More than 32,000 motorists are killed on U.S. roads and streets annually, and approximately 54% of the accidents occur on rural roads. In an attempt to address and reduce these fatalities, the current transportation a...More than 32,000 motorists are killed on U.S. roads and streets annually, and approximately 54% of the accidents occur on rural roads. In an attempt to address and reduce these fatalities, the current transportation act, the Safe, Accountable, Flexible, Efficient Transportation Equality Act: A Legacy for Users (SAFETY-LU), elevated the Highway Safety Improvement Program (HSIP) to a core program and included a $90,000,000 High-Risk Rural Road Program (HRRRP) to address and significantly reduce traffic fatalities and incapacitating injuries on rural major or minor collectors, and/or rural local roads. While there were many challenges to properly implement the HRRRP in counties, this study provided important information that was needed to identify the predominant crash types on HRRRP-eligible roads and compiled a list of countermeasures for the predominant crash types that were identified on Kansas’ high-risk rural roads. For the gathered countermeasures, crash reduction factors (CRFs) were also provided from the literature review, and their values were validated by conducting interviews with Kansas county engineers/officials. This study provided valuable information for the county engineers and local government officials while they worked on improving the safety of high-risk rural roads using HRRRP funds.展开更多
Introduction: In 21st century, road traffic accidents (RTA) are considered as increasing epidemic of non-communicable disease which is abandoned and needs special attention to prevent them. The aim of this study was t...Introduction: In 21st century, road traffic accidents (RTA) are considered as increasing epidemic of non-communicable disease which is abandoned and needs special attention to prevent them. The aim of this study was to assess the factors and pattern of injuries associated with road traffic accidents. Methods: A cross sectional study was conducted among 112 RTA victims and 56 drivers in Palpa District of Nepal. The association of factors and pattern of injuries with exposure to accidents was assessed using Fisher’s exact test. Bivariate logistic regression examined the association between driving and socio-demographics factors and exposure to road accidents. Results: Of 112 RTA victims, 50% were in the age group of 21 to 40 years and 71.4% were male. Drivers who were in the age less than or equal to 30 years were more likely (OR: 3.6;95% CI: 1.0, 14.3) to expose to an accident than those who were above 30 years. Similarly, those having driving speed less than 40 km/hr were less likely to expose to an accident than those with speed 40 - 60 km/hr (OR: 6.0;95% CI: 0.8, 73.5) and those with speed more than 60 km/hr (OR 7.8;95% CI: 1.0, 100.1). Moreover, the driving experience was also found positively associated (OR: 5.6;95% CI: 1.1, 35.5) with the exposure to an accident. Conclusion: Being in younger age group, male gender, morning time, the driving speed, driving experiences, and driving hours on the road were positively associated with RTA. The efforts should be made to enforce laws in control of speed targeting experienced drivers and those with younger age groups.展开更多
Introduction: Road traffic put people at risks and needs health education to avoid accidents and deaths. This article aimed to build up a typology of public road accidents (public road accidents) and risk factors asso...Introduction: Road traffic put people at risks and needs health education to avoid accidents and deaths. This article aimed to build up a typology of public road accidents (public road accidents) and risk factors associated with in the provincial city of Kinshasa and its peripheral cities (Kasangulu and Mongata), to identify the profiles of the vehicles and people involved in these public road accidents. Method: We conducted a prospective eco-analytical study on a stratified random sample whose size was determined by the Fischer formula. Results: Overall, from March to May 2017, we witnessed an incidence of public road accidents cases ranging from 139 public road accidents cases in the city province of Kinshasa and its two peripheral areas: road axes of high concentration: Rte Blvd Lumumba-Airport;Rte Poids Lourd-Pont Matete, the axes of medium concentration: Rte N21-IMBU, Rte Blvd 30 juin-socimat;Rte Matadi-Kasangulu toll;Rte Université-Intendance, Rte By Pass-triangle Maman Mobutu-Kintambo (Rte-Matadi)-Toll/lère virage-Triangle Maman Mobutu and those of low concentration were: Rte du tourisme/Mimoza-Mbudi;Rte Matadi-Terrain Siwabanza. Conclusion: In these areas, public road accidents are a real public health problem that deserves sustained attention from all and especially from decision makers. Interventions must concern the HVE accident complex.展开更多
文摘More than 32,000 motorists are killed on U.S. roads and streets annually, and approximately 54% of the accidents occur on rural roads. In an attempt to address and reduce these fatalities, the current transportation act, the Safe, Accountable, Flexible, Efficient Transportation Equality Act: A Legacy for Users (SAFETY-LU), elevated the Highway Safety Improvement Program (HSIP) to a core program and included a $90,000,000 High-Risk Rural Road Program (HRRRP) to address and significantly reduce traffic fatalities and incapacitating injuries on rural major or minor collectors, and/or rural local roads. While there were many challenges to properly implement the HRRRP in counties, this study provided important information that was needed to identify the predominant crash types on HRRRP-eligible roads and compiled a list of countermeasures for the predominant crash types that were identified on Kansas’ high-risk rural roads. For the gathered countermeasures, crash reduction factors (CRFs) were also provided from the literature review, and their values were validated by conducting interviews with Kansas county engineers/officials. This study provided valuable information for the county engineers and local government officials while they worked on improving the safety of high-risk rural roads using HRRRP funds.
文摘Introduction: In 21st century, road traffic accidents (RTA) are considered as increasing epidemic of non-communicable disease which is abandoned and needs special attention to prevent them. The aim of this study was to assess the factors and pattern of injuries associated with road traffic accidents. Methods: A cross sectional study was conducted among 112 RTA victims and 56 drivers in Palpa District of Nepal. The association of factors and pattern of injuries with exposure to accidents was assessed using Fisher’s exact test. Bivariate logistic regression examined the association between driving and socio-demographics factors and exposure to road accidents. Results: Of 112 RTA victims, 50% were in the age group of 21 to 40 years and 71.4% were male. Drivers who were in the age less than or equal to 30 years were more likely (OR: 3.6;95% CI: 1.0, 14.3) to expose to an accident than those who were above 30 years. Similarly, those having driving speed less than 40 km/hr were less likely to expose to an accident than those with speed 40 - 60 km/hr (OR: 6.0;95% CI: 0.8, 73.5) and those with speed more than 60 km/hr (OR 7.8;95% CI: 1.0, 100.1). Moreover, the driving experience was also found positively associated (OR: 5.6;95% CI: 1.1, 35.5) with the exposure to an accident. Conclusion: Being in younger age group, male gender, morning time, the driving speed, driving experiences, and driving hours on the road were positively associated with RTA. The efforts should be made to enforce laws in control of speed targeting experienced drivers and those with younger age groups.
文摘Introduction: Road traffic put people at risks and needs health education to avoid accidents and deaths. This article aimed to build up a typology of public road accidents (public road accidents) and risk factors associated with in the provincial city of Kinshasa and its peripheral cities (Kasangulu and Mongata), to identify the profiles of the vehicles and people involved in these public road accidents. Method: We conducted a prospective eco-analytical study on a stratified random sample whose size was determined by the Fischer formula. Results: Overall, from March to May 2017, we witnessed an incidence of public road accidents cases ranging from 139 public road accidents cases in the city province of Kinshasa and its two peripheral areas: road axes of high concentration: Rte Blvd Lumumba-Airport;Rte Poids Lourd-Pont Matete, the axes of medium concentration: Rte N21-IMBU, Rte Blvd 30 juin-socimat;Rte Matadi-Kasangulu toll;Rte Université-Intendance, Rte By Pass-triangle Maman Mobutu-Kintambo (Rte-Matadi)-Toll/lère virage-Triangle Maman Mobutu and those of low concentration were: Rte du tourisme/Mimoza-Mbudi;Rte Matadi-Terrain Siwabanza. Conclusion: In these areas, public road accidents are a real public health problem that deserves sustained attention from all and especially from decision makers. Interventions must concern the HVE accident complex.
