Department of Public Health Medicine, University of KwaZulu-Natal, Congella, Durban, South Africa.
Int J Inj Contr Saf Promot. 2010 Mar;17(1):61-8. doi: 10.1080/17457300903524870.
Motor vehicle collisions involving adult pedestrians are an important cause of injury in South Africa. Using the eThekwini Transport Authority Database for 2007, the data about collisions involving pedestrians over the age of 15 years in the eThekwini metropolitan area were analysed. The incidence risk and proportions were calculated for risk factors involving pedestrians, drivers and the environment. Male pedestrians aged 25-34 years were at highest risk of injury compared to other male pedestrians (incidence risk ratio (IRR): 1.36; 95% confidence interval (CI): 1.26-1.48). The group with the highest fatality risk was males aged 50-54 years (IRR: 1.67; 95% CI: 1.04-2.67). Male drivers had a greater than seven times risk of involvement in pedestrian collisions when compared to females. The highest proportion of fatal pedestrian collisions involved trucks, occurred on freeways, in wet conditions and at night in unlit conditions. The findings point to the need to (a) improve pedestrian visibility and (b) implement engineering interventions to protect adult pedestrians. Enforcement should target high-risk drivers and pedestrians. For the first time in research involving road traffic injuries, this study provides an overall picture of both fatal and non-fatal pedestrian collisions in a South African municipality.
机动车与成人行人碰撞是南非受伤的一个重要原因。利用 2007 年埃特科维恩交通管理局数据库，分析了埃特科维恩大都市区 15 岁以上行人碰撞的数据。计算了涉及行人、驾驶员和环境的危险因素的发生率风险和比例。与其他男性行人相比，25-34 岁的男性行人受伤风险最高（发病率风险比（IRR）：1.36；95%置信区间（CI）：1.26-1.48）。50-54 岁男性死亡率风险最高（IRR：1.67；95% CI：1.04-2.67）。与女性相比，男性驾驶员涉及行人碰撞的风险高出七倍以上。致命行人碰撞中比例最高的是卡车，发生在高速公路上，在潮湿条件下，在夜间无照明条件下。研究结果表明，需要（a）提高行人的可见度，（b）实施工程干预措施以保护成人行人。执法应针对高风险驾驶员和行人。这是首次在涉及道路交通伤害的研究中，本研究全面描述了南非市发生的致命和非致命行人碰撞。
