Knowledge is not enough: barriers and facilitators for reducing road traffic injuries amongst Indian adolescents, a qualitative study

Jagnoor, Jagnoor; Sharma, Pragati; Parveen, Samina; Cox, Ken; Kallakuri, Sudha

doi:10.1080/02673843.2020.1746675

Cited by 10 publications

(5 citation statements)

References 4 publications

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“…The finding that adolescents who had parental permission to cross main roads alone had greater odds of RTIs is consistent with previous studies that conclude that the number of streets crossed by adolescents is associated with injury 35. In addition, a qualitative study from India—a neighbouring country of Pakistan with a similar road environment—reported that adolescents displayed various distracted behaviours as pedestrians, such as using earphones and mobile phones as well as talking and playing with friends 36. Both the distracted behaviours and the unsafe road environment for pedestrians in Pakistan could be linked to an increased risk for RTIs.…”

Section: Discussionsupporting

confidence: 89%

Association of adolescents’ independent mobility with road traffic injuries in Karachi, Pakistan: a cross-sectional study

2022

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ObjectiveParticipation in walking, cycling and taking public transportation without adult supervision is defined as independent mobility of children and adolescents. The association between adolescents’ independent mobility and road traffic injury (RTI) is unclear. The purpose of this study is to determine measures of adolescents’ independent mobility associated with RTIs in an urban lower middle-income setting.Study designCross-sectional survey.SettingSchools in Karachi, Pakistan.ParticipantsAdolescents aged 10–19 years in grades 6–10 were enrolled from private and public schools.OutcomeAny self-reported lifetime RTI sustained as a pedestrian, as a cyclist or while in a car or another vehicle that resulted in any first aid at home/school or consultation in a healthcare setting.ExposureSelf-reported independent mobility was assessed by four variables. (1) Any travel companion from school to home on the survey day, (2) parental permission to cross main roads alone, (3) parental permission to travel by public bus alone and (4) activity/activities outside the home on the previous weekend alone.ResultsData from 1264 adolescents, 10–19 years old, were included. Most were females (60%). Adolescents who had parental permission to cross main roads alone (adjusted OR (aOR) 1.39; 95% CI 1.04 to 1.86) and who participated in one or more activities outside the home alone on the previous weekend (aOR 2.61; 95% CI 1.42 to 5.13) or participated in a mixture of activities with and without adult accompaniment (aOR 2.50; 95% CI 1.38 to 4.89) had higher odds of RTIs.ConclusionsParental permission to cross main roads alone and participation in activity/activities outside the home on the previous weekend alone were two measures of independent mobility associated with higher odds of RTIs among adolescents. The study provides an understanding of the risk posed by adolescents’ independent mobility in road traffic environments.

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Section: Discussionsupporting

confidence: 89%

Association of adolescents’ independent mobility with road traffic injuries in Karachi, Pakistan: a cross-sectional study

2022

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“…It is well-known that knowledge is not enough to achieve behavior changes. 12-14 The gap between knowledge and practice has been identified in many settings and has led to a variety of behavior changes in models relating to health. 15 One reason for the lack of behavior changes is the lack of understanding of the context in which the behavior occurs.…”

Section: Discussionmentioning

confidence: 99%

When knowledge is not enough: barriers to recommended cassava processing in resource-constrained Kwango, Democratic Republic of Congo

Bokundabi¹,

Haskins²,

Horwood³

et al. 2023

J. Public Health Afr.

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Background. Despite interventions to provide knowledge and improve processing of bitter cassava in Democratic Republic of Congo (DRC), cassava processing is sub-optimal. Consumption of insufficiently processed bitter cassava is associated with konzo, a neurological paralytic disease. Objective. To explore barriers to appropriate cassava processing by women in one deep rural, economically deprived area of DRC. Methods. A qualitative design used focus group discussions (FDGs) and participant observation (PO) to collect data among purposively selected women aged 15-61 years in Kwango, DRC. Data were analysed using thematic analysis. Results. 15 FGDs with 131 women and 12 observations of cassava processing were undertaken. Observations indicated women did not follow recommended cassava processing methods. Although women were knowledgeable about cassava processing, two main barriers emerged: access to water and lack of money. Accessing water from the river to process cassava was burdensome so women shortened the processing time, and soaking the cassava in the river risked the cassava being stolen. Cassava was not only used as staple food, but also as a cash crop, which led to households shortening the processing time in order to reach the market quickly. Conclusion. Knowledge about the risks of insufficient cassava processing and of safe processing methods alone is insufficient to change practices in the context of severe resource constraints. When planning nutrition interventions, it is critical to view the intervention in light of the social and economic context in which the intervention will take place to improve intervention outcomes.

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“…A notable correlation has been observed between positive driving attitudes and a reduction in RTAs, particularly among younger drivers, who are implicated in 60% of accidents. These findings underscore the critical roles of age and education level in influencing RTA rates, indicating that human factors are implicated in up to 95% of traffic incidents (10)(11)(12)14). The grave statistics surrounding RTAs in Pakistan-ranking as the second, sixth, and twelfth leading causes of disability, healthy-lifeyear losses, and premature fatalities, respectively-underscore the urgent need for targeted interventions.…”

Section: Introductionmentioning

confidence: 86%

Perception and Practices Towards Road Safety Rules and Regulations Amongst Pakistani Population

Shumaila,

Feroz,

Naz

et al. 2024

JHRR

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Background: Road traffic accidents (RTAs) remain a critical public health issue in densely populated urban areas like Latifabad, Hyderabad. Understanding the community's perception and practices towards road safety can inform targeted interventions to reduce RTAs. Objective: This study aims to explore the perception and practices regarding road traffic rules and regulations among residents of various units in Latifabad, Hyderabad, Pakistan. Methods: A cross-sectional descriptive study was conducted from March to August 2023 in Latifabad, Hyderabad. It involved 400 commuters aged 18 years and above, from either gender, residing in the area. Participants were included irrespective of their possession of a driving license, provided they consented to participate. Data on their perceptions and practices concerning road traffic were collected using a structured written questionnaire. Results: The participant demographic included 64.7% males and 35.3% females with an average age of 22.6 ± 1.2 years; the majority were students. Nearly half (48.0%) attributed poor road conditions as a primary cause of RTAs. Over half (57.0%) recognized driving without a valid license as an offense, with females significantly more aware (p<0.05) of the risks of improper overtaking and the links between illiteracy, irresponsible behavior, and increased RTAs. There was no significant difference in the scores for violations and lapses related to injury exposure, though a significant association was found between errors and injury exposure. Conclusion: Despite possessing adequate knowledge, participants frequently displayed a dismissive attitude towards compliance with traffic laws, normalizing risky behaviors and potentially increasing the risk of road traffic accidents and injuries.

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Knowledge is not enough: barriers and facilitators for reducing road traffic injuries amongst Indian adolescents, a qualitative study

Cited by 10 publications

References 4 publications

Association of adolescents’ independent mobility with road traffic injuries in Karachi, Pakistan: a cross-sectional study

Association of adolescents’ independent mobility with road traffic injuries in Karachi, Pakistan: a cross-sectional study

When knowledge is not enough: barriers to recommended cassava processing in resource-constrained Kwango, Democratic Republic of Congo

Perception and Practices Towards Road Safety Rules and Regulations Amongst Pakistani Population

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