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High-risk motor vehicle drivers engage in more risk behaviors than motorcyclists

机译：高风险机动车司机比摩托车手从事风险行为更多

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Objective: The purpose of this study was to characterize and compare risk behaviors between motorcyclists and motor vehicle drivers who were involved in accidents and required hospitalization. The study focused on patients who were recently involved in motorcycle collisions (MCCs) and motor vehicle collisions (MVCs). Methods: We identified 63 patients involved in MCCs and 39 patients involved in MVCs who were admitted to our level-1 trauma center from April 2014 to September 2015. These 102 patients completed a questionnaire designed to evaluate risky driving behaviors. Pearson’s chi-squared tests and unpaired two-tailed t-tests were used to evaluate categorical and normally distributed continuous variables, respectively. Multivariable linear regression was used to analyze predictors of risk behavior. Significance was set at p < 0.05. Results: When compared to patients involved in an MCC, patients involved in MVCs were more likely to be female (p = 0.007), drive more frequently (p < 0.001), and never perceive the risk of an accident (p = 0.036). MVC patients were more likely to have admitted to substance use on the day of the accident (p = 0.030), historically drive under the influence of drugs (p = 0.031), drive while tired (p < 0.001), drive while text messaging (p < 0.001), and speed while overtaking vehicles (p = 0.011). Overall, MVC patients engaged in more risk behaviors (3.3 ± 1.3 vs. 2.0 ± 1.5; p < 0.001) and were more likely to engage in multiple risk behaviors (p < 0.001). MVCs were associated with increased risk behavior, even after controlling for protective behaviors, driving history, and demographics (p = 0.045). Conclusions: Within our cohort of trauma patients at our institution, motor vehicle drivers were more likely than motorcyclists to engage in any one risk behavior and engage in a higher number of risk behaviors. In addition, motor vehicle drivers perceived their risk of a potential accident as lower than riding a motorcycle. Education initiatives should focus on motor vehicle driver safety interventions that reduce risk behaviors.
机译：目的：本研究的目的是表征和比较携带事故和所需住院的摩托车手和机动车司机之间的风险行为。该研究专注于最近参与摩托车碰撞（MCC）和机动车碰撞（MVC）的患者。方法：我们确定了63名涉及MCCS的患者，以及39名涉及MVC的患者，他们于2014年4月至2015年4月入院。这102名患者完成了调查问卷，旨在评估风险驾驶行为。 Pearson的Chi-Squared测试和未配对的双尾T-Tests分别用于评估分类和正常分布的连续变量。多变量线性回归用于分析风险行为的预测因子。显着性设定为P <0.05。结果：与参与MCC的患者相比，参与MVCs的患者更可能是雌性（P = 0.007），更频繁地驱动（P <0.001），永不感知发生事故的风险（P = 0.036）。 MVC患者更有可能录取事故当天的物质（P = 0.030），历史上驱动药物的影响（P = 0.031），疲劳时驱动（P <0.001），在短信时驾驶（ P <0.001），以及超车速度的速度（P = 0.011）。总体而言，MVC患者从事危险行为的更多危险行为（3.3±1.3对2.0±1.5; P <0.001），并且更有可能从多种风险行为中接触（P <0.001）。即使在控制保护行为，驾驶历史和人口统计学（P = 0.045）后，MVC也与风险行为增加有关。结论：在我们机构的创伤患者队列中，机动车司机比摩托车手更有可能从事任何一个风险行为，并从事较高的风险行为。此外，机动车司机认为他们的潜在事故的风险低于乘坐摩托车。教育举措应专注于机动车驾驶员安全干预，减少风险行为。

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