Department of Surgery, University of Florida, Gainesville, Florida 32610-0108, USA.
Inj Prev. 2012 Feb;18(1):16-21. doi: 10.1136/ip.2010.030759. Epub 2011 Jun 16.
The state of Florida has some of the most dangerous highways in the USA. In 2006, Florida averaged 1.65 fatalities per 100 million vehicle miles travelled (VMT) compared with the national average of 1.42. A study was undertaken to find a method of identifying counties that contributed to the most driver fatalities after a motor vehicle collision (MVC). By regionalising interventions unique to this subset of counties, the use of resources would have the greatest potential of improving statewide driver death.
The Florida Highway Safety Motor Vehicle database 2000-2006 was used to calculate driver VMT-weighted deaths by county. A total of 3,468,326 motor vehicle crashes were evaluated. Counties that had driver death rates higher than the state average were sorted by a weighted averages method. Multivariate regression was used to calculate the likelihood of death for various risk factors.
VMT-weighted death rates identified 12 out of 67 counties that contributed up to 50% of overall driver fatalities. These counties were primarily clustered in central and south Florida. The strongest independent risk factors for driver death attributable to MVC in these high-risk counties were alcohol/drug use, rural roads, speed limit ≥45 mph, adverse weather conditions, divided highways, vehicle type, vehicle defects and roadway location.
Using the weighted averages method, a small subset of counties contributing to the majority of statewide driver fatalities was identified. Regionalised interventions on specific risk factors in these counties may have the greatest impact on reducing driver-related MVC fatalities.
佛罗里达州是美国高速公路最危险的州之一。2006 年,佛罗里达州每行驶 1 亿英里就有 1.65 人死亡,而全国平均水平为 1.42。进行了一项研究,以找到一种方法来识别导致机动车碰撞(MVC)后驾驶员死亡人数最多的县。通过将针对这些县的独特干预措施区域化,可以最大程度地利用资源来改善全州驾驶员死亡人数。
使用佛罗里达州高速公路安全机动车数据库 2000-2006 年的数据来计算按县划分的驾驶员 VMT 加权死亡率。共评估了 3468326 起机动车事故。死亡率高于州平均水平的县按加权平均值法进行排序。使用多元回归计算各种危险因素死亡的可能性。
VMT 加权死亡率确定了 67 个县中的 12 个,它们占总驾驶员死亡人数的 50%。这些县主要集中在佛罗里达州中部和南部。在这些高风险县中,导致 MVC 驾驶员死亡的最强独立危险因素是酒精/药物使用、农村道路、限速≥45 英里/小时、恶劣天气条件、分隔高速公路、车辆类型、车辆缺陷和道路位置。
使用加权平均值法,确定了造成全州大多数驾驶员死亡的一小部分县。在这些县实施针对特定危险因素的区域化干预措施,可能会对减少与驾驶员相关的 MVC 死亡人数产生最大影响。