This study aimed to identify factors associated with severe injury and mortality from road traffic accidents (RTA) among motorcycle and car users in southern Thailand. The data were obtained from the ...Office of Disease Prevention and Control, Thailand, for years 2008-2013. Chi-squared tests were used to assess associations between determinants and outcomes and these associations were then estimated after adjusting for possible confounding with other factors using logistic regression. Severe injury and mortality contributed 11.6% and 5% to RTA of motorcycle users, and 14.3% and 7.5% for car users. Among motorcycle users, male gender, older age, and not wearing a helmet increased severe injury and mortality rates, whereas drivers had more severe injuries than passengers. Older car users had higher severe injury and mortality rates, whereas not fastening seat belts had higher mortality. Safety device use should be made mandatory for both drivers and passengers. Male motorcycle users and the elderly should be focused on.
Celotno besedilo
Dostopno za:
BFBNIB, DOBA, GIS, IJS, IZUM, KILJ, KISLJ, NUK, PILJ, PNG, SAZU, UILJ, UKNU, UL, UM, UPUK
Road traffic accidents are a major cause of mortality in Thailand. We aimed to determine the hospital reported factors associated with mortality among road traffic accidents in southern Thailand in ...order to inform road traffic mortality prevention programs. We accessed data reported to the Office of Disease Prevention and Control, Thailand during 2008-2013 by hospitals in Nakhon Si Thammarat and Surat Thani Provinces, southern Thailand. We used the chi-square test to examine the associations between selected variables and mortality and multivariate logistic regression analysis to determine factors significantly associated with mortality. In the study location during the study period, there were 41,848 reported traffic injuries with 2,341 deaths. Eighty-four percent of victims were males, 78.3% involved a motorcycle and 65% did not wear their helmets. Older age, being a pedestrian, not fastening a seat belt in a blunt trauma patient and having poor clinical signs were significantly associated with mortality. These findings confirm that motor vehicle drivers and passengers need to be targeted to fasten seat belt, in order to reduce road accident mortality.
