Johns Hopkins International Injury Research Unit, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Johns Hopkins International Injury Research Unit, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Injury. 2013 Dec;44 Suppl 4:S24-30. doi: 10.1016/S0020-1383(13)70209-2.
In Kenya, RTIs had the second highest increase in disability-adjusted life years between 1990 and 2010, compared to other conditions. This study aims to determine the prevalence, knowledge, attitudes and practices for speeding in Thika and Naivasha districts in Kenya.
Direct observations of vehicle speed were conducted at various times during the day and different days of the week on six roads selected based on a multi-stage sampling method in two districts to determine the prevalence of speeding. Roadside KAP interviews were administered to drivers, at motorcycle bays, petrol stations, and rest areas.
Eight rounds of speed observations and four rounds of KAP interviews were conducted between July 2010 and November 2012. Results from the speeding observational studies show an overall high proportion of vehicles speeding above posted limits in both districts, with an average of 46.8% in Thika and 40.2% in Naivasha. Trend analysis revealed a greater decline in this prevalence in Thika (OR: 0.804, 95% CI: 0.793-0.814) than in Naivasha (OR: 0.932, 95% CI: 0.919-0.945) over the study period. On average, 58.8% of speeding vehicles in Thika and 57.2% of speeding vehicles in Naivasha travelled at 10 km/h or higher above speed limit. While the majority of respondents agreed that speeding is a cause of road traffic crashes in both Thika (70.3%) and Naivasha (68.7%), knowledge of speed limits at the location of the interview was limited. Enforcement levels also remained low, but subsequent rounds of data collection showed improvement, especially in Thika.
This study demonstrates an improvement in the prevalence of speeding in two districts of Kenya over 2010-2012. It also highlights the need for further action to be taken to address the problem, and represents new data on speeding in Kenya and Africa.
在肯尼亚,1990 年至 2010 年期间,道路交通伤害导致的伤残调整生命年(DALY)增长比例在所有疾病中排第二。本研究旨在确定在肯尼亚的蒂卡和奈瓦沙地区超速驾驶的流行率、相关知识、态度和行为。
通过多阶段抽样方法选择了 6 条道路,在一天中的不同时间和一周中的不同日子进行了车辆速度的直接观察,以确定超速驾驶的流行率。在摩托车停车位、加油站和休息区对司机进行了路边知识、态度和行为(KAP)访谈。
2010 年 7 月至 2012 年 11 月期间共进行了 8 轮速度观察和 4 轮 KAP 访谈。超速驾驶观察研究的结果显示,两个地区的车辆超速比例都很高,超过限速的车辆平均比例分别为蒂卡的 46.8%和奈瓦沙的 40.2%。趋势分析显示,在研究期间,蒂卡地区的超速流行率下降幅度更大(OR:0.804,95%CI:0.793-0.814),而奈瓦沙地区的下降幅度较小(OR:0.932,95%CI:0.919-0.945)。在蒂卡,平均有 58.8%的超速车辆以 10km/h 或更高的速度超过限速行驶,而在奈瓦沙,这一比例为 57.2%。尽管大多数受访者认为超速是造成这两个地区道路交通碰撞的原因(蒂卡的 70.3%,奈瓦沙的 68.7%),但对访谈地点的限速知识有限。执法力度也仍然较低,但后续的数据收集显示,这种情况有所改善,尤其是在蒂卡。
本研究表明,在 2010 年至 2012 年期间,肯尼亚两个地区的超速流行率有所下降。它还强调需要采取进一步行动来解决这一问题,并提供了肯尼亚和非洲超速驾驶的新数据。