Banju-Ngam Rattiya, Ichikawa Masao, Pattanarattanamolee Ratrawee, Nakahara Shinji
Department of Emergency Medicine, Khon Kaen Regional Hospital, Khon Kaen, Thailand.
Department of Global Public Health, Institute of Medicine, University of Tsukuba, Tsukuba, Japan
Inj Prev. 2025 Mar 20;31(2):158-161. doi: 10.1136/ip-2024-045241.
Road safety for older adults should receive more attention in low-income and middle-income countries with rapidly ageing populations.
Using injury surveillance data from Khon Kaen Regional Hospital in northeastern Thailand, we calculated the proportion of older adults in the total number of patients who were fatally and non-fatally injured in road traffic crashes in each year from 2001 to 2020 and the proportion of road user type in the fatal and non-fatal patients by age groups for the entire study period to examine the extent to which older adults were involved in the crashes and with what mode of transportation.
During the 20-year period, there were 5046 fatal and 180 353 non-fatal patients of whom 509 (10%) and 6087 (3%) were aged 65 years or older, respectively. From 2001 to 2020, this proportion increased from 3% to 20% among the fatal patients and from 1% to 6% among the non-fatal patients. Of the fatal and non-fatal patients aged 65 years or older, 50% and 54% were involved in road traffic crashes while driving motorcycles and 28% and 22% while riding bicycles or walking, respectively. Compared with patients aged 65-74 years, those aged 75 years or older tended to be bicyclists or pedestrians in the crashes, though as high as 40% of them were motorcycle drivers.
Older adults are increasingly injured in road traffic crashes as vulnerable road users in Thailand. Therefore, road safety efforts should consider their presence on the road.
在人口快速老龄化的低收入和中等收入国家，老年人的道路安全应得到更多关注。
利用泰国东北部孔敬地区医院的伤害监测数据，我们计算了2001年至2020年每年道路交通碰撞中致命和非致命受伤患者总数中老年人的比例，以及整个研究期间按年龄组划分的致命和非致命患者中道路使用者类型的比例，以检查老年人在碰撞中的参与程度以及使用何种交通方式。
在这20年期间，有5046例致命患者和180353例非致命患者，其中分别有509例（10%）和6087例（3%）年龄在65岁及以上。从2001年到2020年，这一比例在致命患者中从3%上升到20%，在非致命患者中从1%上升到6%。在65岁及以上的致命和非致命患者中，分别有50%和54%在骑摩托车时发生道路交通碰撞，28%和22%在骑自行车或步行时发生碰撞。与65 - 74岁的患者相比，75岁及以上的患者在碰撞中更倾向于骑自行车或步行，不过其中高达40%是摩托车驾驶员。
在泰国，老年人作为易受伤害的道路使用者，在道路交通碰撞中受伤的情况越来越多。因此，道路安全工作应考虑到他们在道路上的存在。
