Shaikh Masood Ali, Lule Herman, Bärnighausen Till, Lowery Wilson Michael, Abio Anne
Injury Epidemiology and Prevention (IEP) Research Group, Department of Clinical Neurosciences, Turku Brain Injury Center Turku University Hospital and University of Turku Turku Finland.
Heidelberg Institute of Global Health (HIGH) University Hospital and University of Heidelberg Heidelberg Germany.
Health Sci Rep. 2022 Sep 14;5(5):e809. doi: 10.1002/hsr2.809. eCollection 2022 Sep.
Road traffic crashes (RTCs) are a global public health burden whose resulting morbidity and mortality disproportionately impact low- and middle-income countries with stressed health systems. There is a paucity of published studies that evaluate the sociodemographic distribution of RTCs using nationally representative samples from the African region.
To examine population-wide associations between sociodemographic factors and involvement in RTCs in Kenya.
Data were obtained from the 2014 Kenyan Demographic Health Survey, representing all 47 counties in Kenya, from May to October of 2014. We estimated the prevalence of RTCs and utilized logistic regression for bivariate and multivariable analyses to determine the sociodemographic factors associated with RTCs. Study variables included age, place of residence, household wealth index, educational attainment, and history of alcohol consumption. We computed odds ratios (ORs) and their corresponding 95% confidence intervals (CIs).
A higher prevalence was reported among men (8.76%) versus women (3.22%). The risk factors among men included being 20-34 years of age, living in a rural area (OR 1.38, 95% CI 1.09, 1.74), drinking alcohol (OR 1.33, 95% CI 1.11, 1.59), and having not higher than a primary (OR 1.90, 95% CI 1.19, 3.03) or secondary (OR 1.68, 95% CI 1.04, 2.71) education. The strongest risk factors for women included the being aged 45-49 (OR 2.30, 95% CI 1.44, 3.67) and 20-24 years (OR 1.81, 95% 1.17, 2.79) as well as being in the fourth wealth quintile (OR 1.83, 95% CI 1.15, 2.91).
Men and the most economically productive age groups were more likely to report being involved in RTCs. Strategies to reduce the occurrences of RTCs should prioritize the most vulnerable sociodemographic groups.
道路交通事故是一项全球性公共卫生负担，其导致的发病率和死亡率对卫生系统不堪重负的低收入和中等收入国家造成了尤为严重的影响。目前使用非洲地区具有全国代表性样本评估道路交通事故社会人口分布情况的已发表研究较少。
研究肯尼亚社会人口因素与道路交通事故参与情况之间的总体关联。
数据取自2014年肯尼亚人口与健康调查，该调查涵盖2014年5月至10月肯尼亚所有47个县。我们估算了道路交通事故的患病率，并采用逻辑回归进行双变量和多变量分析，以确定与道路交通事故相关的社会人口因素。研究变量包括年龄、居住地点、家庭财富指数、教育程度和饮酒史。我们计算了比值比（OR）及其相应的95%置信区间（CI）。
报告显示男性患病率（8.76%）高于女性（3.22%）。男性的风险因素包括年龄在20 - 34岁、居住在农村地区（OR 1.38，95% CI 1.09，1.74）、饮酒（OR 1.33，95% CI 1.11，1.59）以及教育程度不高于小学（OR 1.90，95% CI 1.19，3.03）或中学（OR 1.68，95% CI 1.04，2.71）。女性最强的风险因素包括年龄在45 - 49岁（OR 2.30，95% CI 1.44，3.67）和20 - 24岁（OR 1.81，95% 1.17，2.79）以及处于第四财富五分位数（OR 1.83，95% CI 1.15，2.91）。
男性以及经济生产能力最强的年龄组更有可能报告参与道路交通事故。减少道路交通事故发生的策略应优先考虑最脆弱的社会人口群体。
