Driving habits – A Canadian study

Trauma ◽  
2017 ◽  
Vol 20 (3) ◽  
pp. 225-229
Author(s):  
Shayesteh Jahanfar

Introduction Motor vehicle accidents are a significant cause of morbidity and mortality. Safe driving behavior constitutes proper use of seat belts as a driver and as a passenger. The correct use of seat belts has been shown to reduce death and injury following motor vehicle accidents by more than 50%. This study aims at investigating seat belt use and driving habits among Canadians. Method A population-based database from the Canadian Community Health Survey was analyzed. Result About 12% reported that they use seat belts most of the times, rarely or never and 27% of respondents were using cellphone while driving often or sometimes; 8% of respondents admitted to driving after 2 or more alcoholic drinks. Seat belt use in taxi passengers is much lower than in own cars, with 40% not using a seatbelt all of the time when in a taxi. Discussion and conclusions The major risk factors for not wearing seat belt as a passenger include age, education, ethnicity and income.

Author(s):  
Kenya Freeman ◽  
Michael S. Wogalter

Seat belts have been effective in reducing serious injuries and deaths in vehicular accidents. However, their use by women in the third trimester of pregnancy can cause placental damage and fetal injury or death in relatively minor motor vehicle accidents without severely injuring pregnant women. The lack of seat belt use in similar or more serious accidents could cause severe injuries or death to pregnant women from impacts within the cabin or from ejection, and in turn could lead to fetal injuries or deaths. The present study sought to determine whether women between the ages of 16 and 45 (child bearing age) would like to be informed of these risks. Ninety-nine of the 101 women surveyed indicated they would like to be informed of the risks, and that they would expect to find this information in the vehicle's owners manual. in dealing with the risks, some women indicated that they would wear the seatbelts and others indicated they would not. Most respondents indicated that they would reduce the risks by reducing their use of the vehicle during pregnancy. These results have implications for risk communications.


2019 ◽  
Vol 30 (7) ◽  
pp. 1949-1951
Author(s):  
Sue Min Kim ◽  
Non Hyeon Ha ◽  
Hyung Min Hahn ◽  
Il Jae Lee ◽  
Myong Chul Park ◽  
...  

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e031839 ◽  
Author(s):  
Mamoru Morikawa ◽  
Takashi Yamada ◽  
Hiromasa Kogo ◽  
Masaki Sugawara ◽  
Akira Nishikawa ◽  
...  

ObjectiveTo determine whether an educational leaflet had any effect on seat belt use, seat preference and motor vehicle accidents rate during pregnancy in Japan.DesignProspective, non-randomised control trial with a questionnaire survey.SettingEight obstetric hospitals in Sapporo, Japan.Participants2216 pregnant women, of whom 1105 received the leaflet (intervention group) and 1111 did not (control group).InterventionsDistribution of an educational leaflet on seat belt use to women in the intervention group.Primary outcome measuresThe effect of an educational leaflet on seat belt use, each pregnant woman’s seat preference and the women’s rates of motor vehicle accidents rate during their pregnancies. To evaluate the effects, the intervention group’s responses to the questionnaires were compared with those of the control group.ResultsThe proportion of subjects who always used seat belts during pregnancy was significantly higher in the intervention group (91.3%) than in the control group (86.7%; p=0.0005). Among all subjects, the percentage of women who preferred the driver’s seat was lower during pregnancy (27.0%) than before pregnancy (38.7%), and the percentage of women who preferred the rear seat was higher during pregnancy (28.8%) than before pregnancy (21.0%). These two rates did not differ between two groups. Seventy-one women (3.2%) reported experiencing a motor vehicle accident during pregnancy. The motor vehicle accident rate for the intervention group (3.3%) was similar to that for the control group (3.2%).ConclusionsAn educational seat belt leaflet was effective in raising the rate of consistent seat belt use during pregnancy, but it did not decrease the rate of motor vehicle accidents. The wearing of seat belts should be promoted more extensively among pregnant women to decrease rates of pregnancy-related morbidity and mortality from motor vehicle accidents.


2016 ◽  
Vol 82 (2) ◽  
pp. 134-139 ◽  
Author(s):  
Nick A. Nash ◽  
Obi Okoye ◽  
Ozgur Albuz ◽  
Kelly N. Vogt ◽  
Efstathios Karamanos ◽  
...  

We sought to use the National Trauma Databank to determine the demographics, injury distribution, associated abdominal injuries, and outcomes of those patients who are restrained versus unrestrained. All victims of motor vehicle collisions (MVCs) were identified from the National Trauma Databank and stratified into subpopulations depending on the use of seat belts. A total of 150,161 MVC victims were included in this study, 72,394 (48%) were belted. Young, male passengers were the least likely to be wearing a seat belt. Restrained victims were less likely to have severe injury as measured by Injury Severity Score and Abbreviated Injury Score. Restrained victims were also less likely to suffer solid organ injuries (9.7% vs 12%, P < 0.001), but more likely to have hollow viscous injuries (1.9% vs 1.3%, P < 0.001). The hospital and intensive care unit length of stay were significantly shorter in belted victims with adjusted mean difference: -1.36 (-1.45, -1.27) and -0.96 (-1.02, -0.90), respectively. Seat belt use was associated with a significantly lower crude mortality than unrestrained victims (1.9% vs 3.3%, P < 0.001), and after adjusting for differences in age, gender, position in vehicle, and deployment of air bags, the protective effect remained (adjusted odds ratio for mortality 0.50, 95% confidence interval 0.47, 0.54). In conclusion, MVC victims wearing seat belts have a significant reduction in the severity of injuries in all body areas, lower mortality, a shorter hospital stay, and decreased length of stay in the intensive care unit. The nature of abdominal injuries, however, was significantly different, with a higher incidence of hollow viscous injury in those wearing seat belts.


2019 ◽  
Vol 09 (01) ◽  
pp. 14-23
Author(s):  
Lilit Petrosyan ◽  
Zhanna Ghazaryan ◽  
Greta Muradyan ◽  
Elena Aghajanova ◽  
Marek Brabece ◽  
...  

Neurology ◽  
2011 ◽  
Vol 76 (9) ◽  
pp. 801-806 ◽  
Author(s):  
C. Kwon ◽  
M. Liu ◽  
H. Quan ◽  
V. Thoo ◽  
S. Wiebe ◽  
...  

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e027432 ◽  
Author(s):  
Francesca N Delling ◽  
Eric Vittinghoff ◽  
Thomas A Dewland ◽  
Mark J Pletcher ◽  
Jeffrey E Olgin ◽  
...  

ObjectiveTo assess the effect of cannabis legalisation on health effects and healthcare utilisation in Colorado (CO), the first state to legalise recreational cannabis, when compared with two control states, New York (NY) and Oklahoma (OK).DesignWe used the 2010 to 2014 Healthcare Cost and Utilisation Project (HCUP) inpatient databases to compare changes in rates of healthcare utilisation and diagnoses in CO versus NY and OK.SettingPopulation-based, inpatient.ParticipantsHCUP state-wide data comprising over 28 million individuals and over 16 million hospitalisations across three states.Main outcome measuresWe used International Classification of Diseases-Ninth Edition codes to assess changes in healthcare utilisation specific to various medical diagnoses potentially treated by or exacerbated by cannabis. Diagnoses were classified based on weight of evidence from the National Academy of Science (NAS). Negative binomial models were used to compare rates of admissions between states.ResultsIn CO compared with NY and OK, respectively, cannabis abuse hospitalisations increased (risk ratio (RR) 1.27, 95% CI 1.26 to 1.28 and RR 1.16, 95% CI 1.15 to 1.17; both p<0.0005) post-legalisation. In CO, there was a reduction in total admissions but only when compared with OK (RR 0.97, 95% CI 0.96 to 0.98, p<0.0005). Length of stay and costs did not change significantly in CO compared with NY or OK. Post-legalisation changes most consistent with NAS included an increase in motor vehicle accidents, alcohol abuse, overdose injury and a reduction in chronic pain admissions (all p<0.05 compared with each control state).ConclusionsRecreational cannabis legalisation is associated with neutral effects on healthcare utilisation. In line with previous evidence, cannabis liberalisation is linked to an increase in motor vehicle accidents, alcohol abuse, overdose injuries and a decrease in chronic pain admissions. Such population-level effects may help guide future decisions regarding cannabis use, prescription and policy.


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