Masumeh Daliri; Hesamuddin Taheri; Mohammad Fararouei
Abstract
Background: The incidence of traffic accidents in Iran is significantly higher than the global average (more than 17000 deaths a year, mostly young adults). The aim of this study was to determine the risk factors of high-risk drivers based on their observable driving behaviors, police records, and car ...
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Background: The incidence of traffic accidents in Iran is significantly higher than the global average (more than 17000 deaths a year, mostly young adults). The aim of this study was to determine the risk factors of high-risk drivers based on their observable driving behaviors, police records, and car condition in Fars province (Iran).Methods: In this case-control study, an interviewer interviewed a random sample (about 1 in 5 of the drivers) of all drivers who were referred to Shiraz traffic accident court from March 21, 2021, to June 21, 2021, due to being involved in a traffic accident. Based on the police report, we interviewed at-fault drivers who caused injurious or fatal traffic accidents as the case group (200 at-fault drivers) and those not-at-fault drivers as the control group (200 not-at-fault drivers). No matching was done. Data were collected using a researcher-made questionnaire filled out through face-to-face interviews with the drivers. Using univariate and multivariate logistic regression, the statistical analyses were conducted in R 4.0.2 software.Results: In this study, a total of 400 drivers were interviewed, of whom 367 (91.8%) were male. The mean ages of the case and control groups were 32.35 years (SD=9.84) and 31.75 (SD=10.33) years, respectively (P>0.05). In addition, 102 (51.0%) and 95 (47.5%) drivers were married in the case and control groups, respectively. Based on the results of a multiple logistic regression model, statistically significant associations were observed between the risk of being the at-fault driver in an injurious or fatal traffic accident and receiving a traffic ticket due to speedingovertaking (ORspeeding overtaking/no ticket=3.38, 95%CI: 1.75, 6.49, P<0.001), self-reported high-speed driving (ORyes/no=2.41, 95%CI: 1.25, 4.63, P=0.008), and having a history of car accident within the recent two years (ORyes/no=1.87, 95%CI: 1.11, 3.14, P=0.017).Conclusion: Our study suggested that among several potential factors, recently receiving traffic tickets due to speeding or overtaking, self-reported speed driving, and recent car accidents may effectively be used to screen out high-risk drivers who will probably cause injurious or fatal car accidents in the future. Intervention measures for the defined high-risk drivers including closer supervision and training programs may reduce the risk of fatal accidents in Iran.
Farzaneh Mobasheri; Gholamhossein Shahraki; Roksana Estakhrian Haghighi; Mohammad Fararouei
Abstract
Background: The incidence of accidents, its types and leading causes are largely varied in different communities and within different ages. This survey investigated the incidence and types of injury after accidents in adolescent girls with regard to the parents' socio-economic status, schooling and health-related ...
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Background: The incidence of accidents, its types and leading causes are largely varied in different communities and within different ages. This survey investigated the incidence and types of injury after accidents in adolescent girls with regard to the parents' socio-economic status, schooling and health-related behaviors. Methods: This cross-sectional study was conducted among 8159 high school girl aged 11-19 years, using a self-administered questionnaire. Demographic information, parents' socio-economic status, schooling and health-related behaviors, any accident causing the student to seek medical care during the year before the time of completing the questionnaire, the place, the cause and the body area injured in the accident were asked by single item scales. Results: The annual incidence of injury was about 4.4%. Of the total accidents, the most common type was car accident (45%). The most common affected body sites were legs (25.7%) and hands (%18.7); the most common place besides streets (31%) where the accidents happened was home (%19). Multivariate logistic regression revealed higher chances of injury among urban residences, those with lower school grades, those exposed to second-hand tobacco smoke, and those who spend more time with friends (P Conclusion: The findings suggested that accidents among adolescent girls are affected by different aspects of life, most of which being modifiable. Most accidents can be prevented if appropriate strategies and intervention programs are applied. For example, providing safer streets, homes and environment and public education are possibly the most effective measures.