Document Detail


Factors affecting the severity of motor vehicle traffic crashes involving young drivers in Ontario.
MedLine Citation:
PMID:  9338829     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To assess the factors affecting the severity of motor vehicles traffic crashes involving young drivers in Ontario. POPULATION: Ontario young drivers, aged 16 to 20, involved in traffic crashes resulting in injury, between 1 January 1988 and 31 December 1993, on public roads in Ontario. METHODS: Population based case-control study. Cases were fatal injury, major injury, and minor injury crashes involving young drivers. Controls were minimal injury crashes involving young drivers. Cases and controls were obtained retrospectively from the Canadian Traffic Accident Information Databank. Unconditional logistic regression was used for data analysis. RESULTS: Factors significantly increasing the risk of fatal injury crashes include: drinking and driving (odds ratio (OR) 2.3), impairment by alcohol (OR 4.8), exceeding speed limits (OR 2.8), not using seat belts (OR 4.7), full ejection from vehicle (OR 21.3), intersection without traffic control (OR 2.2), bridge or tunnel (OR 4.1), road with speed limit 70-90 km/hour (OR 5.6) or 100 km/hour (OR 5.4), bad weather (OR 1.6), head-on collision (OR 80.0), and overtaking (OR 1.9). Results of the same model applied to major and minor injury crashes demonstrated consistent but weaker associations with decreasing levels of crash severity. CONCLUSIONS: A casual relationship between crash severity and the risk factors listed above was proposed. Risk factors recommended for preventive intervention include: alcohol consumption, speeding, and use of seat belts. Head-on collisions are of primary concern.
Authors:
Y Mao; J Zhang; G Robbins; K Clarke; M Lam; W Pickett
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention     Volume:  3     ISSN:  1353-8047     ISO Abbreviation:  Inj. Prev.     Publication Date:  1997 Sep 
Date Detail:
Created Date:  1997-12-08     Completed Date:  1997-12-08     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  9510056     Medline TA:  Inj Prev     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  183-9     Citation Subset:  IM    
Affiliation:
Cancer Bureau, Health Canada, Ottawa, Ontario, Canada.
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MeSH Terms
Descriptor/Qualifier:
Accidents, Traffic / mortality*,  statistics & numerical data*
Adolescent
Adult
Age Factors
Case-Control Studies
Confidence Intervals
Female
Humans
Incidence
Injury Severity Score
Logistic Models
Male
Multivariate Analysis
Odds Ratio
Ontario / epidemiology
Risk Factors
Survival Rate
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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