Tavakkoli Maryam, Torkashvand-Khah Zahra, Fink Günther, Takian Amirhossein, Kuenzli Nino, de Savigny Don, Cobos Muñoz Daniel
Epidemiology and Public Health Department, Swiss Tropical and Public Health Institute (Swiss TPH), Basel, Switzerland.
University of Basel, Basel, Switzerland.
Public Health Rev. 2022 Feb 21;43:1604499. doi: 10.3389/phrs.2022.1604499. eCollection 2022.
To evaluate the effectiveness of road safety interventions in low and middle-income countries (LMICs), considering the principles of systems theory presented in the Global Plan for the Decade of Action for Road Safety. We conducted a systematic review according to PRISMA guidelines. We searched for original research studies published during 2011-2019 in the following databases: Medline, Embase, PsycInfo, Scopus, Web of Science, Cochrane library, Global Health Library, ProQuest and TRID. We included studies conducted in LMICs, evaluating the effects of road traffic safety interventions and reporting health-related outcomes. Of 12,353 non-duplicate records, we included a total of 33 studies. Most interventions were related to legislation and enforcement (n = 18), leadership (n = 5) and speed management (n = 4). Overall, legislation and enforcement interventions appear to have the largest impact. Few studies were found for road infrastructure, vehicle safety standard and post crash response interventions. Based on the currently available evidence, legislation and enforcement interventions appear most impactful in LMICs. However, many interventions remain understudied and more holistic approaches capturing the complexity of road transport systems seem desirable. https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=197267, identifier CRD42020197267.
为根据《道路安全行动十年全球计划》中提出的系统理论原则，评估中低收入国家道路安全干预措施的有效性。我们按照PRISMA指南进行了系统综述。我们检索了2011年至2019年期间在以下数据库中发表的原始研究：医学索引数据库（Medline）、荷兰医学文摘数据库（Embase）、心理学文摘数据库（PsycInfo）、斯高帕斯数据库（Scopus）、科学引文索引数据库（Web of Science）、考克兰图书馆、全球健康图书馆、ProQuest和交通运输研究国际文献数据库（TRID）。我们纳入了在中低收入国家开展的、评估道路交通安全干预措施效果并报告与健康相关结果的研究。在12353条非重复记录中，我们共纳入了33项研究。大多数干预措施与立法和执法（n = 18）、领导力（n = 5）以及速度管理（n = 4）有关。总体而言，立法和执法干预措施似乎影响最大。关于道路基础设施、车辆安全标准和碰撞后应对干预措施的研究较少。基于现有证据，立法和执法干预措施在中低收入国家似乎最具影响力。然而，许多干预措施仍未得到充分研究，采用更全面的方法来把握道路运输系统的复杂性似乎是可取的。https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=197267，标识符CRD42020197267。
