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Traffic Injury Prevention Volume 18, 2017 - Issue 1
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Original Articles

Road traffic crashes among farm vehicle drivers in southern China: A cross-sectional survey

Xujun ZhangInjury Prevention Research Institute, Department of Epidemiology and Biostatistics, School of Public Health, Southeast University, Nanjing, Jiangsu Province, China;Key Laboratory of Environmental Medicine Engineering, Ministry of Education, School of Public Health, Southeast University, Nanjing, Jiangsu Province, ChinaCorrespondence[email protected]
,
Yaming YangYixing Center for Disease Control and Prevention, Yixing, Jiangsu Province, China
,
Yu ChenInjury Prevention Research Institute, Department of Epidemiology and Biostatistics, School of Public Health, Southeast University, Nanjing, Jiangsu Province, China
,
Hongyan YaoOffice of Epidemiology, Chinese Center for Disease Control and Prevention, Beijing, China
,
Ming WuJiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu Province, China
,
Mengjing CuiInjury Prevention Research Institute, Department of Epidemiology and Biostatistics, School of Public Health, Southeast University, Nanjing, Jiangsu Province, China
,
Yang LiInjury Prevention Research Institute, Department of Epidemiology and Biostatistics, School of Public Health, Southeast University, Nanjing, Jiangsu Province, China
,
Jie HuInjury Prevention Research Institute, Department of Epidemiology and Biostatistics, School of Public Health, Southeast University, Nanjing, Jiangsu Province, China
,
Cong ZhangInjury Prevention Research Institute, Department of Epidemiology and Biostatistics, School of Public Health, Southeast University, Nanjing, Jiangsu Province, China
,
Zhen LiInjury Prevention Research Institute, Department of Epidemiology and Biostatistics, School of Public Health, Southeast University, Nanjing, Jiangsu Province, China
,
Lorann StallonesColorado Injury Control Research Center, Department of Psychology, Colorado State University, Fort Collins, Colorado
&
Huiyun XiangCenter for Injury Research and Policy and Center for Pediatric Trauma Research, The Research Institute at Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, Ohio
 show all
Pages 83-87 | Received 25 Nov 2015, Accepted 13 May 2016, Published online: 20 Sep 2016
 
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ABSTRACT

Objective: The objective of this study was to identify the prevalence and potential risk factors of farm vehicle–related road traffic crashes among farm vehicle drivers in southern China.

Methods: A cross-sectional study was used to interview 1,422 farm vehicle drivers in southern China. Farm vehicle–related road traffic crashes that occurred from December 2013 to November 2014 were investigated. Data on farm vehicle–related road traffic crashes and related factors were collected by face-to-face interviews.

Results: The prevalence of farm vehicle–related road traffic crashes among the investigated drivers was 7.2%. Farm vehicle–related road traffic crashes were significantly associated with self-reported vision problem (adjusted odds ratio [AOR] = 6.48, 95% confidence interval [CI], 3.86–10.87), self-reported sleep disorders (AOR = 10.03, 95% CI, 6.28–15.99), self-reported stress (AOR = 20.47, 95% CI, 9.96–42.08), reported history of crashes (AOR = 5.40, 95% CI, 3.47–8.42), reported history of drunk driving (AOR = 5.07, 95% CI, 2.97–8.65), and reported history of fatigued driving (AOR = 5.72, 95% CI, 3.73–8.78). The number of road traffic crashes was highest in the daytime and during harvest season. In over 96% of farm vehicle–related road traffic crashes, drivers were believed to be responsible for the crash. Major crash-causing factors included improper driving, careless driving, violating of traffic signals or signs, and being in the wrong lane.

Conclusion: Findings of this study suggest that farm vehicle–related road traffic crashes have become a burgeoning public health problem in China. Programs need to be developed to prevent farm vehicle–related road traffic crashes in this emerging country.

Acknowledgements

The authors thank the workers and management of Yixing Agricultural Machinery Management Station for their assistance with data collection for this study.

Funding

This study was supported by funding from the Jiangsu Provincial Health Department(Y201016).

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