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2014, Number s1

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Gac Med Mex 2014; 150 (s1)

Helmet use by motorcyclists in four metropolitan areas of Mexico

Cervantes TA, Leenen I

Language: Spanish
References: 37
Page: 11-20
PDF size: 298.91 Kb.


ABSTRACT

Objectives: To estimate the prevalence of helmet use among motorcyclists in four metropolitan areas of Mexico (Guadalajara, León, Monterrey, and Mexico City). Material and methods: In October 2009, helmet use was observed in 26,046 drivers and 3,971 passengers of motorcycles at several zones of busy traffic. The data were analyzed by means of a hierarchical logistic regression model. Results: The adjusted probabilities of helmet use strongly differed among the four metropolitan areas: Mexico City: 79-91%; León: 99%; Guadalajara: 54-58%; Monterrey: 73-95%. The probability is lower in passengers (Odds Ratio [OR]: 0.15, with a 95%-confidence interval [CI] of 0.14-0.17) and in drivers who carry some passenger (OR: 0.49; 95% CI: 0.45-0.54, as compared to drivers without passengers), and higher in users of motorcycles for commercial use (OR: 1.76; 95% CI: 1.59-1.96, as compared to private use). Moreover, an estimated 44% of the motorcyclists used a type of helmet that was not officially approved and/or they did not properly adjust the device. Conclusions: This study shows that in Guadalajara, Monterrey, and Mexico City it is appropriate to start initiatives to promote helmet use in motorcyclists, particularly for passengers and drivers who transport one or more passengers.


REFERENCES

  1. Organización Mundial de la Salud. Global status report on road safety. [Internet] Ginebra: OMS; 2009. Consultado el 11 de marzo de 2012. Disponible en: http://whqlibdoc.who.int/publications/2009/9789241563840_ eng.pdf.

  2. Organización Mundial de la Salud. Informe mundial sobre prevención de los traumatismos causados por el tránsito: Resumen. [Internet] Ginebra: OMS; 2004. Consultado el 11 de marzo de 2012. Disponible en: http://www.paho.org/spanish/dd/pub/resumen_informe_mundial_traumatismos. pdf.

  3. Organización Mundial de la Salud. World health statistics 2008. [Internet] Ginebra: OMS; 2008. Consultado el 11 de marzo de 2012. Disponible en: http://www.who.int/whosis/whostat/EN_WHS08_Full.pdf.

  4. Asamblea General de las Naciones Unidas, resolución 64/255 (10 de mayo de 2010).

  5. Organización Panamericana de la Salud. Informe sobre el estado de la seguridad vial en la región de las Américas. [Internet] Washington, DC: OPS; 2009 [consultado el 11 de marzo de 2012]. Disponible en: http:// www.who.int/violence_injury_prevention/road_safety_status/2009/gsrrs_ paho.pdf.

  6. Centro Nacional para la Prevención de Accidentes. Foro «Alcohol, Alcoholismo y Accidentes». [Internet] México: CENAPRA; 2008. Actualizado el 10 de abril de 2008. Consultado el 11 de marzo de 2012. Disponible en: http://www.cenapra.salud.gob.mx/interior/foro.html.

  7. National Highway Traffic Safety Administration. Traffic safety Facts: 2007 Data Motorcyclists. [Internet] Washington, D.C.: NHTSA; 2007. Consultado el 11 de marzo de 2012. Disponible en: http://www-nrd.nhtsa.dot. gov/pubs/810990.pdf.

  8. Australian Transport Safety Bureau. Annual Review 2004. [Internet]. Canberra, Australia: ATSB; 2004. Consultado el 11 de marzo de 2012. Disponible en: http://www.atsb.gov.au/media/36528/annual_review_ 2004.pdf.

  9. European Road Safety Observatory. Traffic safety basic facts 2010: Motorcycles and mopeds. [Internet] Bruselas: Comisión Europea; 2011. Consultado el 11 de marzo de 2012. Disponible en http://ec.europa.eu/ transport/road_safety/pdf/statistics/dacota/bfs2010-dacota-ntua-motomoped. pdf.

  10. Lee HY, Chen YH, Chiu WT, Hwang JS, Wang JD. Quality-adjusted lifeyears and helmet use among motorcyclists sustaining head injuries. Am J Public Health. 2010;100(1):165-70. Gaceta Médica de México. 2014;150 Suppl 1 20

  11. Rosas Osuna R. Diagnóstico situacional de las lesiones por accidentes en motocicleta. México: CENAPRA; 2012.

  12. MacLeod JBA, DiGiacomo JC, Tinkhoff G. An evidence-based review: Helmet efficacy to reduce head injury and mortality in motorcycle crashes. J Trauma. 2010;69(5):1101-11.

  13. Brandt MM, Ahrns KS, Corpron CA, Franklin GA, Wahl WL. Hospital cost is reduced by motorcycle helmet use. J Trauma. 2002;53(3):469-71.

  14. Moskal A, Martin JL, Laumon B. Helmet use and the risk of neck or cervical spine injury among users of motorized two-wheel vehicles. Inj Prev. 2008;14(4):238-44.

  15. Ankarath S, Giannoudis PV, Barlow I, Bellamy MC, Matthews SJ, Smith RM. Injury patterns associated with mortality following motorcycle crashes. Injury. 2002;33(6):473-7.

  16. Yu WY, Chen CY, Chiu WT, Lin MR. Effectiveness of different types of motorcycle helmets and effects of their improper use on head injuries. Int J Epidemiol. 2011;40(3):794-803.

  17. Liu BC, Ivers R, Norton R, Boufous S, Blows S, Lo SK. Helmets for preventing injury in motorcycle riders. Cochrane Database Syst Rev. 2008;(1):CD004333. [Internet] Consultado el 11 de marzo de 2012. Disponible en http://www.smarter-usa.org/pdf documents/Helmets_for_ Preventing_Injury_in_Motorcycle_Riders.pdf.

  18. Coben JH, Steiner CA, Miller TR. Characteristics of motorcycle-related hospitalizations: Comparing states with different helmet laws. Accid Anal Prev. 2007;39(1):190-6.

  19. Servadei F, Begliomini C, Gardini E, Giustini M, Taggi F, Kraus J. Effect of Italy’s motorcycle helmet law on traumatic brain injuries. Inj Prev. 2003;9(3):257-60.

  20. Espitia-Hardeman V, Vélez L, Muñoz E, Gutiérrez-Martínez MI, Espinosa- Vallín R, Concha-Eastman A. Efectos de las intervenciones diseñadas para prevenir las muertes de motociclistas en Cali, Colombia (1993-2001). Salud Publica Mex. 2008;50 suppl 1:S69-77.

  21. Passmore J, Tu NTH, Luong MA, Chinh ND, Nam NP. Impact of mandatory motorcycle helmet wearing legislation on head injuries in Viet Nam: Results of a preliminary analysis. Traffic Inj Prev. 2010;11(2):202-6.

  22. Centro Nacional de Prevención de Accidentes. Esto no es un accidente: La memoria de IMESEVI. [Internet] Mexico: CENAPRA; 2009. Consultado el 11 de marzo de 2012. Disponible en: http:// www.cenapra.salud.gob.mx/ interior/Materiales_CONAPRA/Libros/1._Esto_no_es_un_accidente_1.pdf.

  23. Instituto Nacional de Estadística y Geografía. Estadística de accidentes de tránsito terrestre en zonas urbanas y suburbanas (base de datos en línea). [Internet] México: INEGI. Consultado el 11 de marzo de 2012. Disponible en: http://www.inegi.org.mx/est/contenidos/Proyectos/registros/ economicas/accidentes/default.aspx.

  24. Hitosugi M, Shigeta A, Takatsu A, Yokoyama T, Tokudome S. Analysis of fatal injuries to motorcyclists by helmet type. Am J Foren Med Path. 2004;25(2):125-8.

  25. Li LP, Li GL, Cai QE, Zhang AL, Lo SK. Improper motorcycle helmet use in provincial areas of a developing country. Accid Anal Prev. 2008;40(6): 1937-42.

  26. Raudenbush SW, Bryk AS. Hierarchical linear models: Application and data analysis methods. 2.a ed. Thousand Oaks, CA: Sage; 2002.

  27. Snijders TAB, Bosker RJ. Multilevel analysis: An introduction to basic and advanced multilevel modeling. Londres: Sage; 1999.

  28. Rubin DB. Multiple imputation for nonresponse in surveys. Nueva York: Wiley; 1987.

  29. Schaffer JL, Graham JW. Missing data: Our view of the state of the art. Psychol Methods. 2002;7(2):147-77.

  30. SAS Institute Inc. SAS/STAT 9 user’s guide (Vol. 1-3). Cary, NC: SAS Institute Inc; 2002.

  31. Instituto Nacional de Estadística y Geografía. Regiones socioeconómicas de México (base de datos en línea). [Internet] México: INEGI. Consultado el 11 de marzo de 2012. Disponible en: http://sc.inegi.org. mx/niveles/index.jsp.

  32. Li GL, Li LP, Cai QE. Motorcycle helmet use in Southern China: An observational study. Traffic Inj Prev. 2008;9(2):125-8.

  33. Xuequn Y, Ke L, Ivers R, Du W, Senserrick T. Prevalence rates of helmet use among motorcycle riders in a developed region in China. Accid Anal Prev. 2011;43(1):214-19.

  34. Hung DV, Stevenson MR, Ivers R. Prevalence of helmet use among motorcycle riders in Vietnam. Inj Prev. 2006;12(6):409-13.

  35. Guillén Grima F, Aguinaga Ontoso I, Aguinaga Ontoso E. Helmet use by drivers and passengers of motorcycles in Pamplona (Spain), 1992. Eur J Epidemiol. 1995;11(1):87-9.

  36. Hyder AA, Waters H, Phillips T, Rehwinkel J. Exploring the economics of motorcycle helmet laws–Implications for low- and middle-income countries. Asia Pac J Public Health. 2007;19(2):16-22.

  37. Conferencia Nacional de Gobernadores. Acuerdo por el que se da a conocer la Estrategia Nacional Sobre Seguridad Vial 2011-2020, Acuerdo 7 de la XLI Reunión Ordinaria de la Conferencia Nacional de Gobernadores (27 de mayo de 2011).




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