Risk factors for road transport–related injury among pedestrians in rural Ghana: Implications for road safety education

2017 ◽  
Vol 76 (7) ◽  
pp. 880-890 ◽  
Author(s):  
Enoch Teye-Kwadjo
Keyword(s):  
Risk Factors ◽  
Road Traffic ◽  
Public Health Problem ◽  
Road Transport ◽  
Crash Risk ◽  
Major Public Health Problem ◽  
Safety Education ◽  
Road Traffic Crashes ◽  
Rural Ghana ◽  
Road Design

Objectives: Injuries and mortality resulting from pedestrian road traffic crashes are a major public health problem in Ghana. This study investigated risk factors for road transport-related injury among pedestrians in rural Ghana. Design: Case study design using qualitative data. Method: In-depth interviews were conducted with pedestrians. Thematic analysis was used to analyse the responses. Results: Findings showed that participants considered road design, roadside trading, inconsiderate driving, pedestrian traffic behaviour, low pedestrian crash risk perception and parental negligence as important determinants of road transport-related injury among pedestrians in rural Ghana. Conclusion: These findings suggest that safe pedestrian road environments and health-enhancing traffic attitudes and behaviour may help reduce the pedestrian crash problem in rural Ghana.

scholarly journals Major behavioral risk factors for road traffic injuries

2021 ◽  
Vol 2 (4) ◽  
pp. 28-34
Author(s):  
Svetlana COCIU ◽  
Olga IONCU ◽  
Camelia CAZACU-STRATU ◽  
Serghei CEBANU ◽  
Cara HAMANN
Keyword(s):  
Risk Factors ◽  
Motor Vehicle ◽  
Road Traffic ◽  
Public Health Problem ◽  
Behavioral Risk ◽  
Major Public Health Problem ◽  
Prevention Measures ◽  
Road Traffic Crashes ◽  
Road Traffic Injuries ◽  
Data Limitations

Introduction. Road traffic injuries are a major public health problem, ranking 8th in the leading causes of death and are forecasted to rank 5th by 2030 worldwide. Children, pedestrians, cyclists and the elderly remain among those most at risk of road traffic injuries. Material and methods. A specialized literature search was conducted within the main international databases, including: PubMed/MEDLINE, Google Scholar, and Research Gate, using a set of inclusion criteria. Data from references were extracted systematically into results tables, including: author/citation, study design, assessments/data, limitations, and key facts. Reported outcomes were compiled in narrative form. Results. Many researchers and scientists both in the country and abroad have studied road injuries. Authors of the studies used different methods and obtained obvious data about road traumas and major risk factors. Among the main causes of unintentional motor vehicle injuries were excessive speed, alcohol consumption while driving, mental disorder, drugs, and unsupervised children. There is an increasing incidence of road injuries among children, and most of the road traffic crashes involving children occur in May-September, between 11.00 and 18.00. The obtained results motivate the need to study this topic in depth, on separate age groups, and to propose specific prevention measures for each actor involved. Conclusions. There are many factors, which contributes to road crashes and related injuries, but those requires multisectoral involvement.

scholarly journals Driving Anger, Aberrant Driving Behaviors, and Road Crash Risk: Testing of a Mediated Model

2019 ◽  
Vol 16 (3) ◽  
pp. 297 ◽  
Author(s):  
Tingru Zhang ◽  
Alan H.S. Chan ◽  
Hongjun Xue ◽  
Xiaoyan Zhang ◽  
Da Tao
Keyword(s):  
Risk Factors ◽  
Road Safety ◽  
Road Traffic ◽  
Crash Risk ◽  
Traffic Crashes ◽  
Road Traffic Crashes ◽  
Driving Anger ◽  
Driving Behaviors ◽  
Scale Scores ◽  
Road Crash

With the dramatic increase in motorization, road traffic crashes have become the leading cause of death in China. To reduce the losses associated with road safety problems, it is important to understand the risk factors contributing to the high crash rate among Chinese drivers. This study investigated how driving anger and aberrant driving behaviors are related to crash risk by proposing and testing one mediated model. In this model, the effects of driving anger on road crash risk were mediated by aberrant driving behaviors. However, unlike previous studies, instead of using the overall scale scores, the subscales of driving anger and aberrant driving behaviors were used to establish the mediated model in this study. To test the validity of this model, an Internet-based questionnaire, which included various measures of driving anger, aberrant driving, and road crash history, was completed by a sample of 1974 Chinese drivers. The results showed that the model fitted the data very well and aberrant driving behaviors fully mediated the effects of driving anger on road crash risk. Findings from the present study are useful for the development of countermeasures to reduce road traffic crashes in China.

scholarly journals Injury Metrics for Assessing the Risk of Acute Subdural Hematoma in Traumatic Events

2021 ◽  
Vol 18 (24) ◽  
pp. 13296
Author(s):  
Silvia García-Vilana ◽  
David Sánchez-Molina ◽  
Juan Velázquez-Ameijide ◽  
Jordi Llumà
Keyword(s):  
Structural Integrity ◽  
Road Traffic ◽  
Traumatic Event ◽  
Public Health Problem ◽  
Mechanical Failure ◽  
Acute Subdural Hematoma ◽  
Major Public Health Problem ◽  
Road Traffic Crashes ◽  
Fall From Height ◽  
Safety Countermeasures

Worldwide, the ocurrence of acute subdural hematomas (ASDHs) in road traffic crashes is a major public health problem. ASDHs are usually produced by loss of structural integrity of one of the cerebral bridging veins (CBVs) linking the parasagittal sinus to the brain. Therefore, to assess the risk of ASDH it is important to know the mechanical conditions to which the CBVs are subjected during a potentially traumatic event (such as a traffic accident or a fall from height). Recently, new studies on CBVs have been published allowing much more accurate prediction of the likelihood of mechanical failure of CBVs. These new data can be used to propose new damage metrics, which make more accurate predictions about the probability of occurrence of ASDH in road crashes. This would allow a better assessement of the effects of passive safety countermeasures and, consequently, to improve vehicle restraint systems. Currently, some widely used damage metrics are based on partially obsolete data and measurements of the mechanical behavior of CBVs that have not been confirmed by subsequent studies. This paper proposes a revision of some existing metrics and constructs a new metric based on more accurate recent data on the mechanical failure of human CBVs.

Driver-Related Risk Factors in Commercial Motorcycle (Okada) Crashes in Benin City, Nigeria

2009 ◽  
Vol 24 (4) ◽  
pp. 356-359 ◽  
Author(s):  
Pius Ehiawaguan Iribhogbe ◽  
Emeka Danielson Odai
Keyword(s):  
Risk Factors ◽  
Road Traffic ◽  
Safety Education ◽  
Road Traffic Crashes ◽  
Young Males ◽  
The Road ◽  
Benin City ◽  
Related Risk ◽  
A Prospective Study ◽  
Helmet Laws

AbstractIntroduction:There has been global concern regarding road traffic injuries. Motorcyclists constitute a high proportion of fatalities in road traffic crashes. Commercial motorcyclists (Okadas) constitute a unique group in this regard. The purpose of this study was to evaluate driver-related risk factors in Okada accidents in Benin City, Nigeria.Methods:This was a prospective study. Interviewers administered questionnaires that were used to assess Okada drivers during a two-month period (November–December 2006).Results:A total of 996 Okada drivers were interviewed, 995 males and one female. Their ages ranged from 16–80 years with a mean age of 36.4 ±2.4 years. In the majority of cases, the maximum educational level achieved was primary or secondary. The majority of Okada drivers (82.8%) took to the Okada business as a last resort. Driver's licenses for Okada operation were possessed by 73.5% of drivers, but only 27.2% had taken a road test before being given a license. No form of training on the use of Okadas was received by 45% of drivers before they commenced operations. Crash helmets were owned by 56.4%, but they did not use them on a regular basis. Inconvenience was the reason provided for poor compliance by 52.7% of drivers. Regular intake of alcohol was present in 39.8% of drivers.Conclusions:Okada drivers are mainly young males with a low level of education who are ill-prepared and ill-equipped for the road. This is a recipe for traffic crash-related injuries and fatal motorcycle crashes. There is an urgent need for job creation, better licensing procedures, road safety education, national legislation, and enforcement of crash helmet laws as well as alcohol breath tests for Okada drivers in Nigeria.

Substance Abuse and Drug-Related Death, Suicidal Ideation, and Suicide: A Review

Crisis ◽  
1999 ◽  
Vol 20 (1) ◽  
pp. 28-35 ◽  
Author(s):  
Annie Mino ◽  
Arnaud Bousquet ◽  
Barbara Broers
Keyword(s):  
Public Health ◽  
Risk Factors ◽  
Substance Abuse ◽  
Suicidal Ideation ◽  
Family Support ◽  
Drug Users ◽  
Suicide Attempts ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Hiv Epidemic

The high mortality rate among drug users, which is partly due to the HIV epidemic and partly due to drug-related accidental deaths and suicides, presents a major public health problem. Knowing more about prevalence, incidence, and risk factors is important for the development of rational preventive and therapeutic programs. This article attempts to give an overview of studies of the relations between substance abuse, suicidal ideation, suicide, and drug-related death. Research in this field is hampered by the absence of clear definitions, and results of studies are rarely comparable. There is, however, consensus about suicidal ideation being a risk factor for suicide attempts and suicide. Suicidal ideation is also a predictor of suicide, especially among drug users. It is correlated with an absence of family support, with the severity of the psychosocial dysfunctioning, and with multi-drug abuse, but also with requests for treatment. Every clinical examination of a drug user, not only of those who are depressed, should address the possible presence of suicidal ideation, as well as its intensity and duration.

MEASLES OUTBREAK IN A RURAL AREA OF A DEVELOPING COUNTRY: A CASE CONTROL STUDY

2018 ◽  
Vol 7 (4) ◽  
pp. 197-201
Author(s):  
Mir M Hassan Bullo ◽  
Mirza Amir Baig ◽  
Jawad Faisal Malik ◽  
Ejaz Ahmad Khan ◽  
Muazam Abbas Ranjha ◽  
...  
Keyword(s):  
Risk Factors ◽  
Vaccine Coverage ◽  
Significant Risk ◽  
Public Health Problem ◽  
Maculopapular Rash ◽  
Healthcare Facility ◽  
Control Measures ◽  
Major Public Health Problem ◽  
District Health ◽  
Active Case

Background: Measles is highly contagious vaccine preventable disease (VPD), and a major public health problem considered as leading cause of morbidity and mortality in developing countries like Pakistan. An outbreak of measles was reported in Sharifabad Islamabad on 15th of April 2017, and an investigation was launched to assess the magnitude of outbreak, evaluate risk factors and recommend control measures. Methods: A comprehensive house to house active case search along with vaccine coverage survey was conducted from April 19-22, 2017. A case was defined as "onset of maculopapular rash with fever in a resident of Sharifabad with at least one of the following signs/ symptoms, Coryza, Conjunctivitis, Cough, Otitis media or Pneumonia present in between 19 March to 22nd April 2017". Four age & sex matched controls were selected from the neighborhood. Data was collected through interview method using structured questionnaire and vaccination coverage was determined by using Epi survey form. Blood samples were sent for laboratory confirmation. Results: A total of eight cases were identified through active case finding while three were reported by local practitioner. Mean age of cases were 20 months (range 8-36 months). Severely affected age-group was 1-2 years with attack rate of 46%. Around two-third (64%) of cases and a few (16%) of controls were unvaccinated against measles. Contact with measles patient [OR 25.2, CI 3.9-160.1, P=0.00], unvaccinated children [OR 9.2 CI 2.12-40.4, P=0.000], social misconception regarding vaccination [OR 7.8 CI 1.42-42.6, P=0.00], and distance from healthcare facility [OR 5.7 CI 1.15-28.35, P=0.02] were significant risk factors. Vaccine efficacy was 90%. Conclusion: Main reasons of the outbreak were contact with the cases, and low vaccination status. We recommended comprehensive measles vaccination and community awareness sessions. On our recommendations district health authority Islamabad carried out mop up of whole area.

scholarly journals Predictive risk factors towards liver fluke infection among the people in Kamalasai District, Kalasin Province, Thailand

2019 ◽  
Vol 7 ◽  
pp. 205031211984020 ◽  
Author(s):  
Woragon Wichaiyo ◽  
Wirat Parnsila ◽  
Wisit Chaveepojnkamjorn ◽  
Banchob Sripa
Keyword(s):  
Risk Factors ◽  
Liver Fluke ◽  
Public Health Problem ◽  
Major Public Health Problem ◽  
Cross Sectional ◽  
The People ◽  
Fluke Infection ◽  
Raw Fish ◽  
Predictive Risk ◽  
Liver Fluke Infection

Background: Liver fluke disease caused by Opisthorchis viverrini remains a major public health problem with its crucial risk factors caused by some individual habits or false beliefs among the people in northeastern Thailand concerning the consumption of raw fish meat dishes. Objectives: This study explores the predictive risk factors for the infection of liver fluke disease. Methods: The sample consisted of 400 people aged 30 years and above in Thanya sub-district, Kamalasai district, Kalasin province. A cross-sectional analytic study, using the χ2 test, odds ratio and 95% confidence interval, was used to find the influence of each variable, along with the use of multiple logistic regression (p = 0.05). A questionnaire form was used as the research instrument. Results: Factors found in the results are as follows: households with a cat were 7.00 times more at risk than households without a cat; eating raw fish dishes prepared by themselves increases the risk of infection by 2.58 times; eating raw fish dishes prepared by family members increases the risk by 4.74 times; and raw fish dishes bought from a community market increases the risk by 2.33 times. Conclusion: A campaign should be launched to educate people not to eat raw or undercooked fish dishes, but to fully cook fish dishes before eating, as the food is still delicious, but also safe, healthy, and free from liver fluke infection.

scholarly journals Sero-epidemiology and risk factors of syphilis in Makassar, Indonesia

2019 ◽  
Vol 11 (2) ◽  
pp. 43-49
Author(s):  
Maryam Kusumawaty ◽  
Khairuddin Djawad ◽  
Muh Nasrum Massi ◽  
Andi Muhammad Adam ◽  
Siswanto Wahab ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hiv Transmission ◽  
Treponema Pallidum ◽  
Public Health Problem ◽  
Sexual Relationships ◽  
Capital City ◽  
Major Public Health Problem ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
Increased Risk

Abstract Introduction. Syphilis is an infectious disease caused by Treponema pallidum spirochete and is mainly transmitted by sexual contact. Syphilis has the potential to cause serious complications and is closely related to human immunodeficiency virus (HIV) infection thus making syphilis still a major public health problem. In Indonesia, surveys of high-risk populations in 2007 and 2011 reported an increase in the prevalence of syphilis, especially in men who have sexual relationships with other men (MSM). Moreover, studies have described risk factors for HIV transmission including MSM, heterosexual contacts, Intravenous (IV) drug use, and infected partners. Objectives. To assess the epidemiological aspects and risk factors for syphilis in Makassar, as well as the correlation with a coinfection of other sexually transmitted infections. Material and Methods. This study is a multi-centre cross-sectional descriptive study with consecutive sampling. We evaluated cases for eligibility by confirming the diagnosis based on the serological result using rapid plasma reagin assay (RPR), Treponema pallidum haemagglutination (TPHA), and HIV screening kit. The cases were analyzed based on epidemiological features, risk factors and clinical findings, co-infection with other sexually transmitted infection (ST), and stadium of the disease. Results. A total of 79 serologically confirmed syphilis cases were collected between January 2017 and December 2018 in Makassar, the capital city of South Sulawesi province in Indonesia. Of the 63 male subjects (79.7%), 38 (48.1%) were homosexual/MSM, and in 41 cases of HIV-infected subjects, 25 (60.9%) of them were also MSM. Conclusion. Our study showed there was a significant correlation between syphilis and an increased risk of HIV transmission in MSM groups. The higher number of cases of syphilis and HIV co-infection among MSM can increase transmission of both infections and should be considered a major risk factor for syphilis in Makassar.

scholarly journals Obesity and Overweight in Relation to Hypertension and Associated Risk in School Children

2021 ◽  
pp. 80-86
Author(s):  
Gorantla Naresh Babu ◽  
P. Jameela ◽  
S. Jafar Sharif ◽  
A. Ramya ◽  
K. Ziyaul Haq ◽  
...  
Keyword(s):  
Risk Factors ◽  
School Children ◽  
Public Health Problem ◽  
Overweight And Obesity ◽  
Physical Activities ◽  
Major Public Health Problem ◽  
Healthy Weight ◽  
Cardiovascular Risks ◽  
Obesity And Overweight ◽  
Associated Risk Factors

Aim: Hypertension is a major public health problem worldwide and is associated with high mortality and morbidity. The main aim of this study is to assess obesity and overweight in school children and their relationship to hypertension and associated risk factors. Study Design: Population based cross sectional study. Results and Discussion: A total number of 712 students with age group between 7-12 years from different school were screened for their height, weight and body mass index. The present study was aimed to assess obesity and overweight in school children and their relationship to hypertension and associated risk factors.  Under weight and healthy weight children are engaged in physical activities like playing in ground and thus they are healthy where the children who found as overweight and obese were not engaged in physical activities regularly and thus this might be the reason for their overweight and obesity. At the same time the children who found as obese and overweight were said that they were having fast foods twice a day. Conclusion: In order to get rid of these risks and their associated cardiovascular risks, their food habits must be changed and physical activities needs to be improved.

scholarly journals Human factor and traffic safety

2017 ◽  
Vol 18 (7-8) ◽  
pp. 49-52
Author(s):  
Ewa Brożyna
Keyword(s):  
Traffic Safety ◽  
Traffic Engineering ◽  
Traffic Management ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Human Person ◽  
Road Transport ◽  
Transport Infrastructure ◽  
Road User ◽  
Road Design

This article deals with issues in the field of traffic engineering. According to its assumptions, traffic is a system consisting of three inseparable elements which are man, vehicle and road. In this article, the author focuses on the relationship between two of these elements: human as a road user and a path that should be a subordinate of the user’s capabilities and convenience. The first part of the article is an introduction to the topic of the article. There are presented the data on the amount of road traffic accidents caused by human factors and the categories of errors committed by drivers. In the further part there were analyzed the biological factors which have influence on driver’s actions such as sight, attention and reaction time with particular emphasis on the imperfections of those factors which should be taken into account when designing roads and organizing traffic because it lets to provide a higher level of road safety. The purpose of this article is to develop practical conclusions for road design and traffic management that will help to better adjust the road transport infrastructure to the capabilities and natural limitations of the human person. These conclusions are included in the summary.

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