Digital Adherence Research Department, KNCV Tuberculosis Foundation, Dar es Salaam, Tanzania.
Department of Environmental and Occupational Health, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
BMC Public Health. 2022 May 13;22(1):963. doi: 10.1186/s12889-022-13284-9.
Migration of people from rural to urban areas has led to the increase in demand for transportation services in the cities. However, authorities have failed to cope with this problem in a consistently manner. This has led to the increase in non-collision injuries among commuters. This study aimed at investigating the prevalence and risk factors for non-collision injuries among commuters using public transport in Dar es Salaam, Tanzania.
A cross sectional study was conducted in Dar es Salaam involving 290 commuters from 7 bus routes travelling to and from the city centre using public transport which are privately owned and commonly known as "daladala". Stratified random sampling was used to sample buses based on the passenger carrying capacity (i.e. 15-24, 25-34 and 35-45 passengers). Systematic random sampling was used to get a total of three commuters from each bus for the interview.
Lifetime prevalence of non-collision injuries was 71%, while these rates were 70 and 39% in the last 12 and 6 months, respectively. Commuters aged between 18 and 28 years experienced non-collision injuries the most (56%) in the last 12 months. Most non-collision injuries occurred on weekdays in the evening from 5:00 pm to 10:00 pm. Strong association was observed between the occurrence of non-collision injuries and commuting time between 5:00 pm to 10:00 pm (adjusted OR = 9.24; 95% CI: 2.68-19.54); boarding and disembarking (adjusted OR = 9.21; 95% CI: 3.77-25.11) and scrambling during boarding (adjusted OR = 5.03; 95% CI: 2.51-21.32). The lower limbs (adjusted OR = 8.64; 95% CI: 2.72-21.76) and the upper limbs (adjusted OR = 13.55; 95% CI: 5.32-33.21) were the most affected body parts.
This study has demonstrated high prevalence of non-collision injuries among commuters using public transport in Dar es Salaam. Travelling in the evening between 5:00 pm to 10:00 pm on the weekdays, boarding and disembarking especially when scrambling for the bus during boarding, overcrowding in the bus especially when the bus is already full with no seats available are the major risk factors for non-collision injuries.
人口从农村向城市迁移，导致城市对交通服务的需求增加。然而，当局并没有始终如一地应对这个问题。这导致通勤者中非碰撞伤的增加。本研究旨在调查坦桑尼亚达累斯萨拉姆使用公共交通工具的通勤者中非碰撞伤的发生率和危险因素。
在达累斯萨拉姆进行了一项横断面研究，涉及 7 条公交线路的 290 名通勤者，他们使用私人拥有的、通常称为“daladala”的公共交通工具往返市中心。根据乘客载重量（即 15-24、25-34 和 35-45 名乘客）对公共汽车进行分层随机抽样。系统随机抽样从每辆公共汽车中抽取总共 3 名乘客进行访谈。
终身非碰撞伤发生率为 71%，而在过去 12 个月和 6 个月内，这一比例分别为 70%和 39%。18 至 28 岁的通勤者在过去 12 个月中最容易发生非碰撞伤（56%）。大多数非碰撞伤发生在工作日晚上 5:00 至 10:00。在过去 12 个月中，非碰撞伤的发生与下午 5:00 至 10:00 的通勤时间之间存在很强的关联（调整后的 OR=9.24；95%CI：2.68-19.54）；上下车（调整后的 OR=9.21；95%CI：3.77-25.11）和上车时争抢（调整后的 OR=5.03；95%CI：2.51-21.32）。下肢（调整后的 OR=8.64；95%CI：2.72-21.76）和上肢（调整后的 OR=13.55；95%CI：5.32-33.21）是最易受影响的身体部位。
本研究表明，达累斯萨拉姆使用公共交通工具的通勤者中非碰撞伤的发生率很高。在工作日晚上 5:00 至 10:00 之间旅行，尤其是在上下车时争抢公共汽车，公共汽车拥挤，尤其是当公共汽车已经满座且没有座位时，这些都是非碰撞伤的主要危险因素。
