H�zl� geli�en �lkelerde karayolu trafik kazalar�na katk�da bulunan risk fakt�rleri:  �hmal edilen sa�l�k sorunu

Burgut, Husyin R; Bener, Abdulbari; Sidahmed, Heba; Albuz, Rama; Sanya, Rahima; Khan, Waleed Ali

Cilt : 30 Say� : 12 Y�l : 2024

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H�zl� Arama

H�zl� geli�en �lkelerde karayolu trafik kazalar�na katk�da bulunan risk fakt�rleri: �hmal edilen sa�l�k sorunu [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2010; 16(6): 497-502

H�zl� geli�en �lkelerde karayolu trafik kazalar�na katk�da bulunan risk fakt�rleri: �hmal edilen sa�l�k sorunu

Husyin R Burgut¹, Abdulbari Bener², Heba Sidahmed¹, Rama Albuz¹, Rahima Sanya¹, Waleed Ali Khan¹
¹Weill Cornel T�p Koleji, Halk Sa�l�� Ve T�p E�itimi B�l�m�, Katar
²Hamad Genel Hastanesi, Hamad T�p Kurulu�u, T�bbi �statistik Ve Epidemiyoloji B�l�m�, Katar.

AMA�
Bu �al��man�n ba�l�ca amac�, Katar�daki s�r�c�ler aras�ndaki karayolu trafik kazalar�n�n (KTK) paternini ara�t�rmak ve KTK ile ili�kili fakt�rleri incelemektir.
GERE� VE Y�NTEM
Bu �al��ma, �ubat-Haziran 2009 tarihleri aras�nda Katar Devleti Sa�l�k Merkezlerinde y�r�t�len kesitsel �al��mad�r. Rastgele y�ntemle se�ilen 1675 Katarl� s�r�c�den olu�an grupla �al��ld�. S�r�c�lerin 1228�i %74,6�l�k bir yan�t oran�yla sorular� yan�tlay�p bu �al��maya kat�lmay� kabul etti. �yi e�itimli ara�t�rma asistanlar� taraf�ndan y�z y�ze g�r��lerek; sosyodemografik bilgi, s�r�c�l�k �yk�s�, ara� tipi, s�r�c� tutumu, kazalar�n ve kaza �eklinin ayr�nt�lar�n� kapsayan bir anket yap�ld�.
BULGULAR
Bulgular ��yleydi: �al��ma, Katarl� s�r�c�lerin %26,6�s�n�n KTK�ya kar��t��n� g�sterdi. KTK �yk�s� bulunan s�r�c�lerin %69,4�� erkek idi. 25-34 ya� grubundaki s�r�c�ler, daha y�ksek kaza riskini (%31,2) g�sterdi. Arazi ta��t� ve spor ama�l� ta��t �zelli�e sahip ara�larla (%23,5) s�r�c�leri (%45,6), KTK�dan daha fazla etkilendi. Kaza ge�iren s�r�c�lerin %23,5�i, ara� s�rerken her zaman emniyet kemeri kullanm�yodu. S�r�c�lerin yar�s�ndan daha az�, ara� s�rerken yeme ve i�me (%37,9) ve cep telefonu kullanmakta (%41,9) idi. S�r�c�lerin yar�s�ndan daha fazlas�, trafik kural� ihlali (%57,2) ve h�z s�n�r�n� a�ma (%25,7) ile trafik kazas�na kar��t�. Her iki grup (trafik kazas� ge�iren ve ge�irmeyen s�r�c�ler) aras�nda trafik kural� ihlali (<0,001) ve h�z s�n�r�n� a�ma (<0,001) a��s�ndan ileri derecede anlaml� fark g�zlendi. Kazalar�n �o�u g�ne�li g�nlerde (%84,7), daha az�ysa tatiller (%5,5) ve hafta sonlar� (%12,5) oldu. Yana do�ru savrularak devrilmek (%17,7), a��l� �arp��ma (%14,3) ve arkadan �arpma (%10,7) en s�k rapor edilen KTK �ekli oldu.
SONU�
�al��ma bulgular� Katar Devleti�ndeki s�r�c�ler aras�ndaki y�ksek KTK riskini ortaya koymu�tur. Sosyodemografik fakt�rler aras�nda, erkek ve 25-34 ya� grubundan gen� s�r�c�lerin daha y�ksek bir kazaya kar��ma durumuna sahip oldu�u bulunmu�tur. �nsan davran��lar�n�n, b�t�n KTK ve �zellikle de trafik kural� ihlallerine katk�da bulunan as�l fakt�r oldu�u belirlenmi�tir.

Anahtar Kelimeler: A��r� h�z, karayolu trafik kazalar�; trafik kural� ihlalleri; Katar.

Risk factors contributing to road traffic crashes in a fast-developing country: the neglected health problem

Husyin R Burgut¹, Abdulbari Bener², Heba Sidahmed¹, Rama Albuz¹, Rahima Sanya¹, Waleed Ali Khan¹
¹Depts. Of Public Health & Medical Education, Weill Cornell Medical College, Qatar
²Dept. Of Medical Statistics & Epidemiology, Hamad Medical Corporation, Hamad General Hospital, Qatar

BACKGROUND
The main objective of this study was to explore the patterns of road traffic crashes (RTCs) among drivers in Qatar and to examine the contributing factors involved.
METHODS
This study was a cross-sectional survey conducted from February to June 2009 at the Primary Health Care Centers in the State of Qatar. A random sample of 1675 Qatari drivers were approached, and 1228 of them responded and agreed to participate in this study, with a response rate of 74.6%. Face to face interview was conducted by well-trained research assistants based on a questionnaire covering sociodemographic information, driving history, type of vehicle, driver behavior, details of crashes, and accident pattern.
RESULTS
The study revealed that 26.6% of the studied Qatari drivers were involved in RTCs. 69.4% of the drivers with a history of RTCs were male. Drivers in the age group 25-34 years showed a higher risk of having a crash (31.2%). Drivers of cars (45.6%) and 4WD/SUVs (23.5%) were more frequently involved in RTCs. 23.5% of drivers who had RTC did not always wear their seat belt while driving. 37.9% of the drivers with RTC were engaged in eating and drinking and 41.9% were using their mobile phones while driving. More than half of the drivers with RTCs had traffic violations (57.2%), with 25.7% exceeding the speed limit. A highly significant difference was observed between the two groups (drivers with and without RTC) in terms of presence of traffic violation (<0.001) and exceeding the speed limit (<0.001). Most of the crashes happened during sunny days (84.7%) with fewer crashes on holidays (5.5%) and weekends (12.5%). Overturn skid (17.7%), angle collision (14.3%) and rear-end hit (10.7%) were the most frequently reported patterns of RTCs.
CONCLUSION
The study findings revealed the high risk of RTCs among drivers in the State of Qatar. Among the sociodemographic factors, male drivers and young drivers aged 25-34 years were found to have a higher accident involvement. Human behavior was identified as the main contributing factor of all RTCs, especially presence of traffic violations.

Keywords: Excessive speed, road traffic crashes; traffic violations; Qatar.

Sorumlu Yazar: Abdulbari Bener, Qatar
Makale Dili: �ngilizce

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