medigraphic.com
ISSN 0016-3813 (Print)

2017, Number 6

<< Back Next >>

Gac Med Mex 2017; 153 (6)

Analysis of accidents and injuries on motorcycles in Mexico

Berrones-Sanz LD

Language: Spanish
References: 33
Page: 662-671
PDF size: 364.58 Kb.


ABSTRACT

Objective: To analyze the type of injuries and the characteristics and geographical distribution of road accidents where motorcycles were involved in Mexico. Methods: A descriptive analysis of second-hand information sources was conducted, including the number of accidents (N = 41,881), total number of injured people (N = 13,916) and medical expenses (N = 9,111) associated to motorcycle accidents during 2014. Results: Motorcycles represent 13.14% of the total number of deaths in road accidents in Mexico, and the Southeast region of Mexico registers the highest proportion of fatal injuries. Of the total number of motorcycles, 1.84% (95% confidence interval [CI]: 1.83-1.86) were involved in a collision. 3.64 (95% CI: 3.39-3.89) people died and 105.5 (95% CI: 104.1-106.8) were injured in every 10,000. Out of the total number of injuries, 76.6% were male and 53.74% were women. 55.1% of deaths were caused by intracranial trauma. Only 16.6% wore a helmet at the time of the accident, and those not wearing a helmet had a 2.11 (odds ratio [OR]: 2.1; CI 95%: 1.8-2.4) higher chance of head injury. Regarding the severity of the crash, those occurred in suburban areas (OR: 6.58; CI 95%: 5.69-7.60), in unpaved surfaces (OR: 4.13; CI 95%: 3.04-5.61), after low alcohol consumption (OR: 1.89; CI 95%: 1.46-2.44), at night (OR: 2.24; CI 95%: 1.95-2.57) and on weekends (OR: 1.65; CI 95%: 1.44-1.90), had the highest chance of turning into a fatal accident. Conclusions: In spite of the progress made in terms of road safety, motorcycle accidents are still increasing, and the use of a helmet is still proportionally low. More information on these groups and risk factors needs to be available so people are better informed. Also, regulations need improvements regarding the use of security equipment like helmets in order to reduce injuries and fatal accidents.


REFERENCES

  1. WHO. Helmets: a road safety manual for decision-makers and practitioners. Geneva: World Health Organization; 2006.

  2. Huang B, Preston J. A literature review on motorcycle collisions: final report. Oxford, England: University of Oxford; 2004.

  3. Chesham DJ, Rutter DR, Quine L. Motorcycling safety research: a review of the social and behavioural literature. Soc Sci Med. 1993;37:419-29.

  4. Mannering FL, Grodsky LL. Statistical analysis of motorcyclists’ perceived accident risk. Accid Anal Prev. 1995;27:21-31.

  5. Bjornskau T, Naevestad T-O, Akhtar J. Traffic safety among motorcyclists in Norway: a study of subgroups and risk factors. Accid Anal Prev 2011;49:50-7.

  6. INEGI. Vehículos de motor registrados en circulación, 2014. (Accedido el 21 de julio de 2016.) Disponible en: http //www.inegi.org.mx/est/contenidos/ proyectos/registros/economicas/vehiculos

  7. INEGI. Accidentes de tránsito terrestre en zonas urbanas y suburbanas, 2014.(Accedido el 21 de julio de 2016.) Disponible en: http //www inegi. org.mx/est/contenidos/proyectos/registros/economicas/accidentes

  8. Dirección General de Información en Salud. Sistema Nacional de Información en Salud: Lesiones, 2014.(Accedido el 21 de julio de 2016 ) Disponible en: http //www.dgis.salud.gob.mx/contenidos/sinais/estadisticas.html

  9. Elvik R, Vaa T, Monclús J. El manual de medidas de seguridad vial.España: Fundación Instituto Tecnológico para Seguridad del Automóvil; 2006.

  10. Silva PHNdV, Lima MLC, Souza WV, et al. Muertes por accidente de motocicleta y su asociación con variables relacionadas a la reproducción social en un estado del noreste brasileño. Salud Colectiva.2015;11:401.

  11. Berrones Sanz LD. The working conditions of motorcycle taxi drivers in Tláhvac, Mexico City. Journal of Transport and Health, 2017.

  12. Yusuf A, Adeleke N, Adeniran J, et al. Pattern and outcome of motorcyclists head injury in lorin, Nigeria. Niger J Basic Clin Sci.2014;11:80.

  13. Tosi JD, Ledesma RD, Poó FM, et al. Prevalencia y evolución del uso de casco en ocupantes de motocicletas en una ciudad argentina (Mar del Plata, 2006-2014). SC.2016;12 85.

  14. Yu W-Y, Chen C-Y, Chiu W-T, et al. Effectiveness of different types of motorcycle helmets and effects of their improper use on head injuries. Int J Epidemiol. 2011;40:794-803.

  15. Oxley J, Ravi MD, Yuen J, et al. Identifying contributing factors to fatal and serious injury motorcycle collisions involving children in Malaysia. Ann Adv Automot Med. 2013;57:329-36.

  16. Reglamento de Tránsito del Distrito Federal. Gaceta Oficial del Distrito Federal 2015; 3-122.

  17. Ackaah W, Afukaar F, Agyemang W, et al. The use of non-standard motorcycle helmets in low- and middle-income countries: a multicentre study. Inj Prev.2013;19:158-63.

  18. Peek-Asa C, McArthur DL, Kraus JF. The prevalence of non-standard helmet use and head injuries among motorcycle riders. Accid Anal Prev. 1999;31:229-33.

  19. Hurt HH, Ouellet JV, Thom DR. Motorcycle accident cause factors and identification of countermeasures: volume I: final report.Washington, D.C., Springfield, Va.: National Highway Traffic Safety Administration; 1981.

  20. Fong MC, Measelle JR, Dwyer JL, et al. Rates of motorcycle helmet use and reasons for non-use among adults and children in Luang Prabang, Lao People’s Democratic Republic. BMC Public Health.2015;15 970.

  21. Ledesma RD, Peltzer RI. Helmet use among motorcyclists: observational study in the city of Mar del Plata, Argentina. Rev Saúde Pública 2008;42:143-5.

  22. Bachani AM, Branching C, Ear C, et al. Trends in prevalence, knowledge, attitudes, and practices of helmet use in Cambodia: results from a two year study. Injury. 2013;44:S31-7.

  23. Ramli R, Oxley J, Hillard P, et al. The effect of motorcycle helmet type, components and fixation status on facial injury in Klang Valley, Malaysia: a case control study. BMC Emerg Med. 2014;14:17.

  24. Xuequn Y, Ke L, Ivers R, et al. Prevalence rates of helmet use among motorcycle riders in a developed region in China. Accid Anal Prev. 2011;43:214-9.

  25. Zamani-Alavijeh F, Bazargan M, Shafiei A, et al. The frequency and predictors of helmet use among Iranian motorcyclists: aquantitative and qualitative study. Accid Anal Prev. 2011;43:1562-9.

  26. Akaateba MA, Amoh-Gyimah R, Yakubu I. A cross-sectional observational study of helmet use among motorcyclists in Wa, Ghana. Accid Anal Prev. 2014;64:18-22.

  27. Nicholson SL, Donaghy M, Johnston M, et al. A qualitative theory guided analysis of stroke survivors’ perceived barriers and facilitators to physical activity. Disabil Rehabil. 2014;36:1857-68.

  28. Lunnen JC, Pérez-Núñez R, Hidalgo-Solórzano E, et al. The prevalence of motorcycle helmet use from serial observations in three Mexican cities. Int J Inj Contr Saf Promot 2014;22:368-76.

  29. Hidalgo-Solorzano E, Inclán-Valadez C, Pérez-Núñez R, et al. Motorcycle non-standard helmet use in an urban area of Mexico. Inj Prevent. 2012;18:A192.

  30. Otte D, Jessl P, Suren EG. Impact points and resultant injuries to the head of motorcyclists involved in accidents, with and without crash helmets. Proceedings of the 1984 International Conference on the Biomechanics of Impacts. The Netherlands, 4-6th 1984.

  31. Elliott MA, Baughan CJ, Broughton J, et al. Motorcycle safety: a scoping study.Transport Research Laboratory; 2003.

  32. Mannering FL. Male/female driver characteristics and accident risk: some new evidence. Accid Anal Prev. 1993;25:77-84.

  33. Preusser DF, Williams AF, Ulmer RG. Analysis of fatal motorcycle crashes: crash typing. Accid Anal Prev. 1995;27:845-51.




2020     |     www.medigraphic.com