Impact of Mandatory Motorcycle Helmet Wearing Legislation on Head Injuries in Viet Nam: Results of a Preliminary Analysis
Impact of Mandatory Motorcycle Helmet Wearing Legislation on Head Injuries in Viet Nam: Results of a Preliminary Analysis
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DOI：
10.1080/15389580903497121
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发表时间：
2010-01-01
影响因子：
2
通讯作者：
Nguyen Phuong Nam
中科院分区：
文献类型：
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作者：
Passmore, Jonathon;Nguyen Thi Hong Tu;Nguyen Phuong Nam
目的：比较道路交通伤害患者入院，之前和之后的强制性头盔法在Vietnam.Methods：之前和之后的所有道路交通伤害患者入院20个省级和中央医院3个月的新的法律生效后，2007年12月15日的头部受伤的研究估计患病率。计算出相对危险度，并对新法实施前后3个月的时间进行比较。结果：研究发现，道路交通头部受伤的风险降低了16（4683 ~ 3522），相对危险度0.84; 95%置信区间[CI] 0.81-0.87），道路交通死亡风险降低18%（住院死亡加上出院后在家中死亡的受伤患者; 566比417; RR 0.82; 95%CI 0.73-0.93）。在全面强制性头盔立法的头3个月里，20家医院收治的患者中道路交通头部受伤的风险显著降低。越南政府要求所有摩托车骑手和乘客佩戴头盔的决定被怀疑会带来积极的道路安全效益，应被视为其他摩托车运输使用率较高的中低收入国家的政策榜样。
Objective: To compare estimated prevalence of head injuries among road traffic injury patients admitted to hospitals, before and after the introduction of a mandatory helmet law in the Socialist Republic of Viet Nam.Methods: Before and after study of all road traffic injury patients with head injuries admitted to 20 provincial and central hospitals 3 months before and after the new law came into effect on 15 December 2007. Relative risk was computed and comparison made for the periods of 3 months before and after the new law.Results: The study found a 16 percent reduction in the risk of road traffic head injuries (4683 to 3522; relative risk [RR] 0.84; 95% confidence interval [CI] 0.81-0.87) and an 18 percent reduction in the risk of road traffic death (deaths in hospital plus injured patients discharged to die at home; 566 to 417; RR 0.82; 95% CI 0.73-0.93).Conclusions: Over the first 3 months of the comprehensive mandatory helmet legislation there has been a significant reduction in the risk of road traffic head injuries among patients admitted to 20 hospitals. The Viet Nam Government's decision to require all motorcycle riders and passengers to wear helmets is suspected of leading to positive road safety benefits and should be seen as a policy example for other low-and middle-income countries with a high utilization of motorcycles for transport.