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


Autoři: Pablo Martínez aff001;  Daniela Contreras aff001;  Mónica Moreno aff001
Působiště autorů: CITIAPS, Universidad de Santiago de Chile, Santiago, Chile aff001;  Escuela de Psicología, Facultad de Humanidades, Universidad de Santiago de Chile, Santiago, Chile aff002;  Departamento de Psiquiatría y Salud Mental, Hospital Clínico Universidad de Chile, Santiago, Chile aff003;  Instituto Milenio para la Investigación en Depresión y Personalidad (MIDAP), Santiago, Chile aff004;  Núcleo Milenio para Mejorar la Salud Mental de Adolescentes y Jóvenes (Imhay), Santiago, Chile aff005
Vyšlo v časopise: PLoS ONE 15(1)
Kategorie: Research Article
prolekare.web.journal.doi_sk: 10.1371/journal.pone.0224545

Souhrn

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.

Klíčová slova:

Aging – Elderly – Geriatrics – Chile (country) – Roads – Socioeconomic aspects of health – Traffic safety – Transportation infrastructure


Zdroje

1. Sallis JF, Bull F, Burdett R, Frank LD, Griffiths P, Giles-Corti B, et al. Use of science to guide city planning policy and practice: how to achieve healthy and sustainable future cities. Lancet. 2016; 388: 2936–2947. doi: 10.1016/S0140-6736(16)30068-X 27671670

2. Institute for Health Metrics and Evaluation (IHME). GBD Compare data visualization; 2016 [cited 9 Sept 2017]. Database: IHME [Internet]. Available from: http://vizhub.healthdata.org/gbd-compare

3. Peden M, Scurfield R, Sleet DA, Mohan D, Hyder AA, Jarawan E, et al, editors. World report on road traffic injury prevention. Geneva, Switzerland: World Health Organization; 2004.

4. Biblioteca del Congreso Nacional (BCN). Historia de la Ley N° 20.068: Introduce diversas modificaciones a la Ley n° 18.290, en materia de tránsito terrestre; 2005 [cited 9 Sept 2017]. Database: BCN [Internet]. Available from: https://www.bcn.cl/historiadelaley/nc/historia-de-la-ley/6240/

5. Nazif-Muñoz JI, Quesnel-Vallée A, Van den Berg A. Explaining Chile's traffic fatality and injury reduction for 2000–2012. Traffic Inj Prev. 2014; 15: 56–63. doi: 10.1080/15389588.2013.793796

6. Nazif-Muñoz JI, Gariépy G, Falconer J, Gong A, Macpherson A. The impact of child restraint legislation on the incidence of severe paediatric injury in Chile. Inj Prev. 2017; 23: 291–296. doi: 10.1136/injuryprev-2016-042218 27940523

7. McGwin G Jr, Sims RV, Pulley L, Roseman JM. Relations among chronic medical conditions, medications, and automobile crashes in the elderly: a population-based case-control study. Am J Epidemiol. 2000; 152(5): 424–31. doi: 10.1093/aje/152.5.424 10981455

8. Nevriana A, Möller J, Laflamme L, Monárrez-Espino J. New, ocassional, and frequent use of Zolpiden or Zopiclone (alone and in combination) and the risk of injurious road traffic crashes in older adult drivers: a population-based case-control and case-crossover study. CNS Drugs. 2017; 31: 711–722. doi: 10.1007/s40263-017-0445-9 28669021

9. Zito GA, Cazzoli D, Scheffler L, Jäger M, Müri RM, Mosimann UP, et al. Street crossing behavior in younger and older pedestrian: an eye- and head-tracking study. BMC Geriatr. 2015; 15: 176. doi: 10.1186/s12877-015-0175-0 26714495

10. Doroudgar S, Chuang HM, Perry PJ, Thomas K, Bohnert K, Canedo J. Driving performance comparing older versus younger drivers. Traffic Inj Prev. 2017; 18: 41–46. doi: 10.1080/15389588.2016.1194980 27326512

11. Instituto Nacional de Estadísticas de Chile (INE). Estadísticas de licencias de conducir año 2015; 2015 [cited 9 Sept 2017]. Database: INE [Internet]. Available from: http://www.ine.cl/docs/default-source/econ/transporte-y-comunicaciones/anuarios/licencias-de-conducir/resultados/licencias_conducir_2015.xlsx?sfvrsn=4

12. Chong SL, Chiang LW, Allen JC Jr, Fleegler EW, Lee LK. Epidemiology of pedestrian-motor vehicle fatalities and injuries, 2006–2015. Am J Prev Med. 2018; 55: 98–105. doi: 10.1016/j.amepre.2018.04.005 29776783

13. Cicchino JB. Why have fatality rates among older drivers declined? The relative contributions of changes in survivability and crash involvement. Accid Anal Prev. 2015; 83: 67–73. doi: 10.1016/j.aap.2015.06.012 26219089

14. Boot WR, Stothart C, Charness N. Improving the safety of aging road users–A mini-review. Gerontology. 2014; 60: 90–96. doi: 10.1159/000354212 23989044

15. Salmi LR, Leproust S, Helmer C, Lagarde E. Assessing the fitness to drive in the elderly and those with medical conditions: guidelines should specify methods and evidence. Inj Prev. 2014; 20: 210–212. doi: 10.1136/injuryprev-2013-040972 24556789

16. Barry A, McGwire S, Porter K (editors) (HelpAge International, London, UK). Global AgeWatch Index 2015: Insight report [Internet]. London: HelpAge International; 2015 [cited 2018 Aug 25]. 28 p. Available from: http://www.helpage.org/download/563caf64d0b45/

17. Morency P, Gauvin L, Plante C, Fournier M, Morency C. Neighborhood social inequalities in road traffic injuries: The influence of traffic volume and road design. Am J Public Health. 2012; 102: 1112–1119. doi: 10.2105/AJPH.2011.300528 22515869

18. Laflamme L, Hasselberg M, Burrows S. 20 years of research on socioeconomic inequality and children’s unintentional injuries–understanding the cause-specific evidence at hand. Int J Pediatr. 2010; Article ID 819687, 23 p.

19. Sengoelge M, Elling B, Laflamme L, Hasselberg M. Country-level economic disparity and child mortality related to housing and injuries: a study in 26 European countries. Inj Prev. 2013; 19: 311–315. doi: 10.1136/injuryprev-2012-040624 23403852

20. Haagsma JA, Graetz N, Bolliger I, Naghavi M, Higashi H, Mullany EC, et al. The global burden of injury: incidence, mortality, disability-adjusted life years and time trends from the Global Burden of Disease study 2013. Inj Prev. 2016; 22: 3–18. doi: 10.1136/injuryprev-2015-041616 26635210

21. Ang BH, Chen WS, Lee SWH. Global burden of road traffic accidents in older adults: A systematic review and meta-regression analysis. Arch Gerontol Geriatr 2017; 72: 32–38. doi: 10.1016/j.archger.2017.05.004 28527382

22. Hosking J, Ameratunga S, Exeter D, Stewart J, Bell A. Ethnic, socioeconomic and geographical inequalities in road traffic injury rates in the Auckland region. Aust N Z J Public Health. 2013; 37:162–167. doi: 10.1111/1753-6405.12034 23551475

23. Ameratunga S, Hijar M, Norton R. Road-traffic injuries: confronting disparities to address a global-health problem. Lancet. 2006; 367: 1533–1540. doi: 10.1016/S0140-6736(06)68654-6 16679167

24. Azetsop J. Social justice approach to road safety in Kenya: Addressing the uneven distribution of road traffic injuries and deaths across population groups. Public Health Ethics. 2010; 3: 115–127. doi: 10.1093/phe/phq013 20664752

25. Castairs V. Deprivation indices: their interpretation and use in relation to health. J Epidemiol Community Health. 1995; 49: S3–S8. doi: 10.1136/jech.49.suppl_2.s3 8594130

26. Hosseinpoor AR, Bergen N. Area-based units of analysis for strengthening health inequality monitoring. Bull World Health Organ. 2016; 94: 856–858. doi: 10.2471/BLT.15.165266 27821889

27. Curran PJ, Bauer DJ. The disaggregation of within-person and between-person effects in longitudinal models of change. Annu Rev Psychol. 2001; 62: 583–619.

28. Chatterjee S, Hadi AS. Regression Analysis by Example. 5th ed. New York, NY: John Wiley & Sons; 2012.

29. Wang LP, Maxwell SE. On disaggregating between-person and within-person effects with longitudinal data using multilevel models. Psychol Methods. 2015; 20: 63–83. doi: 10.1037/met0000030 25822206

30. Lord D, Mannering F. The statistical analysis of crash-frequency data: A review and assessment of methodological alternatives. Transport Res Part A Pol Pract. 2010; 44: 291–305.

31. StataCorp. 2015. Stata Statistical Software: Release 14. College Station, TX: StataCorp LP.

32. Kontopantelis E, Doran T, Springate DA, Buchan I, Reeves D. Regression based quasi-experimental approach when randomization is not an option: interrupted time series analysis. BMJ. 2015; 350: h2750. doi: 10.1136/bmj.h2750 26058820

33. Fernández MB, Herrera MS. Chile y sus mayores: 10 años de la Encuesta Calidad de Vida en la Vejez UC–Caja Los Andes. Resultados IV Encuesta Calidad de Vida en la Vejez. Santiago, Chile: Caja Los Andes y Pontifica Universidad Católica de Chile; 2017.

34. McPhee JS, French DP, Jackson D, Nazroo J, Pendleton N, Degens H. Physical activity in older age: perspectives for healthy ageing and frailty. Biogerontology. 2016; 17: 567–580. doi: 10.1007/s10522-016-9641-0 26936444

35. Risser R, Haindl G, Stahl A. Barriers to senior citizens’ outdoor mobility in Europe. Eur J Ageing. 2010; 7: 69–80. doi: 10.1007/s10433-010-0146-4 28798619

36. Tournier I, Dommes A, Cavallo V. Review of safety and mobility issues among older pedestrians. Accid Anal Prev. 2016; 91: 24–35. doi: 10.1016/j.aap.2016.02.031 26950033

37. Nazif-Muñoz JI, Quesnel-Vallée A, Van den Berg A. Did Chile’s traffic law reform push police enforcement? Understanding Chile’s traffic fatalities and injuries reduction. Inj Prev. 2015; 21(3):159–165. doi: 10.1136/injuryprev-2014-041358 25432938

38. Staton C, Vissoci J, Gong E, Toomey N, Wafula R, Abdelgadir J, et al. Road traffic injury prevention initiatives: a systematic review and metasummary of effectiveness in low and middle income countries. PLoS ONE. 2016; 11: e0144971. doi: 10.1371/journal.pone.0144971 26735918

39. Borrell C, Rodríguez M, Ferrando J, Brugal MT, Pasarín MI, Martínez V, et al. Role of individual and contextual effects in injury mortality: new evidence from small area analysis. Inj Prev. 2002; 8: 297–302. doi: 10.1136/ip.8.4.297 12460966

40. Lyons RA, Jones SJ, Deacon T, Heaven M. Socioeconomic variation in injury in children and older people: a population based study. Inj Prev. 2003; 9: 33–37. doi: 10.1136/ip.9.1.33 12642556

41. Borrell C, Plasència A, Huisman M, Costa G, Kunst A, Andersen O, et al. Education level inequalities and transportation injury mortality in the middle aged and elderly in European settings. Inj Prev. 2005; 11: 138–142. doi: 10.1136/ip.2004.006346 15933403

42. Cottrill CD, Thakuriah PV. Evaluating pedestrian crashes in areas with high low-income or minority populations. Accid Anal Prev. 2010; 42(6): 1718–28. doi: 10.1016/j.aap.2010.04.012 20728622

43. Rosenbloom T, Sapir-Lavid Y, Perlman A. Risk factors in road crossing among elderly pedestrians and readiness to adopt safe behavior in socio-economic comparison. Accid Anal Prev. 2016; 93:23–31. doi: 10.1016/j.aap.2016.04.004 27155211

44. Nantulya VM, Reich MR. Equity dimensions of road traffic injuries in low- and middle-income countries. Inj Contr Saf Promot. 2003; 10(1–2):13–20.

45. Novoa AM, Perez K, Santamarina-Rubio E, Mari-Dell’Olmo M, Cozar R, Ferrando J et al. Road safety in the political agenda: the impact on road traffic injuries. J Epidemiol Community Health. 2011; 65:218–225. doi: 10.1136/jech.2009.094029 19959650

46. Vanlaar W, Hing MM, Robertson R, Mayhew D, Carr D. An evaluation of Ontario’s Group Education Session (GES) for license renewal of seniors aged 80 and above. J Safety Res. 2016; 56:33–39. doi: 10.1016/j.jsr.2015.11.009 26875163

47. Sivak M, Schoettle B. An analysis of U.S. road fatalities per population: changes by age from 1958 to 2008. Traffic Inj Prev. 2011; 12:438–42. doi: 10.1080/15389588.2011.588980 21972853

48. Bonnet E, Lechat L, Ridde V. What interventions are required to reduce road traffic injuries in Africa? A scoping review of the literature. PLoS ONE. 2018; 13: e0208195. doi: 10.1371/journal.pone.0208195 30500856


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