International Journal of Injury Control and Safety Promotion最新文献

Accidents occur due to a series of interactions between deficiencies within the various levels of a sociotechnical system. Quantifying the relationship between upper and lower levels helps develop accident countermeasures focusing on significant organisational latent conditions. This study explores the relationship between the causal factors of accidents within Ghanaian mines using SEM. Data obtained from the analysis of incident reports using HFACS-GMI were quantified to enable its use in the SEM software, as SEM calculations cannot be done using a 0/1 description. The study also tests five hypotheses, including the basic assumption of the HFACS model. The case study results showed that organisational factors significantly influence workplace/individual conditions; upper causal categories do not only influence adjacent immediate lower causal categories, and partial correlations exist between causal categories with a particular level. Based on the SEM model from LISERL, an accident causation path diagram was developed. The diagram reveals that leadership flaws, the technological environment and adverse physiological/mental states were the mediating factors in accident causation within the mines. The operational process has a prominent position in the organisational factors tier and is an essential factor in the entire accident system. Therefore, accident countermeasures should be directed to addressing operational deficiencies.

Globally, the increase in pedestrian fatalities due to road traffic crashes (RTCs) on transport networks has been a major concern. In low- and middle-income countries (LMICs), pedestrians face a high risk due to RTCs on the rural highway network. The safety evaluation methods, such as observational before-after, empirical Bayes, full Bayes, and cross-sectional methods have been used to identify risk factors of RTCs. However, these methods are data-intensive and have associated limitations. Thus, this study employed a matched case-control method to identify the risk factors of fatal pedestrian crashes. This study utilized crash, traffic volume, speed, geometric, and roadside environment data of a 175 km six-lane rural highway in India. The identified major risk factors, such as clear zone width, the presence of habitation, service roads, and horizontal curve sections, increase the likelihood of a fatal pedestrian crash. This study provides specific insights for modifying the speed limit of highway sections passing through habitation. On such highway sections, designers should shift focus to pedestrian safety. It also suggests that the service road design needs to be reconsidered from a pedestrian safety viewpoint. The proposed method can be used in any other setting having similar traffic and socio-economic conditions.

The article aims to investigate the influence of risk exposure factors on the frequency of road crashes from January to August 2020 in Ciudad Juarez, Mexico. It is a longitudinal study with four data sets: road crashes, population and housing census, location of economic activities, and road network information. Specifically, this study investigates the relationship between exposure factors - demographics, main roads and land use - and road crashes. A mixed method analysis was employed, (1) spatial analysis using GIS techniques; and (2) a negative binomial spatial regression model. The results showed a strong spatial dependence (0.274; p-value 0.00) of road crashes in the census tracts, and this effect was statistically significant (0.007) in the spatial regression model. In the model, a high probability (<0.05) of road crashes in the census tracts was found with the population aged 15 to 65 years, the length of main roads and the level of road coverage (Engel index), land uses with economic activities of an industrial and commercial character. The findings of this study successfully capture the social, economic, and urban conditions during the January-August 2020 period in the context of the COVID-19 pandemic. This new knowledge could help create preventive plans and policies to address the frequency of road crashes.

Traffic fatalities from 2015 to 2019 in Uttar Pradesh (UP), India show that pedestrians and cyclists have the largest share of total road fatalities. This study analyzed the pedestrian's perceptions of risk in the medium-sized city-Bulandshahr-UP, India regarding the traffic and road features. Perception of risk provides important information in identifying potential risks and explaining travel choices by pedestrians. The study locations were selected based on identified blackspots i.e. clustering of actual fatal crashes during 2015-2019 in UP. The types of locations at the blackspots were intersections below flyover, four-way signalized intersections, midblocks and foot of flyovers. An empirical analysis is presented in the study by taking pedestrians' ranking of the selected risk factors like traffic speed, free left turn at intersections, unmarked crosswalks, median width, traffic volume and the number of lanes and using the Rank-ordered logit model. Traffic speed and median width were ranked as the two highest risk factors by pedestrians. The results also indicated that increased numbers of lanes are more likely to be perceived riskier by older age groups of pedestrians and females at intersections below flyovers and midblocks. A comparison of different locations shows that all the factors were significant at four-way signalized intersections, indicating more perceived risk by pedestrians at intersections. These significant results can be used by practitioners to design safer intersections and midblocks at selected locations for pedestrians in UP, India.

The main goal of this study is to investigate the unobserved heterogeneity in VRU-MV crash data and to determine the relatively important contributing factors of injury severity. For this end, a latent class analysis (LCA) coupled with random parameters logit model (LCA-RPL) is developed to segment the VRU-MV crashes into relatively homogeneous clusters and to explore the differences among clusters. The random-forest-based SHapley Additive exPlanation (RF-SHAP) approach is used to explore the relative importance of the contributing factors for injury severity in each cluster. The results show that, vulnerable group (VG), intersection or not (ION) and road type (RT) clearly distinguish the crash clusters. Moto-vehicle type and functional zone have significant impact on the injury severity among all clusters. Several variables (e.g. ION, crash type [CT], season and RT) demonstrate a significant effect in a specific sub-cluster model. Results of this study provide specific and insightful countermeasures that target the contributing factors in each cluster for mitigating VRU-MV crash injury severity.

Strengthening crash surveillance is an urgent priority for road safety in low- and middle-income countries. We reviewed the online availability and completeness of First Information Reports (FIRs; police reports) of road traffic crashes in India. We developed a relational database to record information extracted from FIRs, and implemented it for one state (Chhattisgarh, 2017-2019). We found that FIRs can be downloaded in bulk from government websites of 15 states and union territories. Another 14 provide access online but restrict bulk downloading, and 7 do not provide online access. For Chhattisgarh, 87% of registered FIRs could be downloaded. Most FIRs reported the date, time, collision-type, and vehicle-types, but important crash characteristics (e.g. infrastructure attributes) were missing. India needs to invest in building the crash surveillance capacity for research and safety management. However, in the interim, maintaining a national database of a sample of FIRs can provide useful policy guidance.

Studies on pedestrian deaths and injuries at the urban level in Africa mostly provide overall aggregated figures and do not examine variation in the sub-urban units. Using cluster analysis, this study sought to determine if the observed pattern in the distribution of pedestrian injuries and deaths among parishes in Kampala city is significant. Pedestrian crash data from 2015 to 2019 were collected from the Uganda Traffic Police database. Serious and fatal pedestrian injury rates were mapped by parish using ArcMap and cluster analyses conducted. Results from spatial autocorrelation (Moran's Index of 0.18 and 0.17 for fatal and serious injury rates respectively) showed that the distributions were clustered within parishes crossed by highways and located in the inner city respectively. Z-scores of 3.32 (p < 0.01) for serious injury rates and 3.71 (p < 0.01) for fatal injury rates indicated that the clustering was not random. This study's main contribution was providing a detailed spatial distribution of pedestrian fatal and serious injury rates for Kampala; a city in a low developing country in Africa at the micro-scale of a parish. This foundational exploratory paper formed the first step of a broader study examining built environment factors explaining this pattern.

Trauma disproportionately affects vulnerable road users, especially the elderly. We analyzed the spatial distribution of elderly pedestrians struck by vehicles in the urban area of Maringa city, from 2014 to 2018. Hotspots were obtained by kernel density estimation and wavelet analysis. The relationship between spatial relative risks (RR) of elderly run-overs and the built environment was assessed through Qualitative Comparative Analysis (QCA). Incidents were more frequent in the central and southeast regions of the city, where the RR was up to 2.58 times higher. The QCA test found a significant association between elderly pedestrian victims and the presence of traffic lights, medical centers/hospitals, roundabouts and schools. There is an association between higher risk of elderly pedestrians collisions and specific elements of built environments in Maringa, providing fundamental data to help guide public policies to improve urban mobility aimed at protecting vulnerable road users and planning an age-friendly city.