What interventions are required to reduce road traffic injuries in Africa? A scoping review of the literature

Bonnet, Emmanuel; Lechat, Lucie; Ridde, Valéry

doi:10.1371/journal.pone.0208195

Cited by 45 publications

(48 citation statements)

References 32 publications

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“…Harmful alcohol use and its adverse events (i.e., road tra c accidents) is however an important and raising public health concerns in Burkina Faso [27].…”

Section: Study Settingsmentioning

confidence: 99%

Alcohol Consumption and Associated Risk Factors in Burkina Faso: Results of a Population-based Cross-sectional Survey

Bonnechère

Samadoulougou

Cissé

et al. 2020

Preprint

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Background: Lifestyle modifiable risk factors are a leading preventable cause of non-communicable diseases (NCDs). Amongst them, alcohol and tobacco consumption are the most important. Studies characterizing the prevalence of alcohol consumption in low-income countries are lacking. This study describes the prevalence of alcohol use in Burkina Faso and its associated factors separately for urban and rural residents.Methods: Data from the 2013 Burkina Faso World Health Organization (WHO) Step wise approach to Surveillance (STEPS) were analyzed. The prevalence of alcohol consumption over the last 30 days were recorded and recoded into categories according to WHO recommendations: low alcohol consumption (<40g alcohol/day for men, <20g for women), mid alcohol consumption (between 40 and 59.9g/day for men and between 20 and 39.9g for women) and a heavy consumption (>60g/day for men and 40g for women). Logistic regression analyses identified factors associated with alcohol consumption use.Results: In the whole population 3,559 (75.8% [72.5 – 78.7]) were not consuming any alcohol, 614 (12.9% [10.9 – 15.3]) had a low alcohol consumption, 399 (8.5% [7.1 – 10.1]) a mid alcohol consumption and 120 (2.7% [2.0 – 3.7]) a high consumption. Sex was significantly associated with increased risk of alcohol consumption (AOR = 1.28 [1.00 – 1.63]). Age was associated with alcohol intake with a gradient effect, older people having a higher risk (AOR = 2.40 [1.74 – 3.72] for the 55 – 64 years old compared to 25 – 34 group). Tobacco consumption was also significantly associated with alcohol intake with a gradient effect, those with higher tobacco consumption being at higher risk of abusive alcohol intake. When analyzing the risk of having abusive consumption in those consuming alcohol we found a highly significant effect of gender with male having an increased risk (AOR = 2.53 [1.38 – 4.68]).Conclusion: Our data showed an important burden of alcohol consumption in Burkina Faso with a strong relationship with age, gender and tobacco consumption and disparities across the different regions of Burkina Faso. To effectively reduce alcohol consumption in Burkina Faso, a comprehensive control program should consider these associated factors.

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“…Harmful alcohol use and its adverse events (i.e., road tra c accidents) is however an important and raising public health concerns in Burkina Faso [27].…”

Section: Study Settingsmentioning

confidence: 99%

Alcohol Consumption and Associated Risk Factors in Burkina Faso: Results of a Population-based Cross-sectional Survey

Bonnechère

Samadoulougou

Cissé

et al. 2020

Preprint

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“…Compared to HICs, there were far less primary studies conducted in the LMICs in all intervention groups, especially tertiary prevention. Moreover, there was a great lack of research from Sub-Saharan Africa, which is the continent with greatest burden of RTCs [37]. This scenario was also reported in a recent study by Tropeano et al (2019) which compared publication to traumatic brain injury burden ratio between LMICs and HICs, and found it was the lowest in the areas of greatest burden [113].…”

Section: Research Gapsmentioning

confidence: 86%

Mapping global evidence on strategies and interventions in neurotrauma and road traffic collisions prevention: A scoping review

Selveindran

Tango

Khan

et al. 2020

Preprint

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Background: Neurotrauma is an important global health problem. The largest cause of neurotrauma worldwide is road traffic collisions (RTCs), particularly in low-and middle-income countries (LMICs). Neurotrauma and RTCs are preventable, and many preventative interventions have been implemented over the last decades, especially in high income countries (HICs). However, it is uncertain if these strategies are applicable globally due to variations in environment, resources, population, culture and infrastructure. Given this issue, this scoping review aims to identify, quantify and describe the evidence on approaches in neurotrauma and RTCs prevention, and ascertain contextual factors that influence their implementation in LMICs and HICs.Methods: A systematic search was conducted using five electronic databases (MEDLINE, EMBASE, CINAHL, Global Health on EBSCO host, Cochrane Database of Systematic Reviews), grey literature databases, government and non-government websites, as well as bibliographic and citation searching of selected articles. The extracted data were presented using figures, tables, and accompanying narrative summaries. The results of this review were reported using the PRISMA Extension for Scoping Reviews (PRISMA-ScR).Results: A total of 411 publications met the inclusion criteria, including 349 primary studies and 62 reviews. More than 80 percent of the primary studies were from HICs, and described all levels of neurotrauma prevention. Only 65 papers came from LMICs, which mostly described primary prevention, focussing on road safety. For the reviews, 41 papers (66.1%) reviewed primary, 18 tertiary (29.1%), and three secondary preventative approaches. Most of the primary papers in the reviews came from HICs (67.7%) with 5 reviews on only LMIC papers. Fifteen reviews (24.1%) included papers from both HICs and LMICs. Intervention settings ranged from nation-wide to community-based, but were not reported in 44 papers (10.8%), most of which were reviews. Contextual factors were described in 62 papers, and varied depending on the interventions.Conclusions: There is a large quantity of global evidence on strategies and interventions for neurotrauma and RTCs prevention. However, fewer papers were from LMICs, especially on secondary and tertiary prevention. More primary research needs to be done in these countries to determine what strategies and interventions exist, and the applicability of HIC interventions in LMICs.

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“…Complementarily, in view of the study limitations, future research should focus on: (a) smaller units of spatial and temporal analysis, in order to precisely evaluate and forecast trends in road traffic injuries and deaths in older adults, although this would require an enormous effort by governmental agencies from developing countries -a challenge that was recognized in a recent scoping review on interventions to reduce road traffic injuries in Africa [48]; (b) use hospital discharge register data over a long period of time (e.g., 30-days after the crash instead of the police database for deaths recorded within the first 24 hours of the crash); and, (c) include both individual and area-level measures of socioeconomic disadvantage.…”

Section: Unanswered Questions and Future Researchmentioning

confidence: 99%

Safe mobility, socioeconomic inequalities, and aging: A 12-year multilevel interrupted time-series analysis of road traffic death rates in a Latin American country

Contreras

Moreno

2020

PLoS ONE

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As the resources for road safety in developing countries are scarce and unevenly distributed, vulnerable road users-such as the elderly-may be particularly at risk of road traffic deaths. To date, the impact of road safety measures over the rate of road traffic deaths in older adults (60 years or older), considering the within-country socioeconomic inequalities, has not been explored in developing nations. This study takes the Chilean case as an example-with its 2005 traffic law reform as one of the road safety measures investigated-, in which open data available from official national sources for all its 13 regions over the 2002-2013 period were used for a multilevel interrupted time-series analysis. A statistically significant secular reduction of the rates of road traffic deaths in the elderly population was found (incidence rate ratio [IRR] 0.95, 95% confidence interval [CI] 0.91 to 0.99), but no evidence for a significant intercept or slope change after the traffic law reform was observed. Regions with the highest number of traffic offenses prosecuted in local police courts had lower rates of road traffic deaths in older adults (IRR 0.95, 95% CI 0.90 to 1.00), and those regions in the third (IRR 1.61, 95% CI 1.16 to 2.25) and the fifth (IRR 1.66, 95% CI 1.08 to 2.54) quintiles of socioeconomic deprivation had higher rates of road traffic deaths in the elderly. Such findings strongly support the conceptualization of the road safety of seniors in developing countries as a social equity issue, with implications for the design of traffic regulations and road environments.

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What interventions are required to reduce road traffic injuries in Africa? A scoping review of the literature

Cited by 45 publications

References 32 publications

Alcohol Consumption and Associated Risk Factors in Burkina Faso: Results of a Population-based Cross-sectional Survey

Alcohol Consumption and Associated Risk Factors in Burkina Faso: Results of a Population-based Cross-sectional Survey

Mapping global evidence on strategies and interventions in neurotrauma and road traffic collisions prevention: A scoping review

Safe mobility, socioeconomic inequalities, and aging: A 12-year multilevel interrupted time-series analysis of road traffic death rates in a Latin American country

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