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Effects of driver behavior and road sign design features on road sign comprehension: an international study 驾驶员行为和道路标志设计特征对道路标志理解影响的国际研究
IF 4.4 2区 工程技术 Q1 ERGONOMICS Pub Date : 2025-12-01 Epub Date: 2025-10-27 DOI: 10.1016/j.jsr.2025.10.013
Hao-Jie Su, Yili Liu
Introduction: Road traffic signs are tools to maintain safety and efficiency on the road, and their effectiveness may depend on whether the drivers are domestic or international. This research investigates the effects of driver nationality and some other demographic traits (e.g., English proficiency levels and driving experience) on driver comprehension of U.S. road signs with drivers from three English-speaking countries (the United States, the UK, and India). Method: An online questionnaire was developed and used to collect participants’ responses to three driver tasks: driver road sign comprehension, road sign design features rankings, and Driver Behavior Questionnaire (DBQ). Results: The results show that nationality influences driver behavior, and the types of road signs can affect driver comprehension of them. Two of the sign design features (concreteness and familiarity), and one of the two DBQ components (Mistake) also impact the comprehension of road signs. The level of English proficiency also significantly affects the preference rankings of sign design features.
导读:道路交通标志是保持道路安全和效率的工具,其有效性可能取决于驾驶员是国内还是国际。本研究以来自三个英语国家(美国、英国和印度)的驾驶员为研究对象,考察驾驶员国籍和其他人口统计学特征(如英语水平和驾驶经验)对驾驶员理解美国道路标志的影响。方法:设计了一份在线调查问卷,收集参与者对驾驶员道路标志理解、道路标志设计特征排名和驾驶员行为问卷(DBQ)三个驾驶员任务的回答。结果:国籍影响驾驶员行为,道路标志类型影响驾驶员对道路标志的理解。标志设计的两个特征(具象性和熟悉性),以及两个DBQ成分之一(错误性)也会影响人们对道路标志的理解。英语水平对标识设计特征的偏好排序也有显著影响。
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引用次数: 0
Signs of safety: An investigation of how OHS professionals interpret injury metrics 安全标志:OHS专业人员如何解释伤害指标的调查
IF 4.4 2区 工程技术 Q1 ERGONOMICS Pub Date : 2025-12-01 Epub Date: 2025-09-16 DOI: 10.1016/j.jsr.2025.09.010
James Pomeroy , Colin Pilbeam
Introduction: Injury metrics are traditional indicators of safety performance widely used by organizations, industry bodies, and regulatory agencies. In this paper we contend that they are semiotic signs leading to a variety of interpretations beyond their traditionally held meaning as a representation of an organization’s safety performance. We argue that injury metrics are semiotic signs where different organizational uses and signals lead to a variety of interpretations amongst internal and external stakeholders. Method: This exploratory study reveals these different uses and meanings through semi-structured interviews with 20 experienced occupational health and safety professionals from around the world. Through the uses of injury metrics that they described, we identified 17 separate and distinct meanings that signify four different objects of the injury metric, namely management control, image management, risk measurement, and trust in leadership. Results: The findings demonstrate that the meaning of injury metrics is not singular but is contingent and contextually determined. With multiple meanings, a decreasing injury metric is not necessarily a sign of improving safety. It is suggested that injury metrics may support ‘safety work’ by OHS professionals and that they may have unintended consequences that are antithetical to safety in the workplace. Practical applications: Given the role of injury metrics in indicating the safety of an organization, these findings have practical implications for the reliance placed on them and the inferred meanings.
引言:伤害指标是安全性能的传统指标,被组织、行业机构和监管机构广泛使用。在本文中,我们认为它们是符号学符号,导致了各种各样的解释,超出了它们作为组织安全绩效代表的传统意义。我们认为,伤害指标是符号学符号,不同的组织使用和信号导致内部和外部利益相关者之间的各种解释。方法:本探索性研究通过对来自世界各地的20名经验丰富的职业健康与安全专业人员进行半结构化访谈,揭示了这些不同的用途和意义。通过使用他们所描述的伤害指标,我们确定了17个独立而独特的含义,表示伤害指标的四个不同对象,即管理控制、形象管理、风险测量和对领导的信任。结果:研究结果表明,损伤指标的意义不是单一的,而是偶然的和上下文决定的。有多种含义,减少伤害指标并不一定是提高安全性的标志。有人认为,伤害指标可能会支持职业健康和安全专业人员的“安全工作”,但它们可能会产生意想不到的后果,与工作场所的安全背道而驰。实际应用:考虑到伤害指标在表明组织安全方面的作用,这些发现对依赖它们和推断意义具有实际意义。
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引用次数: 0
Correlates of driving under the influence of cannabis: A latent class analysis 大麻影响下驾车的相关因素:潜在类别分析
IF 4.4 2区 工程技术 Q1 ERGONOMICS Pub Date : 2025-12-01 Epub Date: 2025-10-22 DOI: 10.1016/j.jsr.2025.10.012
Anna Schranz , Uwe Verthein , Moritz Rosenkranz , Anja Knoche-Becker , Jakob Manthey
Introduction: As cannabis legislation evolves globally, concerns over driving under the influence of cannabis (DUIC) are increasing. The heterogeneity of DUIC risk among cannabis users remains poorly understood with most research originating from North America. In light of Germany’s recent cannabis legalization and the raised legal tetrahydrocannabinol threshold for drivers, identifying high risk subpopulations is essential. This study aims to identify distinct DUIC risk profiles among German cannabis users. Methods: We utilized Latent Class Analysis on 2023 pre-legalization survey data, involving 563 German drivers who use cannabis at least monthly. The analysis incorporated environmental and individual risk factors and risky traffic behaviors, like DUIC, as indicators. Sociodemographic characteristics were included as covariates to predict latent class membership. Results: Three distinct DUIC risk classes were identified. The majority (48%) fell into the “low risk” class, engaging minimally in DUIC and other risky behaviors. The “DUIC-specific risk” class (30%) demonstrated high engagement in DUIC, also among peers, and a low perceived risk associated with DUIC, but no other risky behaviors. The “global risk” class (22%) engaged in various risky behaviors and was burdened by multiple risk factors. Membership in the “global risk” class was associated with younger age, while the “DUIC-specific risk” class was linked to both younger age and male gender. Conclusion and Practical Implications: Our findings highlight the heterogeneity among individuals engaging in DUIC, suggesting tailored prevention strategies be developed based on these profiles, ranging from educational campaigns to mental health support and providing alternative transportation options.
导言:随着全球大麻立法的发展,对大麻影响下驾驶(DUIC)的关注日益增加。大麻使用者DUIC风险的异质性仍然知之甚少,大多数研究来自北美。鉴于德国最近的大麻合法化和对司机的合法四氢大麻酚门槛的提高,确定高风险亚人群是至关重要的。这项研究旨在确定德国大麻使用者中不同的DUIC风险概况。方法:对2023年大麻合法化前的调查数据进行潜在分类分析,涉及563名每月至少使用大麻的德国司机。该分析将环境和个人风险因素以及DUIC等危险交通行为作为指标。社会人口学特征被作为协变量来预测潜在的阶级成员。结果:确定了三个不同的DUIC风险等级。大多数人(48%)属于“低风险”类别,极少参与DUIC和其他危险行为。“DUIC特定风险”类别(30%)表现出对DUIC的高参与度,在同龄人中也是如此,并且与DUIC相关的感知风险较低,但没有其他风险行为。“全球风险”类别(22%)从事各种风险行为,并受到多种风险因素的负担。“全球风险”类别的成员与年龄较小有关,而“duic特定风险”类别与年龄较小和男性性别有关。结论和实际意义:我们的研究结果强调了DUIC个体之间的异质性,建议根据这些特征制定量身定制的预防策略,包括教育活动、心理健康支持和提供替代交通选择。
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引用次数: 0
Assessing the effectiveness of driver training interventions in improving safe engagement with vehicle automation systems 评估驾驶员培训干预措施在提高车辆自动化系统安全参与方面的有效性
IF 4.4 2区 工程技术 Q1 ERGONOMICS Pub Date : 2025-12-01 Epub Date: 2025-10-11 DOI: 10.1016/j.jsr.2025.10.003
Chengxin Zhang , Huizhong Guo , Zifei Wang , Fred Feng , Anuj Pradhan , Shan Bao
Objective: This study investigates how targeted training interventions can improve safe driver interaction with vehicle automation (VA) systems, focusing on Adaptive Cruise Control (ACC) and Lane Keeping Assist (LKA), both safety–critical advanced driver assistance systems (ADAS). While VA features can enhance roadway safety, they do not function reliably under all conditions. Drivers’ limited awareness of system boundaries can cause overreliance or missed interventions, raising crash risk. Effective training reduces misuse and enhances road safety by promoting correct knowledge and application. Method: A review of multiple automakers’ owners’ manuals revealed inconsistencies in describing ACC and LKA functions. Three training formats were compared: (1) owners’ manual (OM), (2) knowledge-based (KB) with summarized operational guidelines and visual aids, and (3) skill-based hands-on practice in a driving simulator (SIM). Thirty-six participants with no prior VA experience were randomly assigned to one group. Safety-relevant outcomes − system comprehension (quiz scores) and real-world engagement (frequency and duration of activations) − were analyzed using mixed-effects and negative binomial models. Results: KB training produced the greatest improvements in comprehension of system limitations, as well as safer engagement patterns. Compared with OM participants, KB participants achieved significantly higher quiz scores and engaged LKA and ACC more often (1.4 and 1.45 times, respectively); they also demonstrated greater awareness of scenarios requiring manual control, indicating reduced risk of inappropriate reliance. Older drivers exhibited longer activations overall, highlighting age-related differences in reliance and potential safety implications. Conclusion: Short, targeted training can significantly improve safe and effective VA system use, particularly for senior drivers. These results highlight training as a proactive safety intervention to reduce human-automation mismatch and enhance system reliability in real-world driving. Practical Applications: The findings support standardized, accessible, age-tailored training to align driver behavior with VA safety standards, therefore preventing accidents and ensuring safer automation integration for all.
目的:本研究探讨了有针对性的培训干预如何提高驾驶员与车辆自动化(VA)系统的安全互动,重点是自适应巡航控制(ACC)和车道保持辅助(LKA),这两种安全关键的高级驾驶员辅助系统(ADAS)。虽然自动驾驶功能可以提高道路安全性,但它们并不是在所有条件下都能可靠地运行。驾驶员对系统边界的有限认识可能导致过度依赖或错过干预,从而增加碰撞风险。有效的培训通过推广正确的知识和应用,减少误用和提高道路安全。方法:对多家汽车制造商的车主手册进行审查,发现在描述ACC和LKA功能方面存在不一致。比较了三种培训形式:(1)车主手册(OM),(2)基于知识(KB)的总结操作指南和视觉辅助工具,以及(3)基于技能的驾驶模拟器(SIM)实践。36名之前没有退伍军人经历的参与者被随机分配到一组。使用混合效应和负二项模型分析了与安全相关的结果——系统理解(测验分数)和现实世界参与度(激活频率和持续时间)。结果:KB训练在理解系统限制以及更安全的参与模式方面产生了最大的改进。与OM参与者相比,KB参与者的测验得分显著高于OM参与者,并且参与LKA和ACC的次数分别为1.4次和1.45次;他们还表现出对需要手动控制的场景有更强的意识,这表明不适当依赖的风险降低了。总体而言,老年司机的激活时间更长,凸显了与年龄相关的依赖差异和潜在的安全隐患。结论:短期、有针对性的培训可以显著提高VA系统的安全有效使用,特别是对老年驾驶员。这些结果强调了培训作为一种主动的安全干预措施,可以减少人与自动化的不匹配,提高系统在现实驾驶中的可靠性。实际应用:研究结果支持标准化、可访问、适合年龄的培训,使驾驶员行为符合VA安全标准,从而防止事故发生,并确保所有人都能更安全地实现自动化集成。
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引用次数: 0
Validation of a performance-based driving assessment: Implications for licensing young drivers 基于驾驶表现评估的有效性:对年轻司机发牌的影响
IF 4.4 2区 工程技术 Q1 ERGONOMICS Pub Date : 2025-12-01 Epub Date: 2025-09-17 DOI: 10.1016/j.jsr.2025.09.007
Jessica Hafetz , Catherine Gervais , D. Leann Long , Carol A. Ford , Mindy Collett , Mike Curry , Catherine C. McDonald
Introduction: The on-road behind-the-wheel “practical” license test is the gate by which aspiring drivers must pass in order to drive independently in many jurisdictions. Evidence linking practical test performance and future driving outcomes is mixed. In the United States, license tests are characterized by high pass rates. A more rigorous test might dissuade applicants who are not ready from attempting the test, encourage better preparation, and also sensitize aspirational drivers to their areas of strengths and weaknesses; this is especially important for young, novice drivers. Methods: The purpose of this analysis was to detail the validation and implementation of the Drivingly On-Road Driver Assessment (DORA) to inform the debate on adopting a more challenging license test for young drivers and to describe the frequency of critical errors committed. Dyads randomized to the intervention arm of the Drivingly trial and who participated in the DORA were analyzed (n = 453 adolescents). The DORA was administered in live-traffic by a certified instructor at the end of the state learner’s permit holding period. Critical errors were assessed. Drivers self-reported practice hours and number of license test attempts following the DORA. Driver licenses were authenticated by the study team. Enrollment ran from 8/18/2021 to 12/15/2023. Results: Learner drivers passing the practical test the first-time had fewer critical errors on the DORA than those who took 3 + attempts or who delayed license-testing (p < 0.0001). Practice was inversely associated with errors (p < 0.001). Commission of critical errors was common, yet 317(70%) of learner drivers were licensed in one practical test attempt. Conclusions: The DORA validly assesses driving performance. Practical Implications: Changing state practical driver licensing examinations to be more comprehensive and rigorous could enhance traffic safety.
导读:在许多司法管辖区,有抱负的司机必须通过道路上的实际驾驶执照考试才能独立驾驶。将实际测试成绩与未来驾驶结果联系起来的证据好坏参半。在美国,执照考试的特点是通过率高。更严格的考试可能会劝阻那些还没有准备好参加考试的申请人,鼓励他们做好更好的准备,也会让有抱负的人意识到自己的长处和短处;这对年轻的新手司机尤其重要。方法:本分析的目的是详细说明驾车上路驾驶员评估(DORA)的验证和实施,为对年轻驾驶员采用更具挑战性的驾照考试的辩论提供信息,并描述发生严重错误的频率。对随机分配到driving试验干预组和参加DORA的两组青少年进行分析(n = 453)。在国家学习许可证持有期结束时,由一名经过认证的讲师在现场交通中进行管理。对严重错误进行了评估。驾驶员自我报告的练习时间和驾驶执照测试尝试的次数。驾驶执照由研究小组认证。入学时间为2021年8月18日至2023年12月15日。结果:第一次通过实践测试的学习司机在DORA上的严重错误比那些参加了3次以上尝试或延迟驾照测试的人少(p < 0.0001)。实践与误差呈负相关(p < 0.001)。犯严重错误的情况很常见,但在一次实际测试中,317名(70%)学习司机获得了驾驶执照。结论:多拉能有效评估驾驶行为。实际意义:改变州实际驾驶执照考试,使其更加全面和严格,可以提高交通安全。
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引用次数: 0
Visual navigation is affected by low-dose alcohol use: Not in perception but in visuomotor control 低剂量酒精对视觉导航的影响:不是在感知上,而是在视觉运动控制上
IF 4.4 2区 工程技术 Q1 ERGONOMICS Pub Date : 2025-12-01 Epub Date: 2025-09-16 DOI: 10.1016/j.jsr.2025.09.012
Yuqi You , Yufei Tang , Zhongting Chen
Introduction: The detrimental effects of alcohol use on driving-related cognition have been widely reported. However, most evidence regarding cognitive impairment focuses on moderate to high blood alcohol concentrations (BAC ≥0.04 g/dl), while the effects at low BAC levels are less frequently discussed and yield mixed results. We investigated whether and how low-dose alcohol consumption at a BAC level of 0.03 g/dl affects visual navigation via optic flow, which features in driving-related tasks. Method: To examine the distinct effects of low-dose alcohol use on perception and visuomotor control, respectively, we designed two complementary tasks: a static heading estimation task involving passive viewing and discrete heading judgements; and a continuous heading matching task requiring active steering to align with optic flow. Results: The results showed that low-dose alcohol did not significantly affect the accuracy or precision of heading judgments. However, it increased temporal delay in continuous heading matching and significantly reduced heading matching precision toward optic flow display at higher speed (60 km/h). Conclusion: Our findings highlight that in visual navigation, visuomotor control, rather than heading perception, is particularly vulnerable to the negative effects of low-dose alcohol use. Practical applications: This study underscores the methodological importance of adopting more ecologically valid measurements and supports a stricter BAC limit in practical applications to reduce the risk of driving accidents.
饮酒对驾驶相关认知的有害影响已被广泛报道。然而,大多数关于认知障碍的证据集中在中高血液酒精浓度(BAC≥0.04 g/dl),而低BAC水平的影响较少被讨论,并产生混合结果。我们研究了BAC水平为0.03 g/dl的低剂量酒精摄入是否以及如何通过光流影响视觉导航,这在驾驶相关任务中具有特色。方法:为了研究低剂量酒精使用对感知和视觉运动控制的不同影响,我们设计了两个互补任务:静态航向估计任务,包括被动观看和离散航向判断;以及一个持续的航向匹配任务,需要主动转向来对准光流。结果:低剂量酒精对头球判断的准确度和精密度无显著影响。然而,在高速(60 km/h)光流显示下,它增加了连续航向匹配的时间延迟,显著降低了航向匹配精度。结论:我们的研究结果强调,在视觉导航中,视觉运动控制,而不是头部感知,特别容易受到低剂量酒精使用的负面影响。实际应用:本研究强调了采用更生态有效的测量方法的方法重要性,并支持在实际应用中采用更严格的BAC限制,以降低驾驶事故的风险。
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引用次数: 0
Beyond economic figures: Analysis of economic and work safety efficiency in U.S. industries using the by-production approach 超越经济数据:利用副产品方法分析美国工业的经济和工作安全效率
IF 4.4 2区 工程技术 Q1 ERGONOMICS Pub Date : 2025-12-01 Epub Date: 2025-08-29 DOI: 10.1016/j.jsr.2025.08.011
Esteban Lafuente , Manfred Murrell-Blanco
Introduction: This study evaluates the economic and safety efficiency of U.S. industries during 2003-2018 using a model that considers work accidents as a by-product of economic activity. Method: By employing efficiency techniques rooted in non-parametric methods, namely the by-production approach, the proposed analysis accurately models U.S. industries’ technology as the composition of two sub-technologies: one producing the economic output and a work-accident generating sub-technology. Results: The core findings reveal marked differences in industries’ economic efficiency as well as potential reductions in work accidents. Despite the reported overall fall in work accident rates, it was found that due to the specific characteristics of their operational processes, some industries were consistently more accident prone than others during the 2003-2018 period (agriculture, mining, construction, manufacturing, and transportation and warehousing). Also, results are in line with the notion that economic production is positively correlated with work accident figures, and this relationship becomes evident in periods of economic slowdown (in our case, from 2008 to 2012) and growth (in our case, during 2003-2007 and 2013-2018). Practical applications: Policy implications and opportunities for future research are discussed.
本研究使用一个将工作事故视为经济活动副产品的模型,评估了2003-2018年美国工业的经济和安全效率。方法:通过采用植根于非参数方法的效率技术,即副产品方法,所提出的分析准确地将美国工业技术建模为两个子技术的组成:一个产生经济产出,一个产生工作事故的子技术。结果:核心研究结果显示行业经济效率和工作事故的潜在减少存在显著差异。尽管据报道,工作事故率总体下降,但研究发现,在2003-2018年期间,由于其操作流程的特定特征,一些行业(农业、采矿、建筑、制造业、运输和仓储)始终比其他行业更容易发生事故。此外,研究结果也与经济生产与工伤事故数字呈正相关的观点一致,这种关系在经济放缓时期(在我们的案例中,从2008年到2012年)和增长时期(在我们的案例中,从2003年到2007年和2013年到2018年)变得明显。实际应用:讨论了政策影响和未来研究的机会。
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引用次数: 0
A quantitative analysis framework for cognitive process of construction workers: Exploring impacts of safety leadership and safety culture 建筑工人认知过程的定量分析框架:探讨安全领导与安全文化的影响
IF 4.4 2区 工程技术 Q1 ERGONOMICS Pub Date : 2025-12-01 Epub Date: 2025-10-16 DOI: 10.1016/j.jsr.2025.09.014
Yiran Xu , Liying Wang , Dongping Fang

Introduction

Considerable research has shown that safety leadership (SL) and safety culture (SC) play an important role in improving unsafe behaviors, but the specific intervention effects of the two on cognitive process are not yet clear, which restricts the development of safety management research based on cognitive psychology.

Method

This study proposed a quantitative analysis framework for the cognitive process of construction workers by exploring the impacts of SL and SC on each cognitive link based on a case study in China. First, structural equation modeling was used to analyze the impact paths of SL and SC on four cognitive links. Second, a Bayesian network was formulated to predict the effects of intervention strategies from various dimensions of SL and SC on the cognitive links.

Results

The results indicate that SL and SC both positively impact on the four cognitive links. Notably, both of them demonstrate the most substantial effects on “selecting response” link. Furthermore, the combined interventions of SL and SC can reduce the cognitive failure more greatly than single-dimension ones. Among all intervention strategies, the combination of caring and respect and safety communication shows the best effect. This study contributes to the safety management research by connecting safety organizational factors with cognitive psychology and expanding the cognitive model framework.

Practical Applications

It also provides a quantitative analytical framework to analyze potential cognitive failures. It enables managers to explore underlying relationships of unsafe behaviors and identify cognitive intervention points for safety management.
大量研究表明,安全领导(SL)和安全文化(SC)在改善不安全行为方面发挥着重要作用,但两者对认知过程的具体干预作用尚不清楚,这制约了基于认知心理学的安全管理研究的发展。方法本研究以中国建筑工人为研究对象,通过对建筑工人认知过程中各认知环节的影响进行研究,提出了建筑工人认知过程的定量分析框架。首先,采用结构方程模型分析了语言学习和语言学习对四个认知环节的影响路径。其次,构建贝叶斯网络,从语言学习和语言学习的各个维度预测干预策略对认知环节的影响。结果结果表明,英语和SC对四个认知环节均有正向影响。值得注意的是,两者在“选择响应”环节上的影响最为显著。此外,与单一维度的干预相比,语言学习和语言学习的联合干预更能显著减少认知失败。在所有干预策略中,关怀与尊重相结合和安全沟通的干预效果最好。本研究将安全组织因素与认知心理学联系起来,拓展了认知模型框架,有助于安全管理研究。它还提供了一个定量分析框架来分析潜在的认知失败。它使管理者能够探索不安全行为的潜在关系,并确定安全管理的认知干预点。
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引用次数: 0
Effective action for drowning prevention: An environmental scan of national policies and legislation in Türkiye 预防溺水的有效行动:冰岛国家政策和立法的环境扫描
IF 4.4 2区 工程技术 Q1 ERGONOMICS Pub Date : 2025-12-01 Epub Date: 2025-10-30 DOI: 10.1016/j.jsr.2025.10.016
Ali Işın , Amy E. Peden
Introduction: Drowning is a leading cause of preventable morbidity and mortality worldwide, accounting for 15,000 deaths across Europe in 2021. Effective policies and legislation are essential to reduce drowning risk, including in Türkiye where 750 people drown annually. However, the extent to which Türkiye has implemented such approaches to prevent drowning remains unclear. This study aimed to determine the presence and strength of selected national policies or legislation that improve safety around water. Method: Environmental scan methodology identified national policy and legislation for five World Health Organization-identified priority areas: disaster risk management; legislation for safety of water-transport for vessels; mandating lifejacket wear; swimming pool legislation (including fencing and other safety measures); and alcohol regulations. Keyword searches identified relevant documents that were thematically analyzed and evaluated. Results: From 568 documents identified, 14 unique documents were included in the study (disaster risk management [n = 1], passenger water-transport vessel safety [n = 8], lifejacket legislation [n = 5], and swimming pool safety [n = 2]). No relevant alcohol regulations were found. Strong legislation exists around passenger water-transport vessel safety including mandated safety inspections, lifesaving equipment and emergency plans. Although lifejackets carriage is mandatory, lifejacket wear is not mandated. There is no requirement for fencing around swimming pools however, some pool safety measures are robust (i.e., depth restrictions, certified lifeguards). Significant gaps remain regarding disaster risk management and alcohol regulations. Conclusion: Considering Türkiye’s drowning burden, strengthening policies and legislation to support drowning prevention, underpinned by an expanded evidence base, is an urgent priority. Practical Applications: This research makes evidence-based recommendations for improving policy and legislative-based approaches to preventing drowning in Türkiye including the development of a national drowning registry, mandating lifejacket wear (as opposed to carriage) and national registration of swimming pools (both public and private) to support enforcement of recommended improvements to legislation around swimming pool fencing.
导读:溺水是世界范围内可预防的发病和死亡的主要原因,2021年在整个欧洲造成1.5万人死亡。有效的政策和立法对于减少溺水风险至关重要,包括在每年有750人溺水的斯里兰卡。然而, rkiye在多大程度上实施了这些预防溺水的方法仍不清楚。本研究旨在确定选定的国家政策或立法的存在和力度,以改善水周围的安全。方法:环境扫描方法确定了世界卫生组织确定的五个优先领域的国家政策和立法:灾害风险管理;船舶水上运输安全立法;强制穿救生衣;泳池法例(包括围栏及其他安全措施);还有酒精管制。关键词搜索确定了主题分析和评估的相关文档。结果:从确定的568份文件中,有14份独特的文件被纳入研究(灾害风险管理[n = 1],客船安全[n = 8],救生衣立法[n = 5]和游泳池安全[n = 2])。没有发现有关酒精的规定。围绕水上客运船舶安全存在强有力的立法,包括强制性安全检查、救生设备和应急计划。虽然携带救生衣是强制性的,但穿救生衣不是强制性的。泳池周围没有围栏的要求,然而,一些泳池安全措施是强有力的(即深度限制,认证救生员)。在灾害风险管理和酒精管制方面仍存在重大差距。结论:考虑到 rkiye的溺水负担,在扩大证据基础的基础上,加强支持溺水预防的政策和立法是当务之急。实际应用:本研究提出了基于证据的建议,以改进以政策和立法为基础的方法,以防止印度尼西亚溺水,包括建立国家溺水登记处,强制要求穿救生衣(而不是携带)和国家游泳池登记(包括公共和私人),以支持执行有关游泳池围栏立法的改进建议。
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引用次数: 0
Incident and recurrent falls among non-Hispanic Black and Hispanic men with chronic conditions 慢性疾病的非西班牙裔黑人和西班牙裔男性的发病率和复发性跌倒
IF 4.4 2区 工程技术 Q1 ERGONOMICS Pub Date : 2025-12-01 Epub Date: 2025-11-06 DOI: 10.1016/j.jsr.2025.10.021
Temitope Olokunlade , Ledric D. Sherman , Mark E. Benden , Gang Han , Caroline D. Bergeron , Matthew Lee Smith
Introduction: While much is known about the complexities of fall-related risks among older adults, less is known about the risk for falls among men, and especially older non-Hispanic Black and Hispanic men with chronic conditions. To address this crucial gap in safety research, this study examined factors associated with incident falls (1 fall) and recurrent falling (2+ falls) among non-Hispanic Black and Hispanic men ages ≥60 years with ≥1 chronic condition. Method: Collected with a cross-sectional, web-delivered questionnaire, data were analyzed from a national sample of 779 non-Hispanic Black (58.8%) and Hispanic (41.2%) men. To assess incident and recurrent falls, the number of self-reported falls in the past year was trichotomized (0 falls vs. 1 fall vs. 2+ falls) and used as the dependent variable. A multinomial logistic regression was fitted to assess factors associated with incident and recurrent falls. The model adjusted for sociodemographics, disease characteristics, health status, and social support. Results: On average, participants were aged 66.8 (±5.4) years and reported 3.8 (±2.7) chronic conditions. Seventy-three percent of men reported 0 falls, 12.6% reported 1 fall, and 14.4% reported 2+ falls in the past year. Relative to men reporting 0 falls, Hispanic men (P < 0.05), men with worse general health status (P < 0.05), and those with clinical depression (P < 0.05) were more likely to report incident and recurrent falls, respectively. Men with more comorbidities (P < 0.05) and those with less help/support to manage health problems (P < 0.05) were more likely to report recurrent falls. Conclusions: Findings highlight the importance of multi-component interventions to prevent falls by strengthening disease self-management, addressing mental health, and introducing social support. Practical applications: This study contributes to the understanding of fall-related risks among older non-Hispanic Black and Hispanic men with chronic conditions and highlights the need for interdisciplinary collaboration in fall prevention efforts.
导言:虽然人们对老年人跌倒相关风险的复杂性了解很多,但对男性,特别是患有慢性疾病的非西班牙裔黑人和西班牙裔老年男性跌倒风险知之甚少。为了解决安全性研究中的这一关键空白,本研究在非西班牙裔黑人和西班牙裔年龄≥60岁且≥1种慢性疾病的男性中调查了与意外跌倒(1次跌倒)和复发跌倒(2次以上跌倒)相关的因素。方法:采用横断面网络问卷,对全国779名非西班牙裔黑人(58.8%)和西班牙裔男性(41.2%)的数据进行分析。为了评估偶发和复发性跌倒,过去一年中自我报告的跌倒次数被三分化(0次跌倒vs 1次跌倒vs 2次跌倒),并用作因变量。采用多项逻辑回归来评估与偶发和复发性跌倒相关的因素。该模型根据社会人口统计学、疾病特征、健康状况和社会支持进行了调整。结果:参与者的平均年龄为66.8(±5.4)岁,报告了3.8(±2.7)个慢性疾病。73%的男性在过去一年中跌倒过0次,12.6%的男性跌倒过1次,14.4%的男性跌倒过2次以上。相对于报告0次跌倒的男性,西班牙裔男性(P < 0.05)、总体健康状况较差的男性(P < 0.05)和临床抑郁症患者(P < 0.05)分别更有可能报告偶发跌倒和复发跌倒。有更多合并症的男性(P < 0.05)和在管理健康问题方面得到较少帮助/支持的男性(P < 0.05)更有可能报告复发性跌倒。结论:研究结果强调了通过加强疾病自我管理、解决心理健康问题和引入社会支持等多成分干预措施来预防跌倒的重要性。实际应用:本研究有助于了解老年非西班牙裔黑人和西班牙裔男性慢性疾病患者的跌倒相关风险,并强调了在预防跌倒方面开展跨学科合作的必要性。
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引用次数: 0
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Journal of Safety Research
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