Road Traffic Injuries and Associated Factors among Older Adults Using Motorcycles with Sidecars in Chachoengsao Province
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Abstract
OBJECTIVES: This research aimed to study the factors related to the occurrence of accidents from using motorcycles with sidecars among Older Adults in Chachoengsao Province.
MATERIALS AND METHODS: This cross-sectional study collected data from older adults using motorcycles with sidecars (MwS) in Chachoengsao province. Eligible participants were 60 or older, lived in Chachoengsao, and used MwS. This study includes participants’ demographic characteristics, traffic knowledge, perceptions towards environmental safety and vehicle safety conditions. A multivariate logistic regression analysis was used to examine factors associated with a road traffic injuries (RTIs).
RESULTS: Of 600 participants, 53.3% reported RTIs in the past year. Factors associated with RTIs included primary education level (aOR 1.96, 95%CI 1.05-3.64), monthly incomes below 10,000 baht (aOR 2. 23, 95%CI 1.25-3.99), presence of at least one chronic disease (aOR 2.48, 95%CI 1. 53-4.02), not wearing a helmet (aOR 4.12, 95%CI 2.21-7.69), and inadequate knowledge of traffic signs and sidecar driving (aOR 18.19, 95%CI 11. 23-29.48).
CONCLUSION: Key findings indicate that lower education levels, lower monthly incomes, chronic diseases, and inadequate knowledge of road safety significantly increase the risk of RTIs. Moreover, despite self-reported safety checks, a substantial number of MwS did not meet safety standards during official inspections. These results underscore the need for targeted interventions to improve road safety knowledge and vehicle safety among older adults.
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References
Hailemichael F, Suleiman M, Pauolos W. Magnitude and outcomes of road traffic accidents at Hospitals in Wolaita Zone, SNNPR, Ethiopia. BMC Res Notes. 2015;8:135. doi: 10.1186/s13104-015-1094-z.
World Health Organization. Road traffic injuries. (Accessed June20, 2022, at https://www.who.int/news-room/fact-sheets/ detail/road-traffic-injuries. )
Ang BH, Chen WS, Lee SWH. Global burden of road traffic accidents in older adults: A systematic review and meta-re- gression analysis. Arch Gerontol Geriatr. 2017;72:32-8. doi: 10.1016/j.archger.2017.05.004
Transportation Statistics Group, Planning Division, Depart- ment of Land Transport. Collection of registered cars in 2022. (Accessed November 1, 2023, at https://web.dlt.go.th/statis- tics/).
Accident information center to strengthen road safety culture, Compare statistics of road accident victims across the country. (Accessed November 1, 2023, at https://www.thairsc.com/ thai-in-depth-data).
World Health Organization, Decade of Action for Road Safety 2020-2023. (Accessed November 1, 2023, at https:// www.who.int/teams/social-determinants-of-health/safety-and- mobility/decade-of-action-for-road-safety-2021-2030).
Barnett DJ, Balicer RD, Blodgett D, et al. The application of the Haddon matrix to public health readiness and response planning. Environ Health Perspect. 2005;113(5):561-6. doi: 10.1289/ehp.7491.
Academic Service Center Srinakharinwirot University: [Internet] 2023. A project to study road accident prevention guidelines for the elderly with driving licenses. (Accessed April 1, 2023, at https://shorturl.asia/DWOiA)
Wangthong A, Wangthong A, Bunchaisuriya D, et al. Reduce road accidents at traffic risk points Nongjik district, Pattani Province. Health Sci J Thai. 2019;1(1):33-42. (Accessed April 1, 2023, at https://he02.tci-thaijo.org/index.php/HSJT/article/ view/196473).
Accident Data Center to enhance road safety innovation. [Internet] 2023. Comparison of fatality statistics from 2019- 2023 in Chachoengsao Province. Retrieve. (Accessed April 1, 2023, at https://www.thairsc.com/thai-in-depth-data).
Accident Information Center to strengthen road safety culture. Road Accident Comparison In Thailand. 2023. (Accessed August 5, 2023, at https://shorturl.asia/rmT3Z).
Bloom BS. Handbook on formative and summative evaluation of student learning. 1971.
Chang F, Li M, Xu P, et al. Injury severity of motorcycle riders involved in traffic crashes in Hunan, China: A mixed ordered logit approach. Int J Environ Res Public Health. 2016;13(7):714. doi: 10.3390/ijerph13070714.
Schneider WH, Savolainen PT. Comparison of severity of motorcyclist injury by crash types. Transportation Research Record. 2011;2265:70-80. doi: 10.3141/2265-08
Mansouri Jalilian M, Safarpour H, Bazyar J, et al. Epidemiology of road traffic crashes in Ilam Province, Iran, 2009-2013. BMC Res Notes. 2020;13(1):517. doi:10.1186/s13104-020-05366-x.
Khorasani-Zavareh D, Haglund BJ, Mohammadi R, et al. Traffic injury deaths in West Azarbaijan province of Iran: a cross-sectional interview-based study on victims’ characteristics and pre-hospital care. Int J Injury Control Safety Promotion. 2009;16(3):119–26. doi: 10.1080/17457300903023980.
Centers for Disease Control and Prevention [Internet]. Older Adult Drivers. [updated 2022 June 28]. ( Accessed May 5, 2023, at https://shorturl.asia/45cPF).
Ortiz-Peregrina S, Ortiz C, Casares-López M, et al. Impact of age-related vision changes on driving. Int J Environ Res Public Health. 2020;17(20):7416. doi:10.3390/ ijerph17207416.
Bocage C, Mashalla Y, Motshome P, et al. Applying the Haddon matrix conceptual model to guide motor vehicle crash injury research and prevention in Botswana. Afr J Emerg Med. 2020;10(Suppl 1):S38–S43. doi:10.1016/j.afjem.2020.04.006.
Vernick JS, Tung GJ, Kromm JN. Interventions to reduce risks associated with vehicle incompatibility. Epidemiologic Rev. 2012;34:57–64. doi:10.1093/epirev/mxr016.
Ruankham W, Noosorn N. Motorcycle accidents in Thailand: epidemiology perspective. [in Thai]. J Health Scie Welln. 2019;23(1):146-160
Siren A, Meng A. Cognitive screening of older drivers does not produce safety benefits. Accid Anal Prev. 2012;45:634–8. doi: 10.1016/j.aap.2011.09.032.