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Cited by Other Article(s)

Vinish V, Chakrabarty J, Vijayan S, Nayak BS, Shashidhara YN, Kulkarni M, Noronha JA. Prevalence of road traffic injuries in South East and South Asian region - A systematic review. J Neurosci Rural Pract 2023;14:214-223. [PMID: 37181173 PMCID: PMC10174148 DOI: 10.25259/jnrp_25_2022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Accepted: 01/31/2023] [Indexed: 03/06/2023] Open

Abstract

Background

South and South-East Asian countries report a great liability for the world's road traffic injuries (RTIs) and deaths. A vast number of research studies tested various interventions including specific protective devices to prevent accidents, but no review papers have been conducted to find out the prevalence of RTIs in South-East and South Asian countries.

Objective

This review paper was an attempt to find out the prevalence of RTIs and their associated factors in South-East and South Asian countries.

Methods

Following the guidelines of Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA), we searched the articles in the electronic databases of PubMed/Medline, Scopus, CINAHL, ProQuest, and Web of Science. Articles were selected if they reported the prevalence of RTI, or road traffic accident (RTA) deaths. In addition, a data quality assessment was done.

Results

Out of the 10,818 article hits from the literature search, ten articles found the eligibility and inclusion criteria. Most of the studies reported that males are involved in the RTIs more than females. The male mortality rate is more than the female mortality in RTI mortality. Young adult males are the major victims when compared with the different age groups of male victims. Two-wheelers are the major contributors to the accident rate. Religious or national festivals are not free from accident-prone times. Climatic seasons and nighttime have a major influence on the RTIs. RTIs are increasing due to the sudden and huge increase in the number of motor vehicles and the development of cities and towns.

Conclusion

Accidents are non-predictable but controllable disasters in society. Overspeeding, bad conditions on road, the vulnerability of the vehicles, and careless driving are the major reported reasons for RTIs. Making and implementing strict laws can help us to control RTAs. The major effect on the reduction of RTI can be assured only with the presence of responsible people. That can be achieved only by creating awareness in society about traffic rules and responsibilities.

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Md Isa Z, Ismail NH, Ismail R, Mohd Tamil A, Ja’afar MH, Mat Nasir N, Miskan M, Zainol Abidin N, Ab Razak NH, Yusof KH. Assessing Factors Associated with Non-Fatal Injuries from Road Traffic Accidents among Malaysian Adults: A Cross-Sectional Analysis of the PURE Malaysia Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022;19:ijerph19148246. [PMID: 35886098 PMCID: PMC9320634 DOI: 10.3390/ijerph19148246] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Revised: 06/30/2022] [Accepted: 07/03/2022] [Indexed: 12/04/2022]

Abstract

Non-fatal injuries (NFIs) due to road traffic accidents (RTAs) are a public health problem worldwide that significantly impacts the population morbidity and healthcare costs. As the demands for vehicles in developing countries, such as Malaysia, is increasing annually, the present study aims to determine the prevalence and factors associated with NFIs due to RTAs among Malaysia’s adult population. Methods: This was a cross-sectional study involving 15,321 participants from the Prospective Urban and Rural Epidemiological (PURE) study conducted in Malaysia. Participants reported whether they had experienced an NFI that limited their normal activities within the past 12 months. Data on risk factors for NFIs were elicited. Multiple logistic regression models were fitted to identify the associated factors. Results: Overall, 863 participants (5.6% of 15,321) reported at least 1 NFI in the past 12 months, with 303 caused by RTAs (35.1%), 270 caused by falls (31.3%) and 290 attributed to other causes (33.6%). The factors associated with higher odds of sustaining an NFI due to an RTA were being male (adjusted odd ratio (AOR) 2.08; 95% CI 1.33–3.26), having a primary (2.52; 1.40–4.55) or secondary (2.64; 1.55–4.49) level of education, being overweight to obese (1.40; 1.01–1.94), being currently employed (2.03; 1.31–3.13) and not practicing a noon nap/siesta (1.38; 1.01–1.89). Conclusions: The occurrence of NFIs due to RTAs is highly preventable with strategic planning aimed at reducing the risk of RTAs among the Malaysian population. Interventions focusing on protecting road users, especially those who drive two-wheelers, with proactive road safety awareness and literacy campaigns, combined with strict enforcement of the existing traffic laws and behavioural modifications, may reduce the risk of NFIs following RTAs.

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Affiliation(s)

Zaleha Md Isa Department of Community Health, Faculty of Medicine, UKM Medical Centre, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur 56000, Malaysia; (Z.M.I.); (R.I.); (A.M.T.); (M.H.J.); (N.Z.A.); (N.H.A.R.); (K.H.Y.)
Noor Hassim Ismail Department of Community Health, Faculty of Medicine, UKM Medical Centre, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur 56000, Malaysia; (Z.M.I.); (R.I.); (A.M.T.); (M.H.J.); (N.Z.A.); (N.H.A.R.); (K.H.Y.) Correspondence: ; Tel.: +60-3-9145-8408
Rosnah Ismail Department of Community Health, Faculty of Medicine, UKM Medical Centre, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur 56000, Malaysia; (Z.M.I.); (R.I.); (A.M.T.); (M.H.J.); (N.Z.A.); (N.H.A.R.); (K.H.Y.)
Azmi Mohd Tamil Department of Community Health, Faculty of Medicine, UKM Medical Centre, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur 56000, Malaysia; (Z.M.I.); (R.I.); (A.M.T.); (M.H.J.); (N.Z.A.); (N.H.A.R.); (K.H.Y.)
Mohd Hasni Ja’afar Department of Community Health, Faculty of Medicine, UKM Medical Centre, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur 56000, Malaysia; (Z.M.I.); (R.I.); (A.M.T.); (M.H.J.); (N.Z.A.); (N.H.A.R.); (K.H.Y.)
Nafiza Mat Nasir Department of Primary Care Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sungai Buloh Campus, Selangor Branch, Sungai Buloh 47000, Selangor, Malaysia;
Maizatullifah Miskan Department of Primary Care Medicine, Faculty of Medicine and Defence Health, National Defence University of Malaysia, Sungai Besi, Kuala Lumpur 57000, Malaysia;
Najihah Zainol Abidin Department of Community Health, Faculty of Medicine, UKM Medical Centre, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur 56000, Malaysia; (Z.M.I.); (R.I.); (A.M.T.); (M.H.J.); (N.Z.A.); (N.H.A.R.); (K.H.Y.)
Nurul Hafiza Ab Razak Department of Community Health, Faculty of Medicine, UKM Medical Centre, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur 56000, Malaysia; (Z.M.I.); (R.I.); (A.M.T.); (M.H.J.); (N.Z.A.); (N.H.A.R.); (K.H.Y.)
Khairul Hazdi Yusof Department of Community Health, Faculty of Medicine, UKM Medical Centre, Universiti Kebangsaan Malaysia, Cheras, Kuala Lumpur 56000, Malaysia; (Z.M.I.); (R.I.); (A.M.T.); (M.H.J.); (N.Z.A.); (N.H.A.R.); (K.H.Y.)

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