Temporal distribution of motorcyclist injuries and risk of fatalities in relation to age, helmet use, and riding while intoxicated in Khon Kaen, Thailand
Temporal distribution of motorcyclist injuries and risk of fatalities in relation to age, helmet use, and riding while intoxicated in Khon Kaen, Thailand
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DOI：
10.1016/j.aap.2005.04.001
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发表时间：
2005-09-01
影响因子：
5.9
通讯作者：
Wakai, S
中科院分区：
文献类型：
--
作者：
Nakahara, S;Chadbunchachai, W;Wakai, S
本研究调查了受伤的摩托车手，即骑不戴头盔或醉酒的危险行为的时间分布，并显示他们是如何与致命伤害的风险。在泰国东北部的孔敬市受伤并转移到孔敬地区医院的摩托车手的数据来自医院的创伤登记系统。病例死亡率按时间、年龄组、头盔使用和酒精中毒进行比较。不戴头盔的骑马在深夜达到顶峰，喝醉酒的骑马在午夜达到顶峰。按时间分层后，两者均与死亡风险增加相关;比值比分别为3.49（95%置信区间（CI）=1.48-9.36）和3.01（CI=1.71-5.19）。在按头盔使用或酒精中毒分层后，夜间受伤与死亡风险增加无显著相关性。不戴头盔驾驶在年轻司机中很普遍，与较高的死亡风险相关，而醉酒驾驶在青少年中不太普遍，但与20-39岁的风险增加相关。这项研究表明，不戴头盔或醉酒骑马可以解释夜间死亡风险的增加，这表明安全教育或执法应针对特定年龄组和适当的时间。(c)2005爱思唯尔有限公司保留所有权利。
This study investigated the temporal distribution of risky behaviors among injured motorcyclists, that is, riding unhelmeted or while intoxicated, and showed how they are associated with risk of fatal injuries. Data of motorcyclists injured in Khon Kaen municipality in northeastern Thailand and transferred to Khon Kaen Regional Hospital were obtained from the trauma registry system of the hospital. Case fatalities were compared by time of day, age group, helmet use, and alcohol intoxication. Unhelmeted riding peaked late in the evening and riding while intoxicated peaked around midnight. Both were associated with increased fatality risk after stratification by time of day; the odds ratios were 3.49 (95% confidence interval (CI)=1.48-9.36) and 3.01 (CI=1.71-5.19), respectively. Nighttime injuries were not significantly associated with increased fatality risk after stratification by helmet use or alcohol intoxication. Unhelmeted driving was prevalent and associated with higher fatality risk among younger drivers, whereas intoxicated driving was less prevalent among teens but associated with increased risk among those aged 20-39 years. This study shows that riding unhelmeted or while intoxicated can explain the increased fatality risk at night, suggesting that safety education or enforcements should be targeted at specific age groups and appropriate times. (c) 2005 Elsevier Ltd. All rights reserved.