低收入和中等收入国家及地区与道路交通碰撞及寻求医疗服务相关的个体特征。

Individual characteristics associated with road traffic collisions and healthcare seeking in low- and middle-income countries and territories.

作者信息

Ghalichi Leila, Goodman-Palmer Dina, Whitaker John, Abio Anne, Wilson Michael Lowery, Wallis Lee, Norov Bolormaa, Aryal Krishna Kumar, Malta Deborah Carvalho, Bärnighausen Till, Geldsetzer Pascal, Flood David, Vollmer Sebastian, Theilmann Michaela, Davies Justine

机构信息

Institute of Applied Health Research, University of Birmingham, Birmingham, United Kingdom.

King's Centre for Global Health and Health Partnerships, School of Life Course and Population Sciences, Faculty of Life Sciences and Medicine, King's College London, London, United Kingdom.

出版信息

PLOS Glob Public Health. 2024 Jan 19;4(1):e0002768. doi: 10.1371/journal.pgph.0002768. eCollection 2024.

Abstract

Incidence of road traffic collisions (RTCs), types of users involved, and healthcare requirement afterwards are essential information for efficient policy making. We analysed individual-level data from nationally representative surveys conducted in low- or middle-income countries (LMICs) between 2008-2019. We describe the weighted incidence of non-fatal RTC in the past 12 months, type of road user involved, and incidence of traffic injuries requiring medical attention. Multivariable logistic regressions were done to evaluate associated sociodemographic and economic characteristics, and alcohol use. Data were included from 90,790 individuals from 15 countries or territories. The non-fatal RTC incidence in participants aged 24-65 years was 5.2% (95% CI: 4.6-5.9), with significant differences dependent on country income status. Drivers, passengers, pedestrians and cyclists composed 37.2%, 40.3%, 11.3% and 11.2% of RTCs, respectively. The distribution of road user type varied with country income status, with divers increasing and cyclists decreasing with increasing country income status. Type of road users involved in RTCs also varied by the age and sex of the person involved, with a greater proportion of males than females involved as drivers, and a reverse pattern for pedestrians. In multivariable analysis, RTC incidence was associated with younger age, male sex, being single, and having achieved higher levels of education; there was no association with alcohol use. In a sensitivity analysis including respondents aged 18-64 years, results were similar, however, there was an association of RTC incidence with alcohol use. The incidence of injuries requiring medical attention was 1.8% (1.6-2.1). In multivariable analyses, requiring medical attention was associated with younger age, male sex, and higher wealth quintile. We found remarkable heterogeneity in RTC incidence, the type of road users involved, and the requirement for medical attention after injuries depending on country income status and socio-demographic characteristics. Targeted data-informed approaches are needed to prevent and manage RTCs.

摘要

道路交通事故(RTC)的发生率、涉及的使用者类型以及事后的医疗保健需求是高效制定政策的重要信息。我们分析了2008年至2019年期间在低收入或中等收入国家(LMICs)进行的具有全国代表性调查的个体层面数据。我们描述了过去12个月中非致命道路交通事故的加权发生率、涉及的道路使用者类型以及需要医疗救治的交通伤害发生率。进行多变量逻辑回归以评估相关的社会人口和经济特征以及酒精使用情况。数据来自15个国家或地区的90790个人。年龄在24至65岁的参与者中非致命道路交通事故发生率为5.2%(95%置信区间:4.6 - 5.9),因国家收入状况存在显著差异。司机、乘客、行人及骑自行车者分别占道路交通事故的37.2%、40.3%、11.3%和11.2%。道路使用者类型的分布因国家收入状况而异,随着国家收入水平的提高,司机比例增加而骑自行车者比例下降。涉及道路交通事故的道路使用者类型也因当事人的年龄和性别而异,作为司机参与的男性比例高于女性,行人情况则相反。在多变量分析中,道路交通事故发生率与年龄较小、男性、单身以及受教育程度较高有关;与酒精使用无关。在一项包括18至64岁受访者的敏感性分析中,结果相似,然而,道路交通事故发生率与酒精使用有关。需要医疗救治的伤害发生率为1.8%(1.6 - 2.1)。在多变量分析中,需要医疗救治与年龄较小、男性以及较高的财富五分位数有关。我们发现,根据国家收入状况和社会人口特征,道路交通事故发生率、涉及的道路使用者类型以及受伤后对医疗救治的需求存在显著异质性。需要有针对性的数据驱动方法来预防和管理道路交通事故。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8b58/10798533/5c9a11ee302c/pgph.0002768.g001.jpg

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