The impact of temperature, rainfall, and health worker density index on road traffic fatalities in Pakistan

A road traffic accident is a burning issue because the cost of road accidents is about 2% of gross domestic product in Pakistan. This paper explores the relationship between health force density index, temperature, rainfall, road lengths, and road traffic fatalities in Pakistan from 1985 to 2016. The stationarity was determined with the help of four-unit root tests. The existence of long-run cointegration was determined by using the autoregressive distributing lag bound test. The vector error correction model showed the long-run causality of road traffic fatalities, which implies that road traffic fatalities were affected by selected variables in the long-run. The short-run unidirectional causality was running from road traffic fatalities to health force density index; temperature to health force density index; rainfall to health force density index; health force density index to rainfall; road traffic fatalities to high type road length; health force density index to high type road length; and temperature to high type roads. The reduction in road fatalities was 1.713% due to a 1% increase in health force density. But, road fatalities increase by 3.628% due to a 1% increase in temperature. The road fatalities increase by 0.255% and 0.485% due to a 1% increase in rainfall and high type road length, respectively. The governments should increase the number of doctors and nurses for the life-saving of an injured person. Due to the adverse impact of temperature on road safety, the government should formulate a comprehensive environmental policy in order to mitigate global warming. It is recommended to increase the forest area to reduce the level of emission. It is required to modify the system of transportation according to the guidelines of international transportation associations with respect to the quality and maintenance of vehicles, medical check-up of drivers, and construction of roads. Installation of speed cameras is also needed on high type roads to ensure road safety. It is also recommended to increase traffic law enforcement. It is difficult for the Pakistani government to effectively execute road safety plans due to the limitation of resources. However, the government should invest the revenue collected through tax violation fine for the improvement in road safety. It is also needed to invest in the health sector and up-gradation of the hospitals for the safety of human beings. The government should ensure the availability of the latest medical technology in the hospitals and the improvement of emergency services. It is required to develop coordination between various ministries such as transportation, planning, law, education, public health, and information. It is necessary to make the public aware of the social and economic cost of road accidents using electronic, print, and social media. Graphical abstract.

Determinants of speeding among new generations of car drivers from the Arabian Peninsula. An investigation based among Omani drivers using the theory of planned behaviour

In high-income countries of the Arabian Peninsula, including the Sultanate of Oman, motorization has been extremely rapid. As a result, road traffic crashes are by far the highest cause of premature mortality, and speeding is an acknowledged key risk factor. Theory-based interventions are needed to target prevention of this unsafe practice. This study sheds light on determinants of speeding among new generations of Omani drivers applying the Theory of Planned Behaviour (TPB). A questionnaire covering all five main constructs of the TPB was first contextualized and administered to two target groups: male drivers of all ages (n = 1107) approached in person when renewing their driving license and university students drivers (men and women) reached through internet contact (n = 655). Multiple, stepwise linear regression analyses were used to explore factors associated with speeding. Results indicate that driving fast and not respecting the posted speed limits was common in both groups of drivers, although rates were higher among students; 41.8% reported driving a bit faster than other drivers and 24.1% faster than the posted speed limit compared with 31.4% and 14.2% in male drivers of all ages. In both groups the TPB model predicted to a limited extent the determinants of speeding behaviour. However, the intention to speed was associated with a negative attitude towards the respect of rules for men of all ages (β = -0.30 (p<0.001)) and for students (β = -0.26 (p<0.001)); a positive view regarding subjective norms (β = 0.25 (p<0.001) and β = 0.28 (p<0.001) respectively), and behavioural control (β = 0.15 (p<0.001) and β = 0.20 (p<0.001) respectively). Intention was the only significant predictor of speeding behaviour (β = 0.48 (p<0.001); and β = 0.64 (p<0.001)). To conclude, speeding is widespread among Omani drivers of all ages and the intention to respect posted speed limits meets a range of barriers that need greater consideration in order to achieve a better safety culture in the country.

Road traffic fatalities and its determinants in high-income countries: a continent-wise comparison

Road traffic accidents (RTAs) are accountable for 1.2 million deaths and road safety is the part of sustainable development goals, which aims to provide a safe, accessible, affordable, and sustainable transport system by 2030. This study discovered the nexus of road traffic fatalities (RTFs) with its determinants in Asia, Europe, and America. Vector error correction model established the causality of RTFs (Asia, Europe), urbanization (Asia), physicians (Asia, Europe), traffic law enforcement index (Europe, America), vehicles (America), and paved roads (America). Short-run bidirectional causality of RTFs was established with educational expenditures (Asia, Europe), GNI (Europe), and urbanization (Europe). The fall in RTFs was 0.359% (Europe) and 0.957% (America) for 1% rise in GNI. The RTFs were decreased by 0.498% (Europe) and 0.390% (America) due to 1% rise in urbanization. Education shows 0.952% reduction in RTFs in Europe. The 1% increase in the number of physicians causes 0.793% reduction in RTFs in America. The RTFs were increased by 0.617% and 1.705% for 1% rise in the number of vehicles in Asia and America. The fall in RTFs was 3.604%, 0.134%, and 0.950% for 1% rise in paved roads in Asia, Europe, and America, respectively. Results show a reduction of 0.744% (Asia), 0.712% (Europe), and 0.312% (America) in RTFs due to 1% increase in traffic law enforcement index. The governments of all countries should expand and improve their paved road network and increase the enforcement of traffic laws. The government should make strict traffic laws like regular inspection of vehicles, strict inspection for the driving license, electronic challan, and medical fitness of drivers. The government should ensure the medical checkup of drivers at subsidized rates. It is useful to include the traffic rules in the educational syllabus due to the significant role of law enforcement in road safety. The government should use different media channels for the awareness of the public about loss due to road accidents.

General dependencies and causality analysis of road traffic fatalities in OECD countries

The road traffic accidents were responsible for material and human loss which was equal to 2.8 to 5% of gross national product (GNP). However, literature does not explore the elasticity coefficients and nexus of road traffic fatalities with foreign direct investment, health expenditures, trade openness, mobile subscriptions, the number of researchers in R&D department, and environmental particulate matter. This study filled this research gap by exploring the nexus between road traffic fatalities, foreign direct investment, health expenditures, trade openness, mobile subscriptions, the number of researchers, and environmental particulate matter in Organization for Economic Cooperation and Development (OECD) countries by using panel data from 1995 to 2015. The panel Autoregressive Distributed Lag (ARDL) bound test was used for the detection of cointegration between the variables after checking the stationarity in selected variables with different panel unit root tests. Panel vector error correction model explored the causality of road traffic fatalities, foreign direct investment, PM2.5 in the environment, and trade openness in the long run. Road traffic fatalities showed short run bi-directional causality with foreign direct investment and health expenditures. The short run bi-directional causality was also observed between trade and foreign direct investment and cellular mobile subscriptions and foreign direct investment. The panel fully modified ordinary least square (FMOLS) and panel dynamic ordinary least square (DOLS) showed the 0.947% reduction in road fatalities for 1% increase in the health expenditures in OECD countries. The significant reduction in road fatalities was also observed due to 1% increase in trade openness and researchers in R&D, which implies the importance of trade and research for road safety. It is required to invest in the health sector for the safety of precious human lives like the hospitals with latest medical equipment and improvement in the emergency services in the country. The research and development activities should be enhanced especially for the health and transportation sectors. The trade of environment-friendly technology should be promoted for the protection of environment.

Road safety perspectives among employees of a multinational corporation in urban India: local context for global injury prevention

In rapidly developing economies, like urban India, where road traffic injury rates are among the world's highest, the corporate workplace offers a non-traditional venue for road safety interventions. In partnership with a major multinational corporation (MNC) with a large Indian workforce, this study aimed to elicit local employee perspectives on road safety to inform a global corporate health platform. The safety attitudes and behaviours of 75 employees were collected through self-report survey and focus groups in the MNC offices in Bangalore and Pune. Analysis of these data uncovered incongruity between employee knowledge of safety strategies and their enacted safety behaviours and identified local preference for interventions and policy-level actions. The methods modelled by this study offer a straightforward approach for eliciting employee perspective for local road safety interventions that fit within a global strategy to improve employee health. Study findings suggest that MNCs can employ a range of strategies to improve the road traffic safety of their employees in settings like urban India including: implementing corporate traffic safety policy, making local infrastructure changes to improve road and traffic conditions, advocating for road safety with government partners and providing employees with education and access to safety equipment and safe transportation options.

Economic development and road traffic fatalities in Russia: analysis of federal regions 2004-2011

Background

The relationship between economic development and road safety at sub-national level has not been well established. This study aims to assess the relationships between economic growth (measured by gross regional product (GRP)) and road traffic fatalities (RTFs) and crash fatality ratio (CFR) at sub-national level in Russia.

Methods

We used published secondary data on annual RTFs and CFR obtained from the traffic police and socioeconomic development indicators from the statistics department for each Russian federal region (referred to in Russia as “subject”) for 2004–2011. We used multivariate fixed effects models for longitudinal data to examine the GRP-RTF and the GRP-CFR relationships excluding regions with extreme values. Time (in years) and a set of relevant socioeconomic variables (territory, population, number of privately owned cars, number of public buses, length of public motor roads, number of physicians, and budget expenditure on health care and physical wellness) were also included as covariates in the models.

Results

The RTF rates decreased monotonically over time as GRP per capita increased in 66 studied regions during 2004–2011. This relationship was mainly explained by the number of privately owned cars and partially explained by year dummy variables, number of buses, and number of physicians. CFR also decreased monotonically as GRP per capita increased in 67 studied regions. This relationship between economic growth and CFR was fully explained by secular time trends. The year dummy effects on CFR were not mediated by other socioeconomic variables included in the study.

Conclusions

For the period of 2004–2011 in Russia, the reduction in RTFs is mostly explained by increasing the number of private cars, while the reduction of CFR is mostly associated with year-effects suggesting a process of diffusion of knowledge, which is not solely dominated by economic growth.

Urology research publications: lessons learned from a developing country

Background

There is very limited data on the nature and type of published research in the field of Urology in the developing countries. Therefore, the aim of this study was to investigate the Urology research activities in one of the Gulf counties (United Arab Emirates (UAE) to define areas of deficiencies and challenges in a trial to learn some lessons to improve research in developing countries.

Results

A total of 96 manuscripts were published from UAE up to 2012. The first publication was in 1985. There is an overall increase in the number of manuscripts published per year over time (one manuscript in 1985 vs. 10 manuscripts in 2012). Forty seven (49%) manuscripts came from the main academic institute (UAE University) and the rest came from the many hospitals around the country. There were 68 original research articles, 4 reviews and 24 case reports. 64 manuscripts represented clinical whereas 32 represented laboratory-based research. The manuscripts represented various urology subspecialties, the commonest of which was urinary obstruction and urolithiasis (n = 19). None of the manuscripts represented a proper epidemiological research. The research activities were sporadic and driven by individuals during particular periods with lack of continuity.

Conclusions

Despite the increasing number of urology articles in this developing country, there is a lack of proper epidemiological studies to identify the local prevalence and behaviour of various conditions. There is also a lack of research groups and hence a lack of continuity of research in any particular field as the research is usually driven by specific research-oriented individuals the departure of who results in a cease in the research activities. Moreover, there is an evidence of lack of research training and capability in the majority of institutes. These observations might assist policy decision makers to develop research in this country and other developing countries.

Risky driving behavior among university students and staff in the Sultanate of Oman

BACKGROUND

There is a well developed literature on research investigating the relationship between various driving behaviors and road crash involvement. However, this research has predominantly been conducted in developed economies dominated by western types of cultural environments. To date no research has been published that has empirically investigated this relationship within the context of the emerging economies such as Oman.

OBJECTIVE

The present study aims to investigate driving behavior as indexed in the driving behavior questionnaire (DBQ) among a group of Omani university students and staff.

METHODS

A convenience non-probability self-selection sampling approach was utilized with Omani university students and staff.

RESULTS

A total of 1003 Omani students (n=632) and staff (n=371) participated in the survey. Factor analysis of the BDQ revealed four main factors that were errors, speeding violation, lapses and aggressive violation. In the multivariate logistic backward regression analysis, the following factors were identified as significant predictors of being involved in causing at least one crash: driving experience, history of offenses and two DBQ components, i.e., errors and aggressive violation.

CONCLUSION

This study indicates that errors and aggressive violation of the traffic regulations as well as history of having traffic offenses are major risk factors for road traffic crashes among the sample. While previous international research has demonstrated that speeding is a primary cause of crashing, in the current context, the results indicate that an array of factors is associated with crashes. Further research using more rigorous methodology is warranted to inform the development of road safety countermeasures in Oman that improves overall Traffic Safety Culture.

Economic growth, motorization, and road traffic injuries in the Sultanate of Oman, 1985-2009

BACKGROUND

Recent affluence, assisted by exploitation of hydrocarbon, has sparked unprecedented economic growth and influx of all façades of modernity in Oman. Different statistical models have examined the relationship between economic growth, motorization rates, and road traffic fatalities. However, such a relationship in Oman has never been described.

OBJECTIVE

To describe and analyze the trend of road traffic injuries (RTIs) in relation to motorization rates and economic growth during the period from 1985 to 2009 using Smeed's (1949) model and Koren and Borsos's (2010) model.

METHODS

The study is based on national data reported between 1985 and 2009. Data on the population and gross domestic product (GDP) per capita in U.S. dollars were gathered from the Ministry of National Economy reports. Data on the number of vehicles and road traffic crashes, fatalities, and injuries were gathered from the Royal Oman Police (ROP) reports. Crash, fatality, and injury rates per 1000 vehicles and per 100,000 population were computed. Linear regression analysis was carried out to estimate the average annual changes in the rates. Smeed's (1949) and Koren and Borsos's (2010) models were used to predict the relations between motorization and road traffic fatalities in Oman. In addition, a cross-sectional analysis of year 2007 data for a number of Arab countries was carried out.

RESULTS

The GDP per capita increased from US$6551 in 1985 to US$25,110 in 2009 with an annual increase of UR$547 per capita. The motorization rates increased by 36 percent from 1745 per 10,000 population in 1985 to 2382 per 10,000 population in 2009. Both Smeed's (1949) and Koren and Borsos's (2010) models had a high goodness of fit, with R(2) greater than 0.70. This indicated that road traffic fatalities in Oman may have a direct relationship with increased motorization. The cross-sectional analysis showed that the relation between crash fatalities and motorization rates in Oman and the United Arab Emirates can be better explained by Koren and Borsos's (2010) model than other countries.

CONCLUSION

Recent economic growth in Oman was associated with an increase in motorization rates, which in turn has resulted in an increased burden of road traffic fatalities and injuries.

Challenges in evaluating the decade of action for road safety in developing countries: a survey of traffic fatality reporting capacity in the Eastern Mediterranean region

OBJECTIVE

The United Nations have proclaimed the "Decade of Action for Road Safety 2011-2020" to reduce traffic fatalities worldwide, particularly in low- and middle-income countries (LMICs). It is estimated that the LMICs in the Eastern Mediterranean Region (EMR) have the highest traffic fatality rates. This study evaluated the capacity of current traffic fatality reporting in the EMR to indicate the impact of future interventions.

METHODS

The World Health Organization's (WHO) SMART (specific, measurable, achievable, realistic, timely) criteria for indicators were used to assess traffic fatality reporting in the 17 LMICs in the EMR.

RESULTS

Official statistics accounted for less than 60 percent of estimated fatalities in 12 of the 17 EMR countries. Police data were the main source of reporting for 11 LMICs, only 3 had a specific traffic fatality surveillance system, the standard definition of fatality was used for 7 LMICs, local fatality distributions were available for 5 LMICs, multiple data sets were available for 6 LMICs, and only 7 regularly published fatality data.

CONCLUSIONS

These reporting problems could easily undermine the evaluation of any future preventive efforts in the EMR. International cooperation and financial assistance from experienced high-income countries, focusing on building capacity, might be useful in strengthening the current reporting systems in LMICs in the EMR.