Tumwesigye Nazarius M, Atuyambe Lynn M, Kobusingye Olive K
Department of Epidemiology and Biostatistics, Makerere University School of Public Health, Kampala, Uganda.
Department of Community Health and Behavioral Sciences, Makerere University School of Public Health, Kampala, Uganda.
PLoS One. 2016 Feb 26;11(2):e0148511. doi: 10.1371/journal.pone.0148511. eCollection 2016.
Road traffic injuries are the eighth leading cause of death globally and the most affected are young people aged 15-29. By 2030 road traffic deaths will become the fifth leading cause of death unless urgent action is taken. Motorcyclists are among the most vulnerable road users and in Uganda they contribute 41% of all road traffic injuries. This paper establishes factors associated with the injuries of commercial motorcycle riders also known as boda-boda riders in Kampala, Uganda's capital city.
The study was matched case-control with a case being a boda-boda rider that was seen at one of the 5 major city hospitals with a road traffic injury while a control was a boda-boda rider that was at the parking stage where the case operated from before the injury. The sample size was 289 riders per arm and data collection took 7 months. A structured questionnaire was used to collect data on background and exposing factors. Being matched case-control data conditional logistic regression was used in the analysis.
Factors independently associated with injury among motorcyclists were younger age group, being a current alcohol drinker (OR = 2.30, 95%CI: 1.19-4.45), lower engine capacity (<100 cc) (OR = 5.03, 95%CI: 2.91-8.70), riding experience of less than 3 years, not changing a motorcycle in past 1 year (OR = 2.04, 95%CI: 1.19-3.52), riding for a longer time in a day (OR = 6.05, 95%CI: 2.58-14.18) and sharing a motorcycle (OR = 8.25, 95%CI:2.62-25.9). Other factors associated with injury were low level of knowledge of traffic rules, being stopped by police for checks on condition of motorcycle/license/insurance, working till late.
More road safety sensitization is required among riders to raise awareness against sharing motorcycles, working for a longer time and alcohol consumption. Police enforcement of drink-driving laws should include riders of commercial motorcycles. Investigate the validity of motorcycle riding licenses and test the riding competency of all who got licenses in last 3 years.
道路交通伤害是全球第八大死因，受影响最严重的是15至29岁的年轻人。除非采取紧急行动，到2030年道路交通死亡将成为第五大死因。骑摩托车者是最易受伤害的道路使用者之一，在乌干达，他们占所有道路交通伤害的41%。本文确定了与乌干达首都坎帕拉商业摩托车骑手（也称为博达博达骑手）受伤相关的因素。
该研究采用匹配病例对照研究，病例为在5家主要城市医院之一因道路交通伤害就诊的博达博达骑手，对照为受伤前病例运营所在停车点的博达博达骑手。每组样本量为289名骑手，数据收集耗时7个月。使用结构化问卷收集背景和暴露因素数据。由于是匹配病例对照数据，分析采用条件逻辑回归。
与摩托车骑手受伤独立相关的因素有较年轻的年龄组、当前饮酒者（比值比=2.30，95%置信区间：1.19-4.45）、发动机排量较低（<100立方厘米）（比值比=5.03，95%置信区间：2.91-8.70）、骑行经验少于3年、过去1年未更换摩托车（比值比=2.04，95%置信区间：1.19-3.52）、一天骑行时间较长（比值比=6.05，95%置信区间：2.58-14.18）以及共用一辆摩托车（比值比=8.25，95%置信区间：2.62-25.9）。与受伤相关的其他因素有交通规则知识水平低、因摩托车/驾照/保险状况被警察拦下检查、工作到很晚。
需要对骑手进行更多道路安全宣传，以提高他们对共用摩托车、长时间工作和饮酒的认识。警方对酒驾法律的执法应包括商业摩托车骑手。调查摩托车驾驶证的有效性，并测试过去3年获得驾驶证者的骑行能力。
