The Impact of the Thai Motorcycle Transition on Road Traffic Injury: Thai Cohort Study Results

The article, based on the analysis of current legislation, available scientific, journalistic and methodological sources, including foreign experience, clarifies the essence, meaning and content of the principles of administrative and legal prevention of road traffic injuries as important regulators of road safety in the country. The characteristic of prevention of road traffic injuries which is offered to consider, first, as an important means of social regulation of road legal relations is carried out; secondly, as a system of social, economic, ideological, organizational and legal and psychological and pedagogical measures; third, as a combination of different levels of prevention activities carried out by general and special actors. The goals of road traffic injury prevention are to achieve and maintain the trend of reducing accidents, a positive change in its nature and structure. The concept of administrative and legal prevention of road traffic injuries as a methodologically complex social phenomenon, which covers a multilevel system of administrative and legal measures carried out by public authorities, local governments and individual civil society institutions through the use of delegated powers to identify the causes and conditions of administrative torts on road transport, which lead to road traffic injuries, to minimize or neutralize the impact of acts that give rise to such offenses, search for ways, means of effective influence on potential factors that determine road accidents. Emphasis is placed on the importance of principles as fundamental, guiding principles (requirements) of any important public-law activity, expressing the most significant aspects (manifestations) of implementation of measures of administrative and legal prevention of road traffic injuries and acting as official guidelines in the practice of counteracting administrative "road" torts.

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Trajectories of sickness absence after road traffic injury: a Swedish register-based cohort study

BMJ Open ◽

10.1136/bmjopen-2019-031132 ◽

2019 ◽

Vol 9 (7) ◽

pp. e031132 ◽

Cited By ~ 1

Author(s):

Ritva Rissanen ◽

Yajun Liang ◽

Jette Moeller ◽

Alicia Nevriana ◽

Hans-Yngve Berg ◽

...

Keyword(s):

Cohort Study ◽

Return To Work ◽

Sickness Absence ◽

Injury Severity ◽

Outcome Measure ◽

Road Traffic ◽

Road Traffic Injury ◽

Secondary Outcome ◽

Secondary Outcome Measure ◽

Traffic Injury

ObjectivesDespite much focus on the health impact of road traffic injury (RTI) on life, there is a lack of knowledge of the dynamic process of return to work following RTI and its related factors. The aim of this study was to identify longitudinal patterns of sickness absence (SA) following RTI, to examine the patterns’ interplay with health-related quality of life (HRQoL) and to determine if there are differences, regarding the patterns and interplay, according to injury severity.DesignA register-based prospective cohort study.SettingAdministrative data on RTI in Sweden from the Swedish Traffic Accident Data Acquisition System (STRADA) and Swedish Social Insurance data.ParticipantsIndividuals suffering an RTI (total n=4761) were identified in STRADA between 1 January 2007 and 31 December 2009. A total of 903 of these met the inclusion criteria for the current study and were included.Primary and secondary outcome measuresThe primary outcome measure was SA following RTI. The secondary outcome measure was HRQoL.ResultsThree distinct patterns of SA were identified; ‘Stable’, ‘Quick decrease’ and ‘Gradual decrease’. The patterns differed in the number of initial SA days and the rate of reduction of SA days. After 3 years, all three patterns had almost the same level of SA. Higher injury severity and a higher number of SA days had a negative interplay with HRQoL. Participants who initially had a higher number of SA days were more likely to report a low HRQoL, indicating that people with a slower return to work are more vulnerable.ConclusionThe study highlights the heterogeneity of return to work after an RTI. People with a more severe injury and slower pace of return to work seem to be more vulnerable with regards to HRQoL loss following RTI.

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