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The Social Determinants of Risky Driving on the Intercity Roads of Tehran Province, Iran: A Case-Cohort Study

机译:伊朗德黑兰省城际道路上危险驾驶的社会决定因素:案例研究

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Background: Traffic accidents are the major cause of injuries that endanger the lives of many people annually. It seems that studying the factors and grounds of this type of event including risky driving contributes to the identification of groups at risk and development of preventive programs. Objectives: Given the importance of this issue, we decided to conduct a study to examine the social factors of risky driving. Methods: The present study was implemented based on a case-cohort design. The target community was all the drivers who drove on the intercity roads of Tehran Province. Each driver with and without a history of being guilty in a car accident leading to injury or death during the last 5 years was assigned to the case and control groups, respectively. The questionnaires were completed through a review of documents and interview within the groups. In the analytical analysis, a chi-square test and, if necessary, the odds ratio and confidence intervals were used to determine the relationship between the variables. In each case, the necessary investigation of confounding or interacting variables was performed using regression models and the final model of the factors affecting a risky driving was extracted. Results: From a total of 990 drivers studied, 54 cases (5.5%) were females and 936 (94.5%) were males. The mean and SD of the drivers’ ages were 39.4 and 11.8 years, respectively. People with a driving job, chronic disease, poor socio-economic status, having only a family dispute, without a religious attitude, and under medical supervision (all with P 0.001), secondary education (P = 0.01), women (P = 0.01), using drugs (P = 0.03) were found to have a greater history of road traffic injuries or deaths. Conclusions: This study showed that gender, education level, occupation, socioeconomic status, medical care, health condition, lifestyle, family conflict, drug abuse history, and religious attitudes are the major social factors of risky driving on the intercity roads of Tehran Province.
机译:背景:交通事故是每年伤害许多人生命的主要伤害原因。似乎研究这类事件的因素和根据,包括危险驾驶,有助于识别危险人群和制定预防计划。目标:鉴于此问题的重要性,我们决定进行一项研究,以研究危险驾驶的社会因素。方法:本研究是基于病例队列设计实施的。目标社区是在德黑兰省城际道路上行驶的所有驾驶员。在过去的5年中,每位有或没有因交通事故导致受伤或死亡的有罪历史的驾驶员分别被分为病例组和对照组。通过对文件进行审查并在小组内部进行访谈来完成调查表。在分析分析中,使用卡方检验以及必要时使用比值比和置信区间来确定变量之间的关系。在每种情况下,都使用回归模型对混杂变量或相互作用变量进行了必要的研究,并提取了影响危险驾驶的因素的最终模型。结果:在总共研究的990名驾驶员中,女性54例(5.5%),男性936例(94.5%)。驾驶员年龄的平均值和标准差分别为39.4岁和11.8岁。从事驾驶工作,慢性病,社会经济地位低下,只有家庭纠纷,没有宗教信仰并且在医疗监督下的人(均为P <0.001),中等教育(P = 0.01),妇女(P = 0.01),使用药物(P = 0.03)被发现有更多的道路交通伤害或死亡史。结论:这项研究表明,性别,教育程度,职业,社会经济状况,医疗保健,健康状况,生活方式,家庭冲突,吸毒史和宗教态度是德黑兰省城际道路上危险驾驶的主要社会因素。

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