Departments of Paediatrics and Community Health Sciences, Cumming School of Medicine University of Calgary, Calgary, Alberta, Canada; Alberta Children's Hospital Research Institute, Calgary, Alberta, Canada; O'Brien Institute for Public Health, Calgary, Alberta, Canada; Hospital for Sick Children, Toronto, Ontario, Canada.
Departments of Paediatrics and Community Health Sciences, Cumming School of Medicine University of Calgary, Calgary, Alberta, Canada.
Accid Anal Prev. 2019 Oct;131:248-253. doi: 10.1016/j.aap.2019.07.007. Epub 2019 Jul 20.
Child pedestrians make up a significant proportion of all road traffic deaths. Our primary objective was to examine the association of driver characteristics with child pedestrian injuries with a secondary objective to broadly describe the road characteristics surrounding these collisions.
We included drivers involved in child (<18 years old) pedestrian motor-vehicle collisions (PMVCs) in Calgary and Edmonton, Alberta (2010-2015). These drivers were compared with not at fault (Alberta adaptation of a Canadian culpability scoring tool) drivers involved in vehicle-only collisions. The data were analyzed with unconditional logistic regression.
Seven hundred ninety-three drivers collided with 826 children. One quarter of child PMVC drivers were 40-54 years old (25.2%). Younger drivers, 16-24 (adjusted odds ratio [aOR] = 1.62, 95% CI: 1.27-2.09), and older drivers, ≥55 (aOR = 1.57, 95% CI: 1.24-1.99) were more likely to be involved in a child PMVC. Time of day between 06:01 - 09:00 (aOR = 1.46, 95% CI: 1.16-1.85) and 18:01 - 24:00 (aOR = 1.68, 95% CI: 1.30-2.17), no seatbelt use (aOR = 2.30, 95% CI: 1.09-4.85), having a child passenger in the vehicle (aOR = 2.15, 95% CI: 1.56-2.96), and impairment including 'had been drinking' (aOR = 7.70, 95% CI: 2.85-20.86) and 'fatigued/asleep/medical defect' (aOR = 27.15, 95% CI: 8.30-88.88) were also associated with being a driver involved in a child PMVC.
Age, time, impairment and distraction were risk factors for being a driver involved in a child PMVC. Because child PMVC driver characteristics differ from the general driver population, driver-based interventions are a rational additional means of preventing child PMVCs.
儿童行人在所有道路交通死亡中占很大比例。我们的主要目标是研究驾驶员特征与儿童行人受伤之间的关系，并以次要目标广泛描述这些碰撞周围的道路特征。
我们纳入了在卡尔加里和埃德蒙顿（艾伯塔省）发生的儿童（<18 岁）行人与机动车碰撞（PMVC）中的驾驶员。将这些驾驶员与在仅车辆碰撞中无过错（艾伯塔省对加拿大罪责评分工具的改编）的驾驶员进行比较。使用无条件逻辑回归对数据进行分析。
793 名驾驶员与 826 名儿童发生碰撞。四分之一的儿童 PMVC 驾驶员年龄在 40-54 岁（25.2%）。年轻驾驶员（16-24 岁；调整后的优势比[aOR] = 1.62，95%CI：1.27-2.09）和年龄较大的驾驶员（≥55 岁；aOR = 1.57，95%CI：1.24-1.99）更有可能卷入儿童 PMVC。06:01 - 09:00（aOR = 1.46，95%CI：1.16-1.85）和 18:01 - 24:00（aOR = 1.68，95%CI：1.30-2.17）之间的时间，未系安全带（aOR = 2.30，95%CI：1.09-4.85），车内有儿童乘客（aOR = 2.15，95%CI：1.56-2.96），以及包括“已经饮酒”（aOR = 7.70，95%CI：2.85-20.86）和“疲劳/睡着/医疗缺陷”（aOR = 27.15，95%CI：8.30-88.88）在内的损伤也与驾驶员卷入儿童 PMVC 相关。
年龄、时间、损伤和分心是驾驶员卷入儿童 PMVC 的危险因素。由于儿童 PMVC 驾驶员特征与一般驾驶员群体不同，因此基于驾驶员的干预措施是预防儿童 PMVC 的合理附加手段。
