Traffic injury prevention
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Traffic injury prevention · Jan 2019
What can a hazard function teach us about drivers' perception of hazards?
Hazard perception (HP) is typically defined as the ability to read the road and anticipate hazardous situations. Several studies have shown that HP is a driving skill that correlates with traffic crashes. Measuring HP differences between various groups of drivers typically involves a paradigm in which participants observe short videos of real-world traffic scenes taken from a driver's or a pedestrian's perspective and press a response button each time they identify a hazard. Young, inexperienced drivers are considered to have poor HP skills compared to experienced drivers, as evident by their slower response times (RTs) to road hazards. Nevertheless, though several studies report RT differences between young, inexperienced and experienced drivers, other studies did not find such differences. We have already suggested that these contradictory findings may be attributed to how cases of no response-that is, a situation where a participant did not respond to a hazard-are being treated. Specifically, we showed that though survival analysis handles cases of no response appropriately, common practices fail to do so. These methods often replace a case of no response with the mean RT of those who responded or any other central tendency parameters. The present work aims to show that treating cases of no response appropriately as well as selecting a distribution that fits the RT data is more than just a technical phase in the analysis. ⋯ The suggested process has the ability to provide researchers with additional information regarding the nature of the traffic scenes that enables differentiating between various hazardous situations and between various users with different characteristics such as age or experience.
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Traffic injury prevention · Jan 2019
Cervical and thoracic spine injury in pediatric motor vehicle crash passengers.
Motor vehicle occupants aged 8 to 12 years are in transition, in terms of both restraint use (booster seat or vehicle belt) and anatomical development. Rear-seated occupants in this age group are more likely to be inappropriately restrained than other age groups, increasing their vulnerability to spinal injury. The skeletal anatomy of an 8- to 12-year-old child is also in developmental transition, resulting in spinal injury patterns that are unique to this age group. The objective of this study is to identify the upper spine injuries commonly experienced in the 8- to 12-year-old age group so that anthropomorphic test devices (ATDs) representing this size of occupant can be optimized to predict the risk of these injuries. ⋯ Spinal injury location in the cervical and thoracic spine moved downward with age in this trauma center data set. This shift in injury pattern supports the need for measurement of thoracic and lower cervical spine loading in ATDs representing the 8- to 12-year-old age group.
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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
Driver distraction and inattention in fatal and injury crashes: Findings from in-depth road crash data.
Objective: This study investigated the contribution of driver distraction and inattention within fatal and injury crashes using recent in-depth road crash investigation data. To assist in developing system-based solutions, this study also examined the wider context in which inattention-related crashes occurred and the characteristics of inattentive drivers. Methods: The sample included in-depth crash data from 186 fatal and injury crashes in South Australia investigated from 2014 to 2018. ⋯ Conclusions: The findings established that almost a third of fatal and injury crashes involved driver inattention and distraction and many of these could have been prevented. System-wide solutions that could mitigate or prevent distraction crashes include intervening vehicle safety technologies, infrastructure solutions to promote a forgiving road environment, blocking capabilities within technologies to prevent communications while driving, and interventions communicating the risks associated with inattention. Of significance, this study also demonstrated the importance of in-depth data for understanding the contribution of distraction and inattention errors in crash causation.
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Traffic injury prevention · Jan 2019
Marijuana use and driving in Washington State: Risk perceptions and behaviors before and after implementation of retail sales.
Washington is among the first states to legalize recreational use of marijuana. This study examined marijuana use and risk perceptions before and after retail sales of recreational marijuana began in July 2014, the relationship between risk perceptions and marijuana use, and the relationship between self-reported marijuana use and drug test results. ⋯ The prevalence of daytime THC-positive drivers increased substantially a few months after retail sales of marijuana were legal. Daytime and nighttime prevalence of THC-positive drivers was similar after retail sales. This pattern differs from that typically found for alcohol use, which is consistently higher among drivers at nighttime, compared to daytime. Reports of marijuana use were not always consistent with drug test results, which suggests that comparisons of self-reported marijuana use before and after legalization could be biased. This study examined marijuana use and risk perceptions over the course of 1 year. However, law changes may influence cultural norms gradually over a longer period of time. Future studies should continue to monitor marijuana use over time, as well as identify ways to determine whether drivers are impaired by marijuana.