Mohamed Jama, Mohamed Ahmed Ismail, Ali Dahir Abdi, Gebremariam Tewelde Tesfaye
College of Applied and Natural Science, University of Hargeisa, Hargeisa, Somalia.
Department of Statistics and Planning, SIMAD University, Mogadishu, Somalia.
Heliyon. 2023 Jul 27;9(8):e18631. doi: 10.1016/j.heliyon.2023.e18631. eCollection 2023 Aug.
Road traffic accidents (RTAs) are a major cause of morbidity in Somaliland. This study aimed to determine the prevalence and factors associated with traffic-related incidents in Hargeisa city. A cross-sectional study was conducted between January and March 2022, utilizing a mixed approach involving quantitative and qualitative research approaches. Key informant interviews were conducted with 15 government officials, and structured questionnaires were administered to 387 drivers. Cluster sampling and purposive sampling were employed to select drivers and government officials, respectively. Data collection was performed using the Kobo Collect application, followed by cleaning and analysis using IBM SPSS version 25. Descriptive statistics, binary logistic regression, and chi-square tests were utilized for data analysis. The findings revealed an increasing trend of RTAs in Somaliland over the past 11 years (2011-2021). Moreover, the prevalence of RTAs in the past two years alone was determined to be 28.17% (CI: 23.67, 32.63). Factors significantly associated with RTAs in the research area included the type of vehicle, particularly Minibus (AOR = 3.249, CI: 1.022, 10.322) and Vitz (AOR = 2.325, CI: 1.092, 5.494), encountering aggressive behavior from other drivers (AOR = 1.790, CI: 1.013, 3.162), vehicles less than 4 years (AOR = 0.446, CI: 0.258, 0.771), traffic law violations (AOR = 2.726, CI: 1.296, 5.735), and the presence of traffic campaigns (AOR = 0.465, CI: 0.236, 0.917). The study recommends increasing awareness of RTAs among drivers and pedestrians, regular vehicle maintenance checks, enforcement of traffic laws, and increased police presence in road management to reduce fatalities associated with RTAs.
道路交通事故（RTAs）是索马里兰发病的主要原因。本研究旨在确定哈尔格萨市与交通相关事故的患病率及相关因素。2022年1月至3月进行了一项横断面研究，采用了定量和定性研究方法相结合的混合方法。对15名政府官员进行了关键信息访谈，并向387名司机发放了结构化问卷。分别采用整群抽样和目的抽样来选择司机和政府官员。使用Kobo Collect应用程序进行数据收集，随后使用IBM SPSS 25版进行清理和分析。描述性统计、二元逻辑回归和卡方检验用于数据分析。研究结果显示，在过去11年（2011 - 2021年）中，索马里兰的道路交通事故呈上升趋势。此外,仅过去两年道路交通事故的患病率就确定为28.17%（置信区间：23.67, 32.63）。在研究区域，与道路交通事故显著相关的因素包括车辆类型，特别是小型巴士（比值比 = 3.249，置信区间：1.022, 10.322）和威姿车（比值比 = 2.325，置信区间：1.092, 5.494）、遭遇其他司机的攻击性行为（比值比 = 1.790，置信区间：1.013, 3.162）、车龄小于4年的车辆（比值比 = 0.446，置信区间：0.258, 0.771）、交通违法行为（比值比 = 2.726, 置信区间：1.296, 5.735）以及交通宣传活动的开展情况（比值比 = 0.465，置信区间：0.236, 0.917）。该研究建议提高司机和行人对道路交通事故的认识，定期进行车辆维护检查，加强交通法规的执行，并增加警察在道路管理中的存在感，以减少与道路交通事故相关的死亡人数。
