Risk Factors of Motor Vehicle Road Traffic Injuries: A Meta-Analysis_Chinese Journal of Evidence-Based Medicine

Authors：

 CHENFang ¹ , LUOLe ¹ , YANGAo ¹ , NIEZhen-hong ¹ ,  ZHANGQing-jun ³ , GUOYi ^1,2

1. Department of Epidemiology, School of Public Health, Wuhan University, Wuhan 430071, China;
2. State Key Lab of Virology, Wuhan University, Wuhan 430071, China;
3. Department of Chronic Disease, CDC of Hubei Province, Wuhan 430079, China;

Corresponding author：

ZHANGQing-jun, Email: 349252291@qq.com

Keywords：

Road traffic injury; Risk factor; Meta-analysis

DOI：

10.7507/1672-2531.20140231

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Objective To systematically review the major risk factors of road traffic injuries, so as to provide scientific basis for road traffic injuries prevention strategies. Methods Such databases as PubMed, EMbase, The Cochrane Library, Springer, EBSCO, CBM, CNKI, VIP, and WanFang Data were searched from inception to March 31st, 2014, to collect case-control studies on the risk factors of motoring vehicle road traffic injuries. According to the inclusion and exclusion criteria, literature screening, data extraction, and methodological quality assessment were independently completed by two reviewers. Meta-analyses were performed using RevMan 5.2 software. Results Eighteen studies involving 368 845 motor vehicle drivers who had traffic accidents and 411 147 motor vehicle drivers who had no traffic accident were included. The results of meta-analysis showed that, the risk factors mainly included carelessness (OR=19.95, 95%CI 6.42 to 62.03), drunk driving (OR=9.36, 95%CI 4.62 to 18.95), driving without licence (OR=5.07, 95%CI 1.93 to 13.31), illegal operation (OR=4.87, 95%CI 1.98 to 11.93), fatigue driving (OR=4.08, 95%CI 3.21 to 5.18), and lack of driving experience (OR=3.81, 95%CI 2.08 to 6.97). Conclusion Carelessness, drunk driving, driving without licence, illegal operation, fatigue driving, and lack of driving experience are major risk factors of motor vehicle road traffic injuries in China. Controlling these risk factors can effectively reduce the incidence of motor vehicle road traffic injuries.

Citation： CHENFang, LUOLe, YANGAo, NIEZhen-hong, ZHANGQing-jun, GUOYi. Risk Factors of Motor Vehicle Road Traffic Injuries: A Meta-Analysis. Chinese Journal of Evidence-Based Medicine, 2014, 14(12): 1434-1441. doi: 10.7507/1672-2531.20140231 Copy

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2.	肖婷婷. 1991~2005年全国道路交通伤害流行趋势及影响因素分析.广州:暨南大学, 2007.
3.	段蕾蕾, 吴春眉, 邓晓, 等. 2006-2008年中国道路交通伤害状况分析.公共卫生与预防医学, 2010, 21(3):10-13.
4.	曾宪涛, 刘慧, 陈曦, 等. Meta分析系列之四:观察性研究的质量评价工具.中国循证心血管医学杂志, 2012, 4(4):297-299.
5.	赵磊.中国大陆人群冠心病危险因素及一级预防措施有效性的系统评价.武汉:武汉大学, 2012.
6.	余金明, 王迎春, 陈芳.道路交通伤害的病例对照研究.中华流行病学杂志, 2005, 26(5):344-347.
7.	刘改芬.沈阳市机动车道路交通伤害事故研究.北京:中国协和医科大学, 2003.
8.	刘海燕, 李凤芝, 张金太, 等.山东省黄岛区道路交通伤害危险因素的病例对照研究.预防医学论坛, 2008, 14(9):784-785, 788.
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11.	王剑.南宁市摩托车道路伤害危险因素的病例对照研究.南宁:广西医科大学, 2007.
12.	袁文兴, 宁福江, 张吉玉, 等.蓬莱市四轮机动车交通事故影响因素的非条件Logistic回归分析.预防医学论坛, 2008, 14(11):984-986.
13.	袁萍, 文进, 邓振华, 等.道路交通伤害的病例交叉研究.中华流行病学杂志, 2005, 26(8):600-603.
14.	赵鸣, 俞敏, 丛黎明, 等.浙江省道路交通伤害病例对照研究.中国预防医学杂志, 2011, 12(3):256-258.
15.	顾雯雯.浙江省五城区道路交通伤害危险因素的病例对照研究.宁波:宁波大学, 2011.
16.	Majdzadeh R, Khalagi K, Naraghi K, et al. Determinants of traffic injuries in drivers and motorcyclists involved in an accident. Accid Anal Prev, 2008, 40(1):17-23.
17.	Mao Y, Zhang J, Robbins G, et al. Factors affecting the severity of motor vehicle traffic crashes involving young drivers in Ontario. Inj Prev, 1997, 3(3):183-189.
18.	Connor J, Norton R, Ameratunga S, et al. Driver sleepiness and risk of serious injury to car occupants:population based case control study. BMJ, 2002, 324(7346):1125.
19.	Yau KK. Risk factors affecting the severity of single vehicle traffic accidents in Hong Kong. Accid Anal Prev, 2004, 36(3):333-340.
20.	Herman J, Kafoa B, Wainiqolo I, et al. Driver sleepiness and risk of motor vehicle crash injuries:a population-based case control study in Fiji (TRIP 12). Injury, 2014, 45(3):586-591.
21.	Moskal A, Martin J L, Laumon B. Risk factors for injury accidents among moped and motorcycle riders. Accid Anal Prev, 2012, 49:5-11.
22.	Woratanarat P, Ingsathit A, Suriyawongpaisal P, et al. Alcohol, illicit and non-illicit psychoactive drug use and road traffic injury in Thailand:a case-control study. Accid Anal Prev, 2009, 41(3):651-657.
23.	Blows S, Ivers RQ, Connor J, et al. Unlicensed drivers and car crash injury. Traffic Inj Prev, 2005, 6(3):230-234.
24.	董爱虎, 杨莉, 张海英, 等.柳州市2004~2009年城市道路交通伤害的流行病学研究.现代预防医学, 2012, (20):5223-5225, 5229.
25.	王声勇, 主编.伤害流行病学.第1版.北京:人民卫生出版社, 2003.
26.	Movig KL, Mathijssen MP, Nagel PH, et al. Psychoactive substance use and the risk of motor vehicle accidents. Accid Anal Prev, 2004, 36(4):631-636.
27.	Ann MD, Ruth AS, Mph FR. Handbook of Injury and Violence Prevention:Interventions to Prevent Motor Vehicle Injuries, US:Springer US, 2007:55-79.

1. 王正国.道路交通伤近况——来自世界卫生组织的报告.中华创伤杂志, 2001, 17(8):4-6.
2. 肖婷婷. 1991~2005年全国道路交通伤害流行趋势及影响因素分析.广州:暨南大学, 2007.
3. 段蕾蕾, 吴春眉, 邓晓, 等. 2006-2008年中国道路交通伤害状况分析.公共卫生与预防医学, 2010, 21(3):10-13.
4. 曾宪涛, 刘慧, 陈曦, 等. Meta分析系列之四:观察性研究的质量评价工具.中国循证心血管医学杂志, 2012, 4(4):297-299.
5. 赵磊.中国大陆人群冠心病危险因素及一级预防措施有效性的系统评价.武汉:武汉大学, 2012.
6. 余金明, 王迎春, 陈芳.道路交通伤害的病例对照研究.中华流行病学杂志, 2005, 26(5):344-347.
7. 刘改芬.沈阳市机动车道路交通伤害事故研究.北京:中国协和医科大学, 2003.
8. 刘海燕, 李凤芝, 张金太, 等.山东省黄岛区道路交通伤害危险因素的病例对照研究.预防医学论坛, 2008, 14(9):784-785, 788.
9. 吴蔚, 张永青, 黄明豪, 等.机动车驾驶员道路交通伤害危险因素分析.中国公共卫生, 2008, 24(6):723-724.
10. 牟祎, 袁萍.机动车驾驶员道路交通伤害危险因素的病例对照研究.现代预防医学, 2006, 33(5):752-754.
11. 王剑.南宁市摩托车道路伤害危险因素的病例对照研究.南宁:广西医科大学, 2007.
12. 袁文兴, 宁福江, 张吉玉, 等.蓬莱市四轮机动车交通事故影响因素的非条件Logistic回归分析.预防医学论坛, 2008, 14(11):984-986.
13. 袁萍, 文进, 邓振华, 等.道路交通伤害的病例交叉研究.中华流行病学杂志, 2005, 26(8):600-603.
14. 赵鸣, 俞敏, 丛黎明, 等.浙江省道路交通伤害病例对照研究.中国预防医学杂志, 2011, 12(3):256-258.
15. 顾雯雯.浙江省五城区道路交通伤害危险因素的病例对照研究.宁波:宁波大学, 2011.
16. Majdzadeh R, Khalagi K, Naraghi K, et al. Determinants of traffic injuries in drivers and motorcyclists involved in an accident. Accid Anal Prev, 2008, 40(1):17-23.
17. Mao Y, Zhang J, Robbins G, et al. Factors affecting the severity of motor vehicle traffic crashes involving young drivers in Ontario. Inj Prev, 1997, 3(3):183-189.
18. Connor J, Norton R, Ameratunga S, et al. Driver sleepiness and risk of serious injury to car occupants:population based case control study. BMJ, 2002, 324(7346):1125.
19. Yau KK. Risk factors affecting the severity of single vehicle traffic accidents in Hong Kong. Accid Anal Prev, 2004, 36(3):333-340.
20. Herman J, Kafoa B, Wainiqolo I, et al. Driver sleepiness and risk of motor vehicle crash injuries:a population-based case control study in Fiji (TRIP 12). Injury, 2014, 45(3):586-591.
21. Moskal A, Martin J L, Laumon B. Risk factors for injury accidents among moped and motorcycle riders. Accid Anal Prev, 2012, 49:5-11.
22. Woratanarat P, Ingsathit A, Suriyawongpaisal P, et al. Alcohol, illicit and non-illicit psychoactive drug use and road traffic injury in Thailand:a case-control study. Accid Anal Prev, 2009, 41(3):651-657.
23. Blows S, Ivers RQ, Connor J, et al. Unlicensed drivers and car crash injury. Traffic Inj Prev, 2005, 6(3):230-234.
24. 董爱虎, 杨莉, 张海英, 等.柳州市2004~2009年城市道路交通伤害的流行病学研究.现代预防医学, 2012, (20):5223-5225, 5229.
25. 王声勇, 主编.伤害流行病学.第1版.北京:人民卫生出版社, 2003.
26. Movig KL, Mathijssen MP, Nagel PH, et al. Psychoactive substance use and the risk of motor vehicle accidents. Accid Anal Prev, 2004, 36(4):631-636.
27. Ann MD, Ruth AS, Mph FR. Handbook of Injury and Violence Prevention:Interventions to Prevent Motor Vehicle Injuries, US:Springer US, 2007:55-79.

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