Accident; analysis and prevention
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Randomized Controlled Trial Comparative Study
The effect of a low and high resource intervention on older drivers' knowledge, behaviors and risky driving.
This study aimed to compare an in-class Seniors on the MOVE (Mature Operators Vehicular Education) interactive multi-session driving curriculum with a self-guided MOVE curriculum for older adults. Using a two group randomized design, we sought to determine if there are between-group differences in older drivers' knowledge and safety behaviors among participants. Forty-four participants with an average age of 79 years (SD=7.1) were randomly assigned to the original MOVE program (SOM-A) or a lower resource (SOM-B) self-guided intervention. ⋯ Mean behavior change scores for participants sitting 10-12 inches from the steering wheel were significantly more likely among SOM-A (mean=.65, SD=.5) participants than those in SOM-B (mean=.29, SD=.5, p=.01) at first follow-up. Taken together, these findings suggest that the more intensive program is more effective and that driving safety programs focused on behaviors to self evaluate driving abilities continue to be needed to help older drivers remain safer on the road as they age. The involvement of health care providers in such efforts may be an untapped potential.
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To study the anatomical distribution, severity, outcome, and age by nationality of hospitalized motorcycle-related injured patients in Al-Ain, United Arab Emirates so as to improve preventive measures. ⋯ The most common mechanism of motorcycle crashes was hitting a moving vehicle. Young UAE national motorcyclists are at a higher risk of being injured compared with non UAE nationals. This may be due to risk-taking behavior of young motorcyclists who are mainly riding for leisure. Extremities were the most common injured body region. Severe head injury was the main cause of death. This signifies the need for effective application of motorcycle helmet law in the UAE along with other preventive measures that might include increasing the licensing age.
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Electric bikes and regular bicycles play an important role in the urban transportation system of China. Red-light running is a type of highly dangerous behavior of two-wheeled riders. The main purpose of this study was to investigate the rate, associated factors, and behavior characteristics of two-wheelers' red-light running in China. ⋯ Two-wheelers' crossing behavior was categorized into three distinct types: law-obeying (44%), risk-taking (31%) and opportunistic (25%). Males were more likely to act in a risk-taking manner than females, and so were the young and middle-aged riders than the old ones. These findings provide valuable insights in understanding two-wheelers' red-light running behaviors, and their implications in improving road safety were discussed.
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Motorcycle riders would be more vulnerable in the event of a crash because of their lack of protection which would often result in them suffering more severe injuries than car drivers. This paper estimated three crash severity models to identify factors that contributed to increasing the severity of motorcycle involved crashes in the Canadian City of Calgary. We found that results from the ordered logit model, heterogeneous choice model and partially constrained generalized ordered logit model produced estimates that were very similar which attested to their robustness. Injury severity tended to increase in neighborhoods with loops and lollipops types of streets or involved right-angle and left-turn-across-path crashes, a truck, unsafe speed or alcohol use but tended to decrease if the crash occurred in parking lots or during winter, involved a van or male rider, or a rider following-too-closely to the vehicle in front.
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This study compares child passenger safety (CPS) practices of grandparents versus parents and determines grandparents' opinions on car safety seats (CSS), barriers to use, and ways to transport grandchildren safely. ⋯ Grandparents and parents were equally likely to use CSS and choose correct seats. Compared to parents, grandparents were more likely to travel with their grandchildren with CSS installed with looser harnesses or an installed CSS with looser seat belt or lower anchors. Additionally, grandparents were more likely to have a child younger than thirteen years in the front seat. The use of community resources such as permanent fitting stations could help grandparents improve a grandchild's travel safety.