Experience of living near a highway in Nepal: Community perceptions of road dangers in Makwanpur district.

Experience of living near a highway in Nepal: Community perceptions of road dangers in Makwanpur district.
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DOI:
10.1016/j.jth.2022.101337
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发表时间:
2022-03
影响因子:
3.6
通讯作者:
Mytton J
Mytton J
中科院分区:
医学3区
文献类型:
--
作者:
Joshi E;Gautam P;Khadka A;Pilkington P;Parkin J;Joshi SK;Mytton J

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道路交通伤害是一项重大但被忽视的全球挑战。尼泊尔的道路交通伤害率很高,而且还在上升。在尼泊尔,报告这些伤害的大多数研究都使用了量化的方法来描述伤害负担。很少进行定性研究来描述围绕坠机的背景和社会过程,或公众对风险和潜在解决方案的看法。这项研究的目的是探索居住在尼泊尔一条主要高速公路沿线的社区对道路危险的看法。在这项定性研究中,我们招募了社区发展委员会和一个母亲小组的成员参加重点小组,探讨他们的观点。对数据进行录音、转录、翻译和主题分析。有34名年龄在24-65岁的参与者参加了四个焦点小组。我们的研究结果突出了住在主干道附近的人们所面临的挑战,以及他们对在道路上受伤的恐惧。出现的五个主题是:道路使用者的危险行为、促进更安全行为的基础设施、道路和车辆状况和维护不善、遵守和执行交通法规有限,以及需要开展提高道路安全意识方案。社区团体对其社区成员和居住的成员的安全表示多重关切--担心他们所居住的道路上的死伤。政府机构迫切需要了解这些关切,并在基础设施提供、监管和行为改变方案方面采取行动。居住在尼泊尔高速公路附近的社区担心交通堵塞和伤亡风险。社区团体认为自己在安全教育中发挥了作用,提高了人们对改变行为的认识。居民们表示,迫切需要政府机构倾听他们的关切,采取行动。
Road traffic injuries are a major but neglected global challenge. There are high and rising rates of road traffic injuries in Nepal. Most of the studies reporting these injuries in Nepal have used quantitative methods to describe the injury burden. Little qualitative research has been conducted to describe the contexts and social processes surrounding crashes, or public perceptions of risks and potential solutions. The aim of this study was to explore the perceptions of road dangers from communities living alongside a major highway in Nepal. In this qualitative study we recruited members of neighbourhood development committees and a mother’s group to take part in focus groups exploring their views. Data were audio-recorded, transcribed, translated and analysed thematically. Four focus groups were conducted involving 34 participants aged 24-65. Our study findings highlight the challenges faced by people living near a major highway and their fear of getting injured on the road. Five themes that emerged were: risky behaviours of road users, infrastructure for safer behaviour, poor condition and maintenance of roads and vehicles, limited adherence and enforcement of traffic laws, and the need for road safety awareness programmes. The community groups expressed multiple concerns regarding the safety of members of their communities and lived-in fear of death and injury on the road where they lived. There is an urgent need for government agencies to understand these concerns and to take action in relating to infrastructure provision, regulation and behavioural change programmes. Communities living near highways in Nepal fear traffic and the risk of injury or death. Community groups perceive themselves to have a role in safety education for increasing awareness to bring behaviour change. Residents expressed the urgent need of government agencies to listen to their concerns and take action.
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