Bao J, Bachani A M, Viet C P, Quang La N, Nguyen N, Hyder A A
Johns Hopkins International Injury Research Unit, Health Systems Program, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Johns Hopkins International Injury Research Unit, Health Systems Program, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Public Health. 2017 Mar;144S:S39-S44. doi: 10.1016/j.puhe.2017.01.010.
Helmet use is a major risk factor for road traffic injuries and fatalities. This study sought to determine the state of helmet use in Ha Nam and Ninh Binh provinces in Vietnam, and ascertain knowledge, attitudes, and practices of helmet use over time.
Observational helmet use studies, and roadside knowledge, attitudes, and practice surveys.
Data were collected through observational helmet use studies at multiple sites in Ha Nam and Ninh Binh provinces over 14 rounds between June 2011 and December 2014. Six rounds of knowledge, attitude, and practice surveys were administered at gas stations between December 2011 and July 2014. Trend analysis and negative binomial regressions were used to analyze trend data.
Between June 2011 and December 2014, 301,981 helmet-use observations were conducted in Ha Nam and Ninh Binh. Correct helmet use increased significantly (P < 0.01) in Ha Nam from 34.3% to 76.9% (P < 0.01), while use in Ninh Binh increased from 68.9% to 72.2% (P > 0.05).
Helmet use has improved statistically significantly in Ha Nam but not in Ninh Binh. Ceiling effects may have limited the scope of improvements in Ninh Binh province.
佩戴头盔是道路交通伤害和死亡的主要风险因素。本研究旨在确定越南南定省和宁平省的头盔使用状况,并查明头盔使用情况随时间推移的知识、态度和行为。
头盔使用情况观察性研究以及路边知识、态度和行为调查。
通过在2011年6月至2014年12月期间对南定省和宁平省多个地点进行14轮头盔使用情况观察性研究来收集数据。在2011年12月至2014年7月期间在加油站进行了6轮知识、态度和行为调查。使用趋势分析和负二项回归分析趋势数据。
在2011年6月至2014年12月期间,对南定省和宁平省进行了301,981次头盔使用情况观察。南定省正确佩戴头盔的比例从34.3%显著增加到76.9%(P < 0.01),而宁平省的使用率从68.9%增加到72.2%(P > 0.05)。
南定省的头盔使用率在统计学上有显著提高,但宁平省没有。天花板效应可能限制了宁平省的改善范围。