Karolinska Institute, Department of Public Health Sciences, Division of Global Health, Stockholm, Sweden.
BMC Public Health. 2012 Oct 21;12:887. doi: 10.1186/1471-2458-12-887.
The increasing number of older road users represents a public health issue because older individuals are more susceptible to traffic injury and mortality than the general population. This study investigated the association between socio-demographic factors and traffic injury and traffic mortality for the general population and among older road users in Japan.
An ecological study was conducted using national data in Japan. Multivariate regression methods were applied to investigate the association of traffic injury and traffic mortality for the general population and among older road users with significant demographic, economic, road traffic, and medical/cultural factors.
Income per capita, total road length, and alcohol consumption per person were significantly associated with traffic injury and traffic mortality both for the general population and among older road users in Japan. Income per capita and alcohol consumption per person were negatively associated with traffic mortality for both groups. Meanwhile, for both groups, income per capita was positively associated with traffic injury, while total road length and alcohol consumption per person were negatively associated with traffic injury.
The effects of socio-demographic factors on traffic injury and traffic mortality in Japan were similar for both the general population and older road users. The study results suggest that injury preventive measures designed for the general population will be beneficial also for older road users in Japan.
越来越多的老年道路使用者是一个公共卫生问题,因为与一般人群相比,老年人更容易受到交通伤害和死亡的影响。本研究调查了日本一般人群和老年道路使用者的社会人口因素与交通伤害和交通死亡之间的关系。
本研究采用日本的全国数据进行了一项生态学研究。应用多变量回归方法调查了人口统计学、经济、道路交通和医疗/文化因素对一般人群和老年道路使用者交通伤害和交通死亡的影响。
人均收入、道路总长度和人均酒精摄入量与日本一般人群和老年道路使用者的交通伤害和交通死亡均显著相关。人均收入和人均酒精摄入量与两组人群的交通死亡均呈负相关。与此同时,对于两组人群,人均收入与交通伤害呈正相关,而道路总长度和人均酒精摄入量与交通伤害呈负相关。
日本一般人群和老年道路使用者的社会人口因素对交通伤害和交通死亡的影响相似。研究结果表明,为一般人群设计的伤害预防措施对日本的老年道路使用者也将是有益的。