Chumpawadee Urai, Homchampa Pissamai, Thongkrajai Pramote, Suwanimitr Amorn, Chadbunchachai Witaya
Southeast Asian J Trop Med Public Health. 2015 Jul;46(4):805-21.
Young motorcycle drivers in Thailand are at high risk for road traffic accidents. We conducted this study to identify factors associated with motorcycle accident risk behavior (MARB). We studied 372 randomly selected university students aged 18-22 years (mean 20.2 years; women comprised 68.0% of our participants), who attend a government university in northeastern Thailand. Each student was asked to fill out a questionnaire asking about MARB and factors associated with this behavior. The respondents had an average of 6.2 years (SD+3.09) motorcycle driving experience, 72.3% had a motorcycle driver's license and 83.0% had accident insurance. The prevalence of self-reported motorcycle accident injuries was 42.7%. Their major MARB were using a telephone while driving (69.3%), speeding (45.4%), driving with more than one passenger (40.1%), drunk driving (22.1%), and not wearing a helmet (23.3%). Factors related to MARB were: gender, with men engaged in risky behavior more often than women (p < 0.05); duration of motorcycle driving--drivers with > 5 years experience were more likely to engage in risky behavior (p < 0.05); and knowledge of safe driving, those with a greater knowledge of safe driving were more likely to drive safely (p < 0.001). Having a greater awareness of MARB was associated with lower risk of engaging in risky behavior (p < 0.001). Students who engaged in risky behavior were more likely to view it as normal behavior (p < 0.001) and less likely to have adequate self-control (p < 0.001). Our findings indicate a need to strengthen accident prevention programs for university students in northeastern Thailand.
泰国年轻的摩托车驾驶者面临着较高的道路交通事故风险。我们开展这项研究以确定与摩托车事故风险行为（MARB）相关的因素。我们对泰国东北部一所国立大学随机抽取的372名年龄在18至22岁之间的大学生（平均年龄20.2岁；女性占参与者的68.0%）进行了研究。每位学生都被要求填写一份关于MARB及与此行为相关因素的问卷。受访者的摩托车驾驶经验平均为6.2年（标准差为3.09），72.3%的人拥有摩托车驾驶执照，83.0%的人有事故保险。自我报告的摩托车事故受伤发生率为42.7%。他们主要的MARB包括驾车时使用电话（69.3%）、超速行驶（45.4%）、搭载多名乘客驾车（40.1%）、酒后驾车（22.1%）以及不戴头盔（23.3%）。与MARB相关的因素有：性别，男性比女性更常从事危险行为（p<0.05）；摩托车驾驶时长——驾驶经验超过5年的驾驶者更有可能从事危险行为（p<0.05）；以及安全驾驶知识，对安全驾驶了解较多的人更有可能安全驾驶（p<0.001）。对MARB有更高的认识与从事危险行为的较低风险相关（p<0.001）。从事危险行为的学生更有可能将其视为正常行为（p<0.001），且更不太可能有足够的自我控制能力（p<0.001）。我们的研究结果表明，有必要加强泰国东北部大学生的事故预防项目。
