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Road traffic crashes among farm vehicle drivers in southern China: A cross-sectional survey |
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| Authors: | Xujun Zhang Yaming Yang Yu Chen Hongyan Yao Ming Wu Mengjing Cui |
| Institution: | 1. Injury Prevention Research Institute, Department of Epidemiology and Biostatistics, School of Public Health, Southeast University, Nanjing, Jiangsu Province, China;2. Key Laboratory of Environmental Medicine Engineering, Ministry of Education, School of Public Health, Southeast University, Nanjing, Jiangsu Province, China;3. Yixing Center for Disease Control and Prevention, Yixing, Jiangsu Province, China;4. Office of Epidemiology, Chinese Center for Disease Control and Prevention, Beijing, China;5. Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu Province, China |
| Abstract: | Objective: The objective of this study was to identify the prevalence and potential risk factors of farm vehicle–related road traffic crashes among farm vehicle drivers in southern China. Methods: A cross-sectional study was used to interview 1,422 farm vehicle drivers in southern China. Farm vehicle–related road traffic crashes that occurred from December 2013 to November 2014 were investigated. Data on farm vehicle–related road traffic crashes and related factors were collected by face-to-face interviews. Results: The prevalence of farm vehicle–related road traffic crashes among the investigated drivers was 7.2%. Farm vehicle–related road traffic crashes were significantly associated with self-reported vision problem (adjusted odds ratio AOR] = 6.48, 95% confidence interval CI], 3.86–10.87), self-reported sleep disorders (AOR = 10.03, 95% CI, 6.28–15.99), self-reported stress (AOR = 20.47, 95% CI, 9.96–42.08), reported history of crashes (AOR = 5.40, 95% CI, 3.47–8.42), reported history of drunk driving (AOR = 5.07, 95% CI, 2.97–8.65), and reported history of fatigued driving (AOR = 5.72, 95% CI, 3.73–8.78). The number of road traffic crashes was highest in the daytime and during harvest season. In over 96% of farm vehicle–related road traffic crashes, drivers were believed to be responsible for the crash. Major crash-causing factors included improper driving, careless driving, violating of traffic signals or signs, and being in the wrong lane. Conclusion: Findings of this study suggest that farm vehicle–related road traffic crashes have become a burgeoning public health problem in China. Programs need to be developed to prevent farm vehicle–related road traffic crashes in this emerging country. |
| Keywords: | Traffic safety road crashes agricultural vehicles accident analysis accident prevention public roads China |