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Epidemiology of Injuries and Deaths Caused by Road Traffic Accidents in Thailand

แสงโฉม ศิริพานิช; กาญจนีย์ ดำนาคแก้ว; อวยพร คำวงค์ศา; Sangchom Siripanich; Kanjanee Dumnakeaw; Auyporn Kumwongsa;
Date: 2552
Abstract
Road traffic injuries are a significant problem in developed and developing countries. The trend of mortality owing to traffic accidents is increasing in Thailand. The objective of this descriptive study is to describe the trend and characteristics of risky behavior related to road traffic injuries in Thailand during the period 1998-2007. The study was conducted by using and analyzing data from the national injury surveillance database within 28 sentinels, these were reported during the period 1998-2007. The results show that the proportion of road traffic injuries was the highest of all injuries (51.6%). The percentage of injuries in the age groups between 15 and 24 years was the highest (33.29%). Most of the injuries occurred among laborers and student groups (35.0% and 20.1%); 75.7 percent of them were motorcycle injuries and tended to increase. The highest incidence of injury occurred during the evening between 6 and 8 o’clock (37.7-40.2%). The most severely traumatized parts of the body were the head and neck (29.3%). The percentage of alcohol use while driving was 36.4 percent and it was highly used in the age group 20-29 years (40.1%). The high-risk behavior occurred over the New Year holidays and during the Thai new year (Songkhran festival) during the months of December-January and April. Further, the drivers and riders had not used seatbelts and helmets while driving and riding . Only 13 percent used helmets and 18.6 percent used seatbelts. Those injured were referred by a relative or others in 56.2 of the cases; only 10.4 percent were referred by EMS, although the tendency is increasing. This study identified the problem of injuries, especially motorcycle injury in younger persons, which tends to increase every year. The higher fatality rate may relate to risk behavior involving alcohol use, not wearing a helmet, or using seatbelts and driving at high speed. Traffic accident prevention requires that drivers be educated and that the laws be enforced in the high-risk group (mainly younger men).
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
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