Aldhafeeri Eisa, Alshammari Farah, Jafar Hana, Malhas Haya, Botras Marina, Alnasrallah Noor, Akhtar Saeed
Department of Community Medicine and Behavioural Sciences, Faculty of Medicine, Kuwait University, Kuwait.
Department of Community Medicine and Behavioural Sciences, Faculty of Medicine, Kuwait University, Kuwait.
Injury. 2018 May;49(5):939-944. doi: 10.1016/j.injury.2018.01.030. Epub 2018 Feb 2.
This cross-sectional study assessed one-year period prevalence of road traffic crashes (RTCs) and examined the factors associated with RTCs among young adults in Kuwait.
During December 2016, 1500 students enrolled in 15 colleges of Kuwait University were invited to participate in the study. Students 18 years old or older and who drive by themselves were eligible. Data were collected using a structured self-administered questionnaire. One-year period prevalence of RTCs (≥1 vs. none) was computed. Multivariable log-binomial regression model was used to identify the risk factors associated with one-year period prevalence of RTCs.
Of 1500 invited individuals, 1465 (97.7%) participated, of which 71.4% (1046/1465) were female, 56.4% (804/1426) were aged between 21 and 25 years, and 67.1% (980/1460) were Kuwaitis. One-year period prevalence of RTC was 38.9%. The final multivariable log-binomial regression model showed that after adjusting for the influences of other variables in the model, participants were more likely to have had at least one RTC during the past year, if they habitually sped over limit (adjusted PR = 1.19; 95% confidence interval (CI): 1.04-1.36), crossed a red light (adjusted PR = 1.33; 95% CI: 1.16-1.52), or if they have had three or more speeding tickets (adjusted PR = 1.40; 95% CI: 1.13-1.73) compared to those who reportedly had no RTC during the same period.
One-year period prevalence of RTCs among university students in Kuwait, though relatively lower than the reported figures in similar populations elsewhere in the region, is yet high enough to warrant diligent attention. Habitual speeding, having had three or more speeding tickets, and the practice of crossing a red light were significantly and independently associated with at least one RTC during the past year. Targeted education and enforcement of existing traffic laws may reduce the RTCs frequency in this relatively young population. Future studies may look at impact of such interventions.
本横断面研究评估了科威特年轻人道路交通事故（RTCs）的一年期患病率，并探讨了与RTCs相关的因素。
2016年12月，邀请了科威特大学15所学院的1500名学生参与研究。年龄在18岁及以上且独自驾车的学生符合条件。使用结构化的自填问卷收集数据。计算RTCs（≥1次与无）的一年期患病率。采用多变量对数二项回归模型确定与RTCs一年期患病率相关的危险因素。
在1500名受邀个体中，1465人（97.7%）参与了研究，其中71.4%（1046/1465）为女性，56.4%（804/1426）年龄在21至25岁之间，67.1%（980/1460）为科威特人。RTC的一年期患病率为38.9%。最终的多变量对数二项回归模型显示，在调整模型中其他变量的影响后，如果参与者习惯性超速（调整后的PR = 1.19；95%置信区间（CI）：1.04 - 1.36）、闯红灯（调整后的PR = 1.33；95% CI：1.16 - 1.52），或者与同期报告无RTC的参与者相比有三张或更多超速罚单（调整后的PR = 1.40；95% CI：1.13 - 1.73），那么他们在过去一年中更有可能至少发生过一次RTC。
科威特大学生中RTCs的一年期患病率虽然相对低于该地区其他类似人群报告的数字，但仍高到足以引起密切关注。习惯性超速、有三张或更多超速罚单以及闯红灯的行为与过去一年中至少发生一次RTC显著且独立相关。有针对性的教育和对现有交通法规的执行可能会降低这一相对年轻人群中RTCs的发生率。未来的研究可以关注此类干预措施的影响。
