上海市松江区助动车道路交通伤害危险因素的病例对照研究
A Case-Control Study on Risk Factors of Road Traffic Crashes Involving Motorized Bicycles in Songjiang District, Shanghai
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摘要:
目的 探讨影响助动车道路交通伤害的危险因素,为进一步开展道路交通伤害预防控制提供科学依据。
方法 采用病例对照研究方法,通过面对面问卷调查收集交通事故组、虚惊事故组和对照组助动车使用者的个人基本信息情况;交通安全相关的认知、态度、行为等问题;过去一年内发生交通事故或虚惊事故的情况。
结果 本研究共调查交通事故组127人,虚惊事故组149人,对照组406人。在控制年龄的情况下,影响交通事故发生的危险因素为文化程度低(
OR =1.874,95%CI :1.110~3.164)和机动车道行驶(OR =1.829,95%CI :1.071~3.124);保护因素为上海本市户籍(OR =0.454,95%CI :0.285~0.725);影响虚惊事故发生的危险因素为逆向行驶(OR =1.870,95%CI :1.136~3.077)和机动车道行驶(OR =2.700,95%CI :1.646~4.431),保护因素为上海本市户籍(OR =0.468,95%CI :0.294~0.743)和睡眠充足(OR =0.574,95%CI :0.357~0.921)。结论 文化程度低、非上海户籍、违反交通规则是助动车交通伤害的重要危险因素。应针对流动人口、文化程度较低者加强道路交通安全教育活动,积极引导助动车使用者改善驾驶危险行为、避免疲劳驾驶。
Abstract:Objective To explore the risk factors of road traffic crashes (RTCs) involving motorized bicycles and provide scientific evidence for developing RTCs control and prevention programs.
Methods A case-control design was applied in this survey. We collected data via face-to-face interview with motorized bicycle drivers of reported RTCs, near-miss RTCs, and control groups on general information; knowledge, attitude, and behaviors related to road safety; and experience of RTCs or near-miss RTCs in past one year.
Results The study subjects consisted of a RTCs group (
n =127), a near-miss RTCs group (n =149), and a control group (n =406). With age controlled, the risk factors for RTCs were lower education level (OR =1.874, 95%CI : 1.110-3.164) and using an inappropriate lane (1.829, 1.071-3.124); and protective factor was Shanghai local residence (0.454, 0.285-0.725). For near-miss RTCs, the risk factors were driving on the wrong-side (1.870, 1.136-3.077) and using an inappropriate lane (1.870, 1.136-3.077); and protective factors were Shanghai local residence (0.468, 0.294-0.743) and sufficient sleeping (0.574, 0.357-0.921).Conclusion The prevalence of RTCs involving motorized bicycles is modified by lower education level, non-Shanghai local residence, and traffic violation. We should prioritize allocation of safety education/intervention resources in migrant populations with low er education level to promote behavior changes in motorized bicycle riding.