Majdzadeh Reza, Khalagi Kazem, Naraghi Kamran, Motevalian Abbas, Eshraghian Mohammad Reza
Tehran University of Medical Sciences, School of Public Health and Institute of Public Health Research, Epidemiology and Biostatistics, Tehran 1417863181, Iran.
Accid Anal Prev. 2008 Jan;40(1):17-23. doi: 10.1016/j.aap.2007.03.019. Epub 2007 May 7.
Basic information on the risk factors of road traffic injuries in Iran is scarce. This case-control study was conducted to determine the association of potential risk factors with the incidence of injury among motor vehicle drivers and motorcyclists on Qazvin-Loshan Road. The cases were 175 drivers and motorcyclists who had a road traffic accident (RTA) and sustained an injury. The controls were 175 motorists who had a RTA, on the same road and over the same time period, without suffering any injury. The analyses were separately performed by comparing the controls with mildly and severely injured cases, using New Injury Severity Score (NISS) 15 as a threshold. The results showed that fire following collision was significant in the crude analysis of all 175 cases and controls. The severity of collision, vehicle type (motorcycle versus other vehicle crashes), and gender were significant in the multivariable analyses of both mildly and severely injured cases. Safety equipment use is only significant (adjusted odds ratio, AOR=0.44, 95% confidence interval, 95%CI=0.23-0.84) among mild cases. The number of collisions (AOR=3.87, 95%CI=1.64-9.10) and weather conditions (AOR=4.32, 95%CI=1.13-16.5) only associate significantly with the occurrence of road traffic injury in severe cases, in comparison with the controls.
伊朗道路交通事故伤害风险因素的基础信息匮乏。本病例对照研究旨在确定加兹温-洛尚公路上机动车驾驶员和摩托车骑行者中潜在风险因素与伤害发生率之间的关联。病例组为175名发生道路交通事故（RTA）并受伤的驾驶员和摩托车骑行者。对照组为175名在同一路段、同一时间段内发生RTA但未受伤的驾车者。分析分别通过将对照组与轻度和重度受伤病例进行比较来进行，以新损伤严重程度评分（NISS）15作为阈值。结果显示，在对所有175例病例和对照的粗分析中，碰撞后起火具有显著性。在轻度和重度受伤病例的多变量分析中，碰撞严重程度、车辆类型（摩托车与其他车辆碰撞）和性别具有显著性。安全设备的使用仅在轻度病例中具有显著性（调整优势比，AOR=0.44，95%置信区间，95%CI=0.23-0.84）。与对照组相比，碰撞次数（AOR=3.87，95%CI=1.64-9.10）和天气状况（AOR=4.32，95%CI=1.13-16.5）仅在重度病例中与道路交通事故伤害的发生显著相关。
