) and population data for each dissemination area from Statistics Canada's 2016 Census Profiles. Hospitalization rates were computed for unintentional home-related injuries across four dimensions specified in the Canadian Index of Multiple Deprivation (CIMD) for BC. For three CIMD dimensions (situational vulnerability, economic dependency, and residential instability), unintentional home injury rates were higher in areas with higher deprivation, while the inverse was observed for ethno-cultural diversity. Understanding socio-economic disparities within neighbourhoods enables injury prevention partners to identify vulnerable populations and prioritize the development and implementation of evidence-based injury prevention interventions.

Motorized two-wheeler users account for 45% of road fatalities in 2021 in India. Correct helmet use decreases the risk of fatalities, but information about the prevalence of correct helmet use is limited in the Indian context. This study aims to assess the prevalence of helmet use and factors associated with correct helmet use among motorized two-wheeler users in Bengaluru city, India. This observational cross-sectional assessment was conducted in a random-representative sample of 98021 motorized two-wheelers sampled from 15 intersections. Helmet use and other information were collected by trained Field Data Collectors via hand-held tablet devices and the KoBo collect application, following a globally used checklist. The prevalence of helmet use (all types) was 88% among riders and pillion together and 92.4% among riders. However, the prevalence of correct helmet use is 38% among riders, and non-standard helmet use is 27%. This study reveals a correct helmet use gap in Bengaluru city. The study recommends the need to shift enforcement, messaging, and intervention focus towards correct helmet use and the implementation of routine population-based surveillance for helmet use in the city.

Distracted driving is a threat to traffic safety that can result in more traffic crashes. Although previous studies have been conducted to explore the relationship between driver distraction and hazardous driving actions, few studies are available to identify the causation between them. Thus, the study intended to evaluate the causal effects of distraction on hazardous driving actions at intersections based on the crash data extracted from the Crash Report Sampling System (2021-2022). The multinomial logit model was employed to reveal the factors contributing to driver distraction. Then, propensity score weighting was adopted to balance the factor distributions between distraction and non-distraction cases to identify the causal effects on hazardous actions. Results indicated that 1) the propensity of distraction is relevant to factors such as the driver's age, gender, vehicle type, speed limit, area, weather, and light condition, 2) driver distraction can significantly increase the probability of risky actions including speeding, running red lights, failing to obey stop signs, failing to yield, following too closely, and 3) the causal effects show great diversity for different distraction types. The findings serve to understand the influence mechanism of distraction on specific crash risks and develop countermeasures to reduce distraction and hazardous driving actions.

Childhood burns pose a significant public health concern, particularly in low- and middle-income nations, where the burden is pronounced. Mongolia stands out for its elevated rates of burn-related child mortality, especially among 1 to 5-year-olds. Despite this, there is a lack of research on the current status of childhood burns in Ulaanbaatar. This study utilized Cognitive Edge's Sensemaker^® to collect micronarratives from parents in the ger districts of Ulaanbaatar, aiming to understand the present context of childhood burn injuries. Thematic analysis revealed four key themes, including features in home and outdoor environments, lack of safety measures, and limitations in supervision. The findings emphasize the need for a comprehensive approach to burn injury prevention tailored to the Mongolian context. Implementing suitable safety measures in ger districts based on these results could be instrumental. Additionally, extending this approach to other low- and middle-income countries warrants further investigation for effective preventive measures.

This study investigates the impacts of various factors on e-bike riders' injury severity in crashes with motor vehicles, based on the in-vehicle recording video crash data in China. Variables from human factors, vehicle characteristics, road conditions, and environmental attributes are extracted from the video, especially for drivers and riders' illegal and avoidance behaviour before the crash, and sun shade canopy use. Results of mixed logit models reveal that drivers' speeding, running red lights, slow-down and swerve behaviour, light trucks, heavy trucks, and buses have significantly varied impacts on riders' injury. Moreover, both drivers and riders' illegal behaviour leads to an increased injury, while their avoidance behaviour before crashes can protect riders. In addition, types of visual obstacles, accidents occurring at night, large vehicles' involvement, and the application of sunshade canopies by riders increased the probability of severe injury, while helmet use can protect riders in accidents with motor vehicles.

Occupational health and safety management systems (OHSMSs) have been proposed as a method of managing human health and safety risk and reduce injuries and illnesses. The investigation objective was to determine the association between OHSMS performance, as measured by scores from assessments and inspections, and mishap rates and mishap outcomes. Results for 55 OHSMS assessments/inspections across 15 organizations from the years 2017-2022 were analyzed. Results were paired with 545 mishaps and according to mishap classification, mishap category, and mishap severity. Correlation analysis was conducted to determine strength and significance of association between OHSMS performance and mishap rates. Improved OHSMS performance, as measured by scores from assessments and inspections, was associated with lower severity mishap occurrence such as reduced rates of fatalities, permanent total and partial disability, and property damage. Mishaps involving fatalities and permanent total disability had the strongest association with measured OHSMS performance. This research indicates that higher levels of OHSMS performance may help reduce severe worker injuries and illnesses and reduce mishap costs.

The study determined the prevalence and factors associated with unintentional injuries among under- fives in Kgalagadi South. A descriptive cross- sectional study was conducted between November 2020 and February 2021 using a multi- stage sampling technique to recruit 389 guardians with children aged five years and below. Self-administered questionnaires were used for the literate population, while interviewer-administered questionnaires were used for the population with limited literacy to elicit information from the guardians. Chi- square, univariate and multivariate logistic regression were used for inferential analysis. The prevalence of unintentional injuries was 48.8%. There was a significant association between injury occurrence and guardians' employment status, alcohol consumption and non- medicinal drug use by the guardian, cigarette use by the guardian, household income level, gender and age of the child who got injured. The guardians age and cigarette use by the guardian were identified as independent risk factors for injury occurrence among under- five children. The findings highlight the need for policymakers and practitioners to develop policies that support comprehensive health education for caregivers on childhood injury prevention and creating a safe environment for children.

Even though accidents with pedestrians are more likely to have a severe or fatal outcome, most research concentrates on the vehicle part of the accidents. To make better policies and infrastructure decisions it is crucial to understand how and why such accidents happen. In this article, 2.588 pedestrian accidents from the year 2018 that resulted in injury or death in the city of Ankara, Türkiye are considered, and different attributes are analyzed co-location-wise. Three types of analysis will be undertaken for these accidents: temporal, natural environment, and pedestrian characteristics. The season of the year, weekend-weekday, and time of day will be explored for the temporal analysis. Visibility (daylight, twilight, and darkness) and rain are the natural surroundings of interest. The analyzed pedestrian characteristics are age group, gender, clothing colour, and nationality. Generally, the accident properties are evenly distributed and mostly the higher co-locations occur with themselves. Three important results stand out in this study. Firstly, the type of precaution appropriate to different time periods of the day should be applied, taking into account the locations that have the strongest co-location with themselves. Secondly, a seasonal approach should be adopted in determining places where pedestrian safety needs to be increased in the city. Lastly, pedestrian safety measures targeting especially both '0-14 and 65 + age groups' and 'foreign citizenship' should be prioritized in the identified locations. The results show that the co-location methodology is a good fit for analyzing pedestrian accidents and a wider use of this methodology for other accident types and in general might be beneficial.

Understanding the nature of traffic accidents in relation to urban access networks is crucial for building safer and more resilient cities. This paper examines the issue of traffic accidents through the lenses of urban configurational theory and urban land use. Three data layers were used in the study, including space syntax analysis conducted in Depthmap X, geotagged traffic accidents collected by the police department, and geotagged land-use data. The method involved superimposing these data layers and exploring potential correlations using a geographic information system (GIS). The findings indicate significant correlations between the spatial frequency of traffic accidents and the choice measure (at 2500 m), local integration, and active land use. The findings of this study can help inform planners and policymakers about the best location to implement safety measures to reduce the risk of traffic accidents in urban access networks.