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职业摩托车手能成为贝宁事故后即时护理系统的一项资产吗?科托努市(贝宁)的知识与实践基线

Can Professional Motorcyclists Be an Asset in the Immediate Post-Crash Care System in Benin? Baseline of Knowledge and Practices in the City of Cotonou (Benin).

作者信息

Glèlè-Ahanhanzo Yolaine, Kpade Angélique, Kpozèhouen Alphonse, Levêque Alain, Ouendo Edgard-Marius

机构信息

Multidisciplinary Research Unit for Road Crashes Prevention (ReMPARt), Epidemiology and Biostatistic Department, Regional Institute of Public Health, Ouidah, Benin.

Cotonou Army Training Hospital, Cotonou, Benin.

出版信息

Open Access Emerg Med. 2021 Jan 6;13:1-11. doi: 10.2147/OAEM.S267828. eCollection 2021.

Abstract

PURPOSE

The situation of road crashes-related deaths remains problematic in low-income countries. The present study aims at analyzing the first-aid knowledge and practices of professional motorcyclists (PMs) in the city of Cotonou in Benin.

MATERIALS AND METHODS

This is a cross-sectional analytical study conducted from 25 March to 19 April 2019 in Cotonou and concerned PMs registered in a fleet who gave their consent to participate in the study. The World Health Organization's two-stage adaptive cluster sampling technique was applied to select the eligible PMs while respecting the proportionality rate per fleet. A logistic regression analysis was done and the odds ratios were estimated with 95% confidence interval.

RESULTS

The 430 PMs surveyed were all middle-aged men with an average age of 38.38 (±8.70). Among them, 62.56% knew at least one of the emergency phone numbers for the ambulance, police or fire services and 49.53% of the PMs knew at least one of the 3 techniques evaluated. In addition, 33.23% of PMs who had witnessed at least an RC stated that they had alerted the emergency services, and 32.27% said they had helped the victims. The main reason given for the lack of initiative in RCs was lack of knowledge of the course of action to take (19.64%). The level of knowledge was associated with the level of education (AOR: 3.11; CI 95%: 1.79-5.43) and with the length of experience (AOR: 2.56; CI 95%: 1.58-4.18).

CONCLUSION

This study reveals that the level of knowledge and practice of PMs in the field of first aid in Cotonou is low and demonstrates the relevance and the need to include this target group in the first-aid chain for road crashes in Benin.

摘要

目的

在低收入国家,道路交通事故相关死亡情况仍然严峻。本研究旨在分析贝宁科托努市职业摩托车手的急救知识与实践情况。

材料与方法

这是一项于2019年3月25日至4月19日在科托努开展的横断面分析研究,研究对象为车队中登记且同意参与研究的职业摩托车手。采用世界卫生组织的两阶段自适应整群抽样技术来选择符合条件的职业摩托车手,同时遵循每个车队的比例率。进行了逻辑回归分析,并估计了优势比及其95%置信区间。

结果

接受调查的430名职业摩托车手均为中年男性,平均年龄为38.38岁(±8.70)。其中,62.56%的人知道至少一个救护车、警察或消防服务的紧急电话号码,49.53%的职业摩托车手知道至少一项所评估的三项技术。此外,至少目睹过一次道路交通事故的职业摩托车手中,33.23%表示他们已通知紧急服务部门,32.27%表示他们曾帮助过受害者。在道路交通事故中缺乏主动性的主要原因是不知道应采取的行动流程(19.64%)。知识水平与教育程度相关(调整后优势比:3.11;95%置信区间:1.79 - 5.43)以及与经验时长相关(调整后优势比:2.56;95%置信区间:1.58 - 4.18)。

结论

本研究表明,科托努市职业摩托车手在急救领域的知识水平和实践能力较低,并证明了将这一目标群体纳入贝宁道路交通事故急救链的相关性和必要性。

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