• Traffic injury prevention · Jan 2017

    Road traffic crashes among farm vehicle drivers in southern China: A cross-sectional survey.

    • Xujun Zhang, Yaming Yang, Yu Chen, Hongyan Yao, Ming Wu, Mengjing Cui, Yang Li, Jie Hu, Cong Zhang, Zhen Li, Lorann Stallones, and Huiyun Xiang.
    • a Injury Prevention Research Institute, Department of Epidemiology and Biostatistics, School of Public Health , Southeast University , Nanjing , Jiangsu Province , China.
    • Traffic Inj Prev. 2017 Jan 2; 18 (1): 83-87.

    ObjectiveThe objective of this study was to identify the prevalence and potential risk factors of farm vehicle-related road traffic crashes among farm vehicle drivers in southern China.MethodsA cross-sectional study was used to interview 1,422 farm vehicle drivers in southern China. Farm vehicle-related road traffic crashes that occurred from December 2013 to November 2014 were investigated. Data on farm vehicle-related road traffic crashes and related factors were collected by face-to-face interviews.ResultsThe prevalence of farm vehicle-related road traffic crashes among the investigated drivers was 7.2%. Farm vehicle-related road traffic crashes were significantly associated with self-reported vision problem (adjusted odds ratio [AOR] = 6.48, 95% confidence interval [CI], 3.86-10.87), self-reported sleep disorders (AOR = 10.03, 95% CI, 6.28-15.99), self-reported stress (AOR = 20.47, 95% CI, 9.96-42.08), reported history of crashes (AOR = 5.40, 95% CI, 3.47-8.42), reported history of drunk driving (AOR = 5.07, 95% CI, 2.97-8.65), and reported history of fatigued driving (AOR = 5.72, 95% CI, 3.73-8.78). The number of road traffic crashes was highest in the daytime and during harvest season. In over 96% of farm vehicle-related road traffic crashes, drivers were believed to be responsible for the crash. Major crash-causing factors included improper driving, careless driving, violating of traffic signals or signs, and being in the wrong lane.ConclusionFindings of this study suggest that farm vehicle-related road traffic crashes have become a burgeoning public health problem in China. Programs need to be developed to prevent farm vehicle-related road traffic crashes in this emerging country.

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