Reardon Joseph M, Andrade Luciano, Hertz Julian, Kiwango George, Teu Anneth, Pesambili Msafiri, El-Gabri Deena, Hocker Michael, Mvungi Mark, Vissoci João Ricardo N, Staton Catherine A
Division of Emergency Medicine, Departmento of Surgery, Duke University Medical Center, Durham, NC, United States.
Department of Medicine, State University of Maringá, Maringá, Paraná, Brazil.
Injury. 2017 Jul;48(7):1363-1370. doi: 10.1016/j.injury.2017.05.004. Epub 2017 May 3.
Road traffic injuries (RTIs) continue to increase with the proliferation of motor vehicles, especially in low-income countries where safe road infrastructure is lacking. Knowing where and why RTIs occur would allow for increased safety and prevention planning. In this study, police records of 300 motor vehicle collisions which occurred between February 2013 and January 2014 in Moshi, Tanzania were reviewed. Analysis of variables including victim age, gender, type of collision, conditions, and use of safety equipment were analyzed. Geographic information system (GIS) analysis was performed to identify areas with the most collisions. Most injuries occurred at four intersections on two main corridor. Car crashes represented 48% of reports while motorcycle collisions were 35% of reports. Victims were predominantly male. The majority (64%) of RTI victims in cars used seatbelts while only 43% of motorcyclists wore helmets; none of those who used the helmet or seatbelt suffered a grievous injury. These data demonstrate that RTIs in Moshi occur in predictable high traffic locations. RTIs injure victims of all backgrounds and safety equipment is not universally utilized. More investment is needed in improved data collection methods, and a greater emphasis on intersection safety is needed to reduce these preventable injuries.
随着机动车数量的激增，道路交通伤害（RTIs）持续增加，尤其是在缺乏安全道路基础设施的低收入国家。了解道路交通伤害发生的地点和原因将有助于加强安全和预防规划。在本研究中，对2013年2月至2014年1月间发生在坦桑尼亚莫希的300起机动车碰撞事故的警方记录进行了审查。分析了包括受害者年龄、性别、碰撞类型、路况以及安全设备使用情况等变量。进行了地理信息系统（GIS）分析以确定碰撞事故最多的区域。大多数伤害发生在两条主要干道的四个交叉路口。汽车碰撞事故占报告的48%，而摩托车碰撞事故占报告的35%。受害者主要为男性。汽车中道路交通伤害受害者的大多数（64%）使用了安全带，而骑摩托车者中只有43%佩戴了头盔；使用头盔或安全带的人都没有受到重伤。这些数据表明，莫希的道路交通伤害发生在可预测的高流量地点。道路交通伤害会伤害各种背景的受害者，安全设备并未得到普遍使用。需要在改进数据收集方法方面投入更多资金，并且需要更加重视交叉路口安全以减少这些可预防的伤害。
