Abegaz Teferi, Berhane Yemane, Worku Alemayehu, Assrat Abebe, Assefa Abebayehu
School of Public and Environmental Health, College of Medicine and Health Sciences, Hawassa University, Hawassa, Ethiopia.
Addis Continental Institute of Public Health, Addis Ababa, Ethiopia.
Accid Anal Prev. 2014 Oct;71:15-21. doi: 10.1016/j.aap.2014.05.003. Epub 2014 May 24.
The severity of injury from vehicle crash is a result of a complex interaction of factors related to drivers' behavior, vehicle characteristics, road geometric and environmental conditions. Knowing to what extent each factor contributes to the severity of an injury is very important. The objective of the study was to assess factors that contribute to crash injury severity in Ethiopia. Data was collected from June 2012 to July 2013 on one of the main and busiest highway of Ethiopia, which extends from the capital Addis Ababa to Hawassa. During the study period a total of 819 road crashes was recorded and investigated by trained crash detectors. A generalized ordered logit/partial proportional odds model was used to examine factors that might influence the severity of crash injury. Model estimation result suggested that, alcohol use (Coef.=0.5565; p-value=0.017), falling asleep while driving (Coef.=1.3102; p-value=0.000), driving at night time in the absence of street light (Coef.=0.3920; p-value=0.033), rainfall (Coef.=0.9164; p-value=0.000) and being a minibus or vans (Coef.=0.5065; p-value=0.013) were found to be increased crash injury severity. On the other hand, speeding was identified to have varying coefficients for different injury levels, its highest effects on sever and fatal crashes. In this study risky driving behaviors (speeding, alcohol use and sleep/fatigue) were a powerful predictor of crash injury severity. Therefore, better driver licensing and road safety awareness campaign complimented with strict police enforcement can play a pivotal role to improve road safety. Further effort needed as well to monitor speed control strategies like; using the radar control and physical speed restraint measures (i.e., rumble strips).
车辆碰撞造成的伤害严重程度是与驾驶员行为、车辆特性、道路几何形状和环境条件相关的多种因素复杂相互作用的结果。了解每个因素对伤害严重程度的贡献程度非常重要。该研究的目的是评估导致埃塞俄比亚碰撞伤害严重程度的因素。数据于2012年6月至2013年7月在埃塞俄比亚一条主要且繁忙的高速公路上收集,该公路从首都亚的斯亚贝巴延伸至哈瓦萨。在研究期间,经过培训的碰撞探测器共记录并调查了819起道路碰撞事故。使用广义有序logit/部分比例优势模型来检验可能影响碰撞伤害严重程度的因素。模型估计结果表明,饮酒(系数=0.5565;p值=0.017)、驾驶时睡着(系数=1.3102;p值=0.000)、在没有路灯的夜间驾驶(系数=0.3920;p值=0.033)、降雨(系数=0.9164;p值=0.000)以及驾驶小型巴士或面包车(系数=0.5065;p值=0.013)会增加碰撞伤害的严重程度。另一方面,超速被发现对不同伤害程度有不同系数,对严重和致命碰撞的影响最大。在这项研究中,危险驾驶行为(超速、饮酒和睡眠/疲劳)是碰撞伤害严重程度的有力预测因素。因此,更好的驾驶员执照发放和道路安全意识宣传活动,再加上严格的警察执法,可以在改善道路安全方面发挥关键作用。还需要进一步努力监测速度控制策略,如使用雷达控制和物理速度限制措施(即减速带)。