To ascertain the prevalence and pattern of alcohol impaired driving in an African nation, we conducted a random, roadside, breathalyzer survey of drivers in Ghana. A total of 149 (21%) of 722 drivers tested had a detectable blood alcohol concentration (BAC). In addition, 7.3% of drivers had a BAC ≥ 80 mg/dl. The prevalence of impaired driving (BAC ≥ 80) was higher among private drivers (9.8%) than commercial drivers (6.4%). However, due to a higher volume, the majority (64%) of impaired drivers were commercial drivers. Alcohol use was higher among uneducated (11%) compared to educated drivers (5.4%) and was higher among middle aged drivers (30 - 49 years, 9.1% impaired) compared with younger (< 30 years; 5.0%) or older drivers (≥ 50 years; 0%). Alcohol impaired driving is a significant problem in this African nation. Anti-drunk driving measures should be an important component of road safety efforts. Such measures may need to be different than industrialized nations and will need to target less educated drivers, middle aged drivers, and commercial drivers. 相似文献
Objective: Road traffic accidents are the leading health threat to children and cause significant long-term mental health problems. This study aimed to characterize posttraumatic stress disorder (PTSD) in children suffering from road traffic injuries (RTIs) in Wenzhou, China.
Methods: We conducted a retrospective study of 537 children (aged 1 to 13 years old) with RTIs. The epidemiological features, PTSD incidence, clinical manifestation, and risk factors were analyzed based on a customized PTSD risk factor questionnaire. The outcome factors were also evaluated by means of the logistic regression method.
Results: The PTSD incidence was 24.77% in children with RTIs. The incidence of PTSD was related to the personality, family environment, and family care of the children. It was found that early psychological intervention and reasonable family care from the family might promote physical and mental welfare as well as contribute to the development of more effective treatments to prevent PTSD.
Conclusion: For susceptible children, in addition to dealing with the somatic injury, psychological intervention and family care should be carried out as early as possible. 相似文献
Objective: This study aimed to describe the trends of motorization and mortality rates from road traffic accidents and examine their associations in a rapidly urbanizing city in China, Shenzhen.Methods: Using data from the Shenzhen Deaths Registry between 1994 and 2013, we calculated the annual mortality rates of road traffic accidents, in addition to the age- and sex-specific mortality rates and their annual percentage changes (APCs) for the period of 2000–2013. We also examined the associations between mortality rate of road traffic accidents and traffic growth with Spearman's rank correlation analysis and a log-linear model derived from Smeed's law.Results: A total of 20,196 deaths due to road traffic accidents, including 14,391 (71.3%) male deaths and 5,805 (28.7%) female deaths, were recorded in Shenzhen from 1994 to 2013. The annual mortality rates in terms of deaths per population and deaths per vehicle changed in similar patterns, demonstrating an increase since 1994 and peaking in 1997, followed by a steady decrease thereafter. The decrease in mortality was faster in individuals aged 20 year or older compared to those younger than 20 years. The mortality rates in term of deaths per population were positively correlated with the total number of vehicles per kilometer of road but negatively correlated with the motorization rate in term of vehicles per population. The estimated model for deaths due to road traffic accidents in relation to the total population and the number of registered vehicles was ln (deaths/10,000 vehicles) = ?1.902 × ln (vehicles/population) ? 1.961. The coefficient was statistically significant (P < .001) and the coefficient of determination was 0.966, indicating a good model fit.Conclusions: We described a generally decreasing trend in the mortality rates of road traffic accidents in a rapidly urbanizing Chinese city based observations in the 20-year period from 1994 to 2013. The decreased mortality rate may be explained by the expansion of road network construction, improved road safety regulations and management, as well as more accessible ambulance services in recent years. Nevertheless, road traffic accidents remain a universal problem of great public health concern in the whole population. 相似文献
Objective: In this study, we assessed the use of portable navigation systems in everyday driving by applying in-vehicle naturalistic driving.
Method: Experienced users of navigation systems, 7 females and 14 males, were provided with a specially equipped vehicle for approximately 1 month. Their trips were recorded using 4 cameras, Global Positioning System (GPS) data, and other sensor data. The drivers’ navigation system use data were coded from the video recordings, which showed how often and for how long the system was activated and how often and for how long a driver operated the system.
Results: The system was activated for 23% of trips, predominantly on longer and unique trips. Analyses of the percentage of time for which the speed limit was exceeded showed no evidence of differences between trips for which the navigation system was used or not used. On trips for which the navigation system was activated, participants spent about 5% of trip time interacting with the device. About 40% of interacting behavior took place in the first 10% of the trip time, and about 35% took place while the car was standing still or moving at a very low speed; that is, 0–10 km/h.
Conclusion: These results shed light on how and when drivers use navigation systems. They suggest that although drivers regulate their use of such systems to some extent, they often perform risky tasks while driving. 相似文献
A good acoustic environment is absolutely essential to maintaining a high level satisfaction and moral health among residents. Noise and other boresome sounds come from both in- door and outdoor sources. For the residential buildings adjacent to heavy traffic roads, outdoors traffic noise is the main source that affects indoor acoustic quality and health. Ventilation and outdoor noise prevention become a pair of contradictions for the residents in China nowadays for those buildings adjacent to heavy traffic roads. It is investigated that traffic noise emission is mainly con- stituted by the motors of trucks, buses and motorcycles as well as brake. In this paper, two methods of traffic noise reduction on the indoor sound environment and comfort are carried out to study and compare the residential buildings adjacent to heavy traffic roadway in a city. One is to install noise barriers on the two sides of the roadway, which consist of sound-proof glass and plas- tic materials. The effect of sound-insulation of this method is heavily dependent on the relative distance between the noise bar- rier and indoors. A reduction of sound with an average pressure level of 2–15dB is achieved on the places behind and under the noise barrier. However, for the equivalent of noise barrier height, the noise reduction effect is little. As for the places of higher than the noise barrier, the traffic noise will be even strengthened by 3–7dB. Noise increment can be seen at the points of distance farther than 15m and height more than noise barrier; the noise reduction effect is not satisfactory or even worsened. In addition, not every location is appropriate to install the noise barrier along the heavy traffic roads. The other method of noise reduction for the buildings adjacent to heavy traffic is to install the airproof and soundproof windows, which is the conversion from natural venti- lation to mechanical ventilation. A reduction of sound with an average pressure level of 5dB to 17dB can be achieved compared with common glass windows, if adopting sound proof glass win- dows. These two methods are helpful to isolate high frequency noise but not for low frequency noise. For those frequency noises, installing thick and cotton curtain and porous carpet can only decrease 2.4–4.5dB, which hardly contributes to indoor sound comfort, so further study is demanded to cut down traffic noise, especially to cut down the low frequency noise. 相似文献