Sharma Rahul, Grover Vijay L, Chaturvedi S
Department of Community Medicine, VMMC and Safdarjung Hospital, New Delhi, India.
Indian J Med Sci. 2007 Dec;61(12):656-62.
Injuries are now a major cause of death and disability among the adolescents in the world. Road accidents are the main cause of death of young men worldwide.
To study health-risk behavior related to road safety amongst adolescent students in south Delhi and its epidemiological correlates.
Cross-sectional study.
Three schools and two colleges in south Delhi.
Five hundred fifty adolescent students aged 14-19 years selected by cluster sampling.
Proportions, Chi-square test, multivariate logistic regression.
More than half (52.4%) reported 'not always' wearing a seat belt. About 72.1% (300) of two-wheeler riders reported 'not always' and 23.3% (97) reported 'never' wearing a helmet. Nearly 20% (91) students rode with a driver who had alcohol before driving, and 37.3% (185) subjects had driven with a driver not possessing a driving license, in the past 30 days. Such 'road-hazard' behaviors were found to be significantly more in males and in lower-age groups. Logistic regression analysis revealed that the significant correlates of such behaviors were gender of the respondent and living status of the parents. Almost 77.5% (426) of the respondents were 'at risk' as far as behaviors related to safety on roads are concerned.
The results should evoke earnest responses from the government, policy makers and all personnel concerned with adolescent welfare on how best to reduce the extent of this preventable problem.
伤害现已成为全球青少年死亡和残疾的主要原因。道路交通事故是全球年轻男性死亡的主要原因。
研究南德里青少年学生中与道路安全相关的健康风险行为及其流行病学关联因素。
横断面研究。
南德里的三所学校和两所学院。
通过整群抽样选取的550名14 - 19岁的青少年学生。
比例、卡方检验、多因素逻辑回归。
超过一半(52.4%)的人报告“并非总是”系安全带。在两轮车骑行者中,约72.1%(300人)报告“并非总是”佩戴头盔,23.3%(97人)报告“从不”佩戴头盔。在过去30天里,近20%(91人)的学生与酒后驾车的司机一同乘车,37.3%(185人)的受试者曾与未持有驾驶执照的司机一同驾车。此类“道路危险”行为在男性和低年龄组中更为显著。逻辑回归分析显示,这些行为的显著关联因素是受访者的性别和父母的生活状况。就道路安全相关行为而言,近77.5%(426人)的受访者“处于危险之中”。
这些结果应促使政府、政策制定者以及所有关心青少年福利的人员认真思考如何最好地减少这一可预防问题的严重程度。