Evidence From the Decade of Action for Road Safety: A Systematic Review of the Effectiveness of Interventions in Low and Middle-Income Countries

Tavakkoli, Maryam; Torkashvand-Khah, Zahra; Fink, Günther; Takian, Amirhossein; Küenzli, Nino; Savigny, Don de; Muñoz, Daniel Cobos

doi:10.3389/phrs.2022.1604499

Cited by 15 publications

(10 citation statements)

References 63 publications

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“…Generally, amendments to traffic laws are made to reduce traffic injuries [7]. However, this study found no statistically significant difference in the injury severity of the two groups before and after the law revision.…”

Section: Discussioncontrasting

confidence: 71%

Will the road traffic act reduce electric scooter injuries?: an observational study in Republic of Korea

2022

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This study investigated changes in clinical characteristics, including the severity of electric scooter-related damage, before and after revision of the Road Traffic Act that became effective on 13 May 2021. This retrospective single-center observational study was conducted at the Emergency Department (ED) of a tertiary university hospital in Incheon, Republic of Korea. The pre-revision period was set from 13 May 2020, to 30 November 2020, and the post-revision period from 13 May 2021, to 30 November 2021. Patients who visited the ED with E-scooter injuries during the study period were included. Data on patients’ demographics, helmet use, alcohol use, Korean Triage and Acuity Scale, diagnosis and location of the injury, stay duration at ED and ED outcomes were collected and analyzed. The primary outcome was a change in Injury Severity Score between the pre-and post-revision periods. A total of 100 patients were included, and the results showed no significant difference between the two periods in Injury Severity Score (3.00 vs. 2.50, p = 0.607), helmet use (1.9% vs. 2.1%, p = 1), alcohol use (5.8%vs. 8.3%, p = 0.708) and stay duration at ED (157.00 vs. 183.00, p = 0.964). The facial area was the most common area of injury during both periods. Despite revision of the Road Traffic Act since May 2021, no significant difference was observed before and after the revision in the behavior of E-scooter users and severity of injuries. We believe that continuing public campaigns, encouraging the use of personal protective gear, promoting responsible attitudes and implementing stricter traffic laws might help reduce E-scooter-related injuries.

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Section: Discussioncontrasting

confidence: 71%

Will the road traffic act reduce electric scooter injuries?: an observational study in Republic of Korea

2022

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“…", as remarked by a recent study of 2015 conceptually analyzing different everyday problems of the country, in which traffic crashes did not even constitute a relevant matter to consider for most Dominicans [56]. In addition, other studies have suggested that this slight perceptual relevance of road safety matters could be strongly influenced by the lack of importance given to safety matters in different scenarios (e.g., mass media, social networks, and policymaking) [57].…”

Section: Discussionmentioning

confidence: 99%

Far from reality, or somehow accurate? Social beliefs and perceptions about traffic crashes in the Dominican Republic

2023

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Background Despite the considerable effort made during the last decades, emerging countries are still among the highest road safety concerns because they still account for most of the deaths caused by traffic crashes. Various studies suggest that one of the factors involved in this negative outcome could be road safety. However, this issue remains pending to be addressed in most emerging countries, including the Dominican Republic. Aim This study aimed to assess the beliefs and perceptions of Dominicans regarding some key road risky-related issues and to discuss them in the light of objective data. Methods For this cross-sectional study, the responses by a full sample of 1,260 Dominicans (50.1% men, 49.9% women) with a mean age of 39.4 years participating in a set of surveys conducted across the country, were used. Results Although Dominicans (especially women) seem to attribute high importance to road crashes, there is a low perceived likelihood of getting involved in a traffic crash. As for subjective versus objective data comparisons, perceived crash features and objective crash report data considerably match. However, the numbers largely differ in terms of crash frequency and importance and relevance given to road crashes, and their consequences. Further, perceptions of traffic violations and lack of law enforcement were pertinent predictors of the degree of relevance attributed to traffic crashes. Conclusions Overall, the results of this study suggest that, despite a relative awareness of their actual traffic crash features, Dominicans systematically underestimate the causes, frequency, and consequences of these crashes, including yearly fatality rates. These outcomes suggest the need to strengthen road safety awareness and beliefs in further road safety actions and policymaking in the region.

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“…The available evidence from systematic reviews and meta-analyses indicates that legislation and enforcement interventions have demonstrated significant impact, particularly in Low-and Middle-Income Countries (LMICs) (11). These findings suggest that implementing and enforcing road safety laws, including enforcing speed limits and a helmet wearing law in LMICs can lead to significant improvements in road safety outcomes.…”

Section: Benefits Of Reducing Speed Limits and Stronger Enforcementmentioning

confidence: 99%

“…One of the most effective ways to reduce speeding behaviour and increase helmet wearing rates is through stronger enforcement (11,12). Studies have shown that riders indicated that the fear of being caught was the most significant factor influencing decision-making regarding driving speed and travelling within the speed limit (13).…”

Section: Introductionmentioning

confidence: 99%

Addressing Indonesia’s biggest road safety challenge: Reducing motorcycle deaths

Ayuningtyas,

Grzebieta,

Olivier

et al. 2024

IOP Conf. Ser.: Earth Environ. Sci.

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Motorcyclists are the largest contributor to road fatalities in Indonesia, with the main causal factors found to be speeding and not wearing a helmet. One of the most efficient ways to reduce road deaths in Indonesia would be to reduce speeding behaviour and increase helmet wearing by strengthening speed and helmet wearing enforcement combined with education. Stronger enforcement combined with education have been shown to be highly effective in reducing fatalities in other countries. This study assesses the benefits of stronger enforcement on speed limit and helmet wearing. It also explores what are the most effective strategies to strengthen enforcement using fixed and mobile speed cameras, point to point speed cameras and AI technology that can be used to enforce helmet wearing rates. The paper concludes with an estimation of the potential benefits if such stronger enforcement were implemented in Indonesia.

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Evidence From the Decade of Action for Road Safety: A Systematic Review of the Effectiveness of Interventions in Low and Middle-Income Countries

Cited by 15 publications

References 63 publications

Will the road traffic act reduce electric scooter injuries?: an observational study in Republic of Korea

Will the road traffic act reduce electric scooter injuries?: an observational study in Republic of Korea

Far from reality, or somehow accurate? Social beliefs and perceptions about traffic crashes in the Dominican Republic

Addressing Indonesia’s biggest road safety challenge: Reducing motorcycle deaths

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