印度海得拉巴市儿童上学途中道路交通伤害情况：横断面调查

Road traffic injuries to children during the school commute in Hyderabad, India: cross-sectional survey.

作者信息

Tetali Shailaja, Edwards P, Murthy G V S, Roberts I

机构信息

Indian Institute of Public Health, Hyderabad, India Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK.

Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK.

出版信息

Inj Prev. 2016 Jun;22(3):171-5. doi: 10.1136/injuryprev-2015-041854. Epub 2015 Dec 23.

DOI:10.1136/injuryprev-2015-041854

PMID:26701985

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4893121/

Abstract

BACKGROUND

India is motorising rapidly. With increasing motorisation, road traffic injuries are predicted to increase. A third of a billion children travel to school every day in India, but little is known about children's safety during the school commute. We investigated road traffic injury to children during school journeys.

METHODS

We conducted a cross-sectional survey in Hyderabad using a two-stage stratified cluster sampling design. We used school travel questionnaires to record any road injury in the past 12 months that resulted in at least 1 day of school missed or required treatment by a doctor or nurse. We estimated the prevalence of road injury by usual mode of travel and distance to school.

RESULTS

The total sample was 5842 children, of whom 5789 (99.1%) children answered the question on road injury. The overall prevalence of self-reported road injury in the last 12 months during school journeys was 17% (95% CI 12.9% to 21.7%). A higher proportion of boys (25%) reported a road injury than girls (11%). There was a strong association between road injury, travel mode and distance to school. Children who cycled to school were more likely to be injured compared with children who walked (OR 1.5; 95% CI 1.2 to 2.0). Travel by school bus was safer than walking (OR 0.5; 95% CI 0.3 to 0.9).

CONCLUSIONS

A sixth of the children reported a road traffic injury in the past 12 months during school journeys in Hyderabad. Injury prevention interventions should focus on making walking and cycling safer for children.

摘要

背景

印度正迅速实现机动化。随着机动化程度的提高，预计道路交通伤害将会增加。在印度，每天有3亿儿童上学，但对于儿童在上下学途中的安全状况却知之甚少。我们对儿童在上学途中的道路交通伤害情况进行了调查。

方法

我们在海得拉巴采用两阶段分层整群抽样设计进行了一项横断面调查。我们使用学校出行问卷记录过去12个月内导致至少缺课1天或需要医生或护士治疗的任何道路伤害情况。我们根据通常的出行方式和到学校的距离估算道路伤害的患病率。

结果

总样本为5842名儿童，其中5789名（99.1%）儿童回答了关于道路伤害的问题。在过去12个月内，上学途中自我报告的道路伤害总体患病率为17%（95%可信区间12.9%至21.7%）。报告道路伤害的男孩比例（25%）高于女孩（11%）。道路伤害、出行方式和到学校的距离之间存在密切关联。与步行上学的儿童相比，骑自行车上学的儿童更容易受伤（比值比1.5；95%可信区间1.2至2.0）。乘坐校车出行比步行更安全（比值比0.5；95%可信区间0.3至0.9）。