Marchini Laura, Mamo Carlo, Dalmasso Marco, La Torre Giuseppe
Servizio Regionale di Epidemiologia, ASL 5 Piemonte, Grugliasco.
Epidemiol Prev. 2007 Nov-Dec;31(6):340-5.
Italy is one of the industrialized countries with the highest mortality from road accidents. The mortality index of road accidents in Piemonte is one of the highest in Italy. This study assesses the main factors affecting the mortality among drivers.
Police reports of 95,944 road traffic accidents occurred between 1999 and 2004 in Piemonte, involving 178,230 drivers, were analysed. Multivariate logistic regression models were used to estimate the association of drivers' and accidents' characteristics with mortality among drivers. Analyses were stratified for car, truck and two-wheel vehicle drivers.
Mortality is affected by age and gender. In addition, the main risk factors are night-time, extra-urban roads, mountain areas and two wheel vehicles. The drivers license penalty point regulation law introduced in Italy on July 2003 seems to have had a protective effect on mortality during the early months of application.
Official data are useful for estimating potential determinants of road injuries' outcome. Factors affecting the occurrence of accidents are not necessarily predictors of outcome severity. An effective prevention policy of frequency of accidents, mortality and disability should be based on drivers'safety education, structural interventions, targeted road controls and law enforcement.
意大利是道路交通事故死亡率最高的工业化国家之一。皮埃蒙特地区的道路交通事故死亡率在意大利位居前列。本研究评估影响驾驶员死亡率的主要因素。
分析了1999年至2004年期间在皮埃蒙特发生的95944起道路交通事故的警方报告，这些事故涉及178230名驾驶员。采用多变量逻辑回归模型来估计驾驶员和事故特征与驾驶员死亡率之间的关联。分析按汽车、卡车和两轮车辆驾驶员进行分层。
死亡率受年龄和性别的影响。此外，主要风险因素包括夜间、城市外道路、山区和两轮车辆。2003年7月意大利实施的驾照扣分规定法在实施的最初几个月似乎对死亡率起到了保护作用。
官方数据有助于估计道路伤害后果的潜在决定因素。影响事故发生的因素不一定是结果严重程度的预测指标。有效的事故发生率、死亡率和残疾预防政策应基于驾驶员安全教育、结构性干预、有针对性的道路管控和执法。
