某大型军事基地服役人员受伤及道路交通事故的决定因素
Determinants of injuries and Road Traffic Accidents amongst service personnel in a large Defence station.
作者信息
Neelakantan Anand, Kotwal Brig Atul, Ilankumaran Mookkiah
机构信息
JDMS (CSL), O/o DGMS (N), IHQ of MoD (Navy), Sena Bhawan, New Delhi 110011, India.
Dy DGAFMS (Pensions), O/o DGAFMS, Ministry of Defence, 'M' Block, New Delhi, India.
出版信息
Med J Armed Forces India. 2017 Jul;73(3):216-221. doi: 10.1016/j.mjafi.2016.08.002. Epub 2016 Nov 2.
BACKGROUND
Injuries are assuming epidemic proportions globally; and in India. Also, previous decade witnessed carnage on Indian roads, with nearly 12 lakh people killed and 55 lakhs disabled in road crashes. The trend in Armed Forces is reflective of the aforesaid patterns. Behaviour and socio-demographic background of the victims are significant determinants of injuries and road accidents. Community-based epidemiological information on these aspects is envisaged to contribute in their preventive strategy. Towards this direction, the present study was conducted with aim to generate socio-behavioural profile of injuries and Road Traffic Accidents (RTAs) amongst service personnel in a large defence station; and to evaluate their determinants.
METHODS
A cross sectional descriptive study was carried out among 796 Naval personnel onboard warships in large Naval station. Data on socio-behavioural aspects and determinants of injuries and road accidents was collected using a pre-validated questionnaire; and by scrutiny of relevant records. Data was analysed using MSExcel, Epi-info and SPSS 17.
RESULTS
Young and middle-aged persons were predominantly involved in injuries and road accidents. Two-wheeler users sustained maximum road accidents. Human factor was a significant determinant in RTAs and injuries. A majority of victims admitted that human factors were the predominant cause of road accidents; and opined that the events were preventable.
CONCLUSIONS
Age-specific Behavioural Change Communication strategies aimed at refining user outlook are imperative; tailored to sociodemographic milieu of user/victim. Incorporation of a dynamic feedback/reporting mechanism, creation of 'armed forces-specific road safety and injury prevention policy' and safety audits on injuries and road crashes are measures in this direction.
背景
在全球范围内，伤害事件正呈流行趋势；在印度亦是如此。此外，过去十年印度道路上伤亡惨重，近120万人在道路交通事故中丧生，550万人致残。武装部队中的情况也反映了上述模式。受害者的行为和社会人口背景是伤害和道路事故的重要决定因素。预计基于社区的这些方面的流行病学信息将有助于制定预防策略。为此，本研究旨在了解一个大型军事基地中服务人员的伤害和道路交通事故（RTA）的社会行为特征，并评估其决定因素。
方法
对一个大型海军基地军舰上的796名海军人员进行了横断面描述性研究。使用预先验证的问卷收集关于社会行为方面以及伤害和道路事故决定因素的数据，并审查相关记录。使用MSExcel、Epi-info和SPSS 17对数据进行分析。
结果
年轻人和中年人主要涉及伤害和道路事故。两轮车使用者遭遇的道路事故最多。人为因素是道路交通事故和伤害的重要决定因素。大多数受害者承认人为因素是道路事故的主要原因，并认为这些事故是可以预防的。
结论
针对不同年龄层制定旨在改善用户观念的行为改变沟通策略势在必行；要根据用户/受害者的社会人口环境进行调整。纳入动态反馈/报告机制、制定“武装部队专用道路安全和伤害预防政策”以及对伤害和道路事故进行安全审计，都是朝着这个方向采取的措施。
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