Traffic injury prevention
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Traffic injury prevention · Jan 2019
ReviewPediatric electric bicycle injuries and comparison to other pediatric traffic injuries.
Objective: The objective of this study was to conduct a comprehensive analysis of demographics, injury characteristics and hospital resource utilization of significant pediatric electric bicycle (e-bike) injuries leading to hospitalization following an emergency department visit in comparison to pediatric injuries caused by other traffic related mechanisms. Methods: A retrospective review of all pediatric traffic injury hospitalizations following an emergency department visit to a level I trauma center between October 2014 and September 2016 was conducted. Data regarding age, sex, number of computed tomography (CT) scans obtained, number of major procedures, length of hospital stay (LOS), Injury Severity Score (ISS), and number of injuries per patient were collected and compared between e-bike injuries and other traffic injuries. ⋯ Injuries caused by e-bikes were similar to injuries caused to pedestrians, except for age (13.1 ± 3.4 vs. 8.5 ± 3.7, P < .01). Multivariable analysis revealed a significant association between mechanism of injury and ISS, with increased ISS among e-bike injuries compared to mecahnical bike injuries (OR 2.56, CI 1.1-5.88, P = 0.03) and automobile injuries (OR 4.16, CI 1.49-12.5, (P < .01). Conclusion: E-bikes are a significant cause of severe injury in children compared to most other traffic injuries, particularly in older children.
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Traffic injury prevention · Jan 2019
Evaluation of the effectiveness of traffic calming measures on vehicle speeds and pedestrian injury severity in Ghana.
Objectives: Each year, pedestrian injuries constitute over 40% of all road casualty deaths and up to 60% of all urban road casualty deaths in Ghana. This is as a result of the overwhelming dependence on walking as a mode of transport in an environment where there are high vehicular speeds and inadequate pedestrian facilities. The objectives of this research were to establish the (1) impact of traffic calming measures on vehicle speeds and (2) association between traffic calming measures and pedestrian injury severity in built-up areas in Ghana. ⋯ However, the fact that they are deployed on arterial roads is increasingly becoming a road safety concern. Given the emerging safety challenges associated with speed calming measures, we recommend that their use be restricted to residential streets but not on arterial roads. Long-term solutions for improving pedestrian safety proposed herein include bypassing settlements along the highways to reduce pedestrians' exposure to traffic collisions and adopting a modern way of enforcement such as evidence-based laser monitoring in conjunction with a punishment regime that utilizes the demerit points system.
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Traffic injury prevention · Jan 2019
A multinomial logit analysis of factors associated with severity of motorcycle crashes in Ghana.
Objective: The objective of this study was to explore the factors affecting motorcycle crash severity in Ghana. Methods: A retrospective analysis of motorcycle crash data between 2011 and 2015 was conducted using a motorcycle crash data set extracted from the National Road Traffic Crash Database at the Building and Road Research Institute (BRRI) in Ghana. Injury severity was classified into 4 categories: Fatal, hospitalized, injured, and damage only. ⋯ The ability to understand the various factors that influence motorcycle crash severity is a step forward in providing an appropriate basis upon which informed motorcycle crash policies can be developed. Particular attention should be given to the provision of road signage at junctions and speed humps and controlling traffic during the weekend. In addition, road maintenance should be carried out periodically to address motorcycle safety in Ghana.
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Traffic injury prevention · Jan 2019
Cycling Skill Inventory: Assessment of motor-tactical skills and safety motives.
Objective: It is well established within the traffic psychology literature that a distinction can be made between driving skill and driving style. The majority of self-report questionnaires have been developed for car drivers, whereas only limited knowledge exists on the riding skill and style of cyclists. Individual differences in cycling skills need to be understood in order to apply targeted interventions. ⋯ The analysis also confirmed well-established gender differences, with male cyclists having lower safety motives but higher motor-tactical skills than female cyclists. Conclusions: The nomological network of the CSI for cyclists is similar to that of the Driving Skill Inventory for car drivers. Safety motives are a predictor of self-reported accident involvement among cyclists.
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Traffic injury prevention · Jan 2019
Effects of personality traits and sociocognitive determinants on risky riding behaviors among Chinese e-bikers.
Objective: In the last few decades, the growing popularity of e-bikes in China has raised public concerns regarding an increasing number of fatalities and injuries involving e-bikes. Although previous studies have explored the impacts of personality on driving behaviors of automobile drivers and motorcyclists, little attention has been paid to safety-related issues involving e-bikers from the aspect of their personality traits and sociocognitive variables. The aim of this study was to examine the effects of personality on e-bikers' risk-taking behaviors and test the effectiveness of the model proposed by Ulleberg and Rundmo (2003) among e-bikers. ⋯ Conclusions: Personality traits of e-bikers impacted their riding behaviors both directly and indirectly, and sociocognitive variables played an intermediate role in the personality-behavior relationship. The results revealed the importance of personality traits in influencing e-bikers' risky riding and also verified the applicability of the personality-behavior model proposed by Ulleberg and Rundmo (2003) among e-bikers. The findings of this study may provide an empirical basis for evidence-based safety interventions for e-bikers in China.