Curtin-Monash Accident Research Centre, Curtin University , Perth , Western Australia , Australia.
Faculty of Public Health, University of Medicine and Pharmacy at Ho Chi Minh City , Ho Chi Minh City , Vietnam.
Traffic Inj Prev. 2019;20(7):732-737. doi: 10.1080/15389588.2019.1643460. Epub 2019 Aug 21.
This study aims to describe the crash characteristics, injury outcomes, and risk factors associated with injury severity for motorcycle crashes resulting in hospitalization in Ho Chi Minh City (HCMC), Vietnam. A cross-sectional study was undertaken of motorcyclists who were injured as the result of a crash and were admitted to hospital for more than 24 h. Information was collected using a researcher-administered questionnaire and a medical record review. Descriptive statistics and a multiple logistic regression model were undertaken. The outcome of interest was severity of the injury, measured using the Injury Severity Score (ISS). A total of 352 hospitalized motorcyclists were included in the study, of which 6.8% ( = 24) were classified as severe injuries (ISS > 15). At the time of the crash, 41% of participants were not licensed to drive a motorcycle, 26% were speeding, 13% were not wearing a helmet, and 9% were using their mobile phone. The results of the multiple logistic regression model found that not being licensed to drive a motorcycle (adjusted odds ratio [AOR] = 3.32; 95% confidence interval [CI], 1.18-9.34) and crashing at nighttime (AOR = 4.28; 95% CI, 1.33-13.78) were significantly associated with increased injury severity among hospitalized motorcyclists. This study highlighted several high-risk behaviors among hospitalized motorcyclists in Vietnam. In addition, the study found that being unlicensed and crashing at night were associated with higher injury severity among hospitalized motorcyclists. The findings suggest that prevention and enforcement interventions targeting high-risk behaviors may reduce the significant morbidity and mortality associated with motorcycle crashes in Vietnam.
本研究旨在描述在越南胡志明市（HCMC）因发生导致住院的摩托车事故的碰撞特征、伤害结果和与损伤严重程度相关的风险因素。 采用横断面研究方法，对因碰撞受伤并住院超过 24 小时的摩托车骑手进行研究。使用研究者管理的问卷和病历回顾收集信息。进行描述性统计和多逻辑回归模型。感兴趣的结果是使用损伤严重程度评分（ISS）测量的损伤严重程度。 共有 352 名住院摩托车骑手纳入研究，其中 6.8%（24 人）被归类为严重损伤（ISS > 15）。在发生事故时，41%的参与者没有驾驶摩托车的许可证，26%的人超速行驶，13%的人没有戴头盔，9%的人在使用手机。多逻辑回归模型的结果发现，没有驾驶摩托车的许可证（调整后的优势比 [AOR] = 3.32；95%置信区间 [CI]，1.18-9.34）和夜间碰撞（AOR = 4.28；95% CI，1.33-13.78）与住院摩托车骑手的伤害严重程度显著相关。 本研究强调了越南住院摩托车骑手的一些高风险行为。此外，研究发现无证驾驶和夜间碰撞与住院摩托车骑手的更高损伤严重程度相关。研究结果表明，针对高风险行为的预防和执法干预措施可能会降低与越南摩托车事故相关的高发病率和死亡率。
