与道路交通事故(RTC)相关的通行费很高,受伤的负担不成比例地由行人和驾车者承担,特别是在发展中国家。这项研究综合了非洲与摩托车相关RTC的相关因素。
PICO框架和进行审查的PRISMA指南被纳入搜索,筛选,并报告调查结果。在五个电子数据库中进行高级搜索(谷歌学者,PubMedCentral,Scopus,CINAHL,和Embase)从手动搜索中产生了2552个标题和22个标题,过滤为2016年至2022年(生成1699),然后进一步进行初步研究(854)。通过标题,摘要和全文筛选,22适合本次审查。数据提取由两位研究人员独立完成,并对结果进行了比较。采用趋同合成对结果进行整合,转化为叙事,并使用主题合成进行分析。
确定的四个主要主题是与骑手有关的,非骑手相关因素,RTC损伤的患病率和严重程度,以及降低RTC的措施。与RTC相关的行为因素是饮酒,吸烟,使用非法药物,骑手的疲倦,交通规则知识贫乏,不止一个枕头骑手,缺乏驾照,不遵守交通规则,不使用个人防护设备。道路交通事故在年轻人和男性中很常见。确定的其他因素包括不良的道路网络,警方意外停止行动,非法车辆包装,城市化进程加快,和光滑的地板。
有必要制定针对骑手行为改变的多部门措施。协调努力应针对政府,执法机关,和监管机构执行确保道路安全使用的法规。
The toll associated with road
traffic crashes (RTC) is high, and the burden of injury is disproportionately borne by pedestrians and motor riders, particularly in developing countries. This study synthesized the factors associated with motorcycle-related RTC in Africa.
The PICO framework and the PRISMA guidelines for conducting reviews were incorporated in searching, screening, and reporting the findings. Advanced search in five electronic databases (Google Scholar, PubMed Central, Scopus, CINAHL, and Embase) yielded 2552 titles and 22 from manual search, filtered for 2016 to 2022 (to generate 1699) and then further for primary studies (854). Through the title, abstract and full-text screening, 22 were appropriate for this
review. Data extraction was done by the two researchers independently, and the results were compared. Convergent synthesis was adopted to integrate results, transformed into a narrative, and analyzed using thematic synthesis.
The four main themes identified were the rider-related, non-rider-related factors, prevalence and severity of injuries from RTC, and the measures to reduce RTC. The behavioral factors associated with RTC were alcohol use, smoking, use of illicit drugs, tiredness of rider, poor knowledge on
traffic regulations, more than one pillow rider, lack of rider license, non-observance of
traffic regulations, and non-use of personal protective equipment. Road
traffic crashes were common among younger age and male gender. Other factors identified included poor road network, unplanned stoppage by police, unlawful vehicular packing, increased urbanization, and slippery floors.
There is the need to institute multi-sectoral measures that target riders\' behavior change. Coordinated efforts should target governments, enforcement authorities, and regulatory bodies to enforce enactment that ensures safe use of roads.