Effects of helmet nonuse and seating position on patterns and severity of injuries in child motorcycle passengers

Hsiu Ping Fan, Wen Ta Chiu, Mau Roung Lin

研究成果: 雜誌貢獻文章

摘要

Background: A prospective study was conducted to investigate the effects of helmet nonuse and seating position on patterns and severity of motorcycle injuries among child passengers in Taiwan. Methods: In total, 305 child passengers aged ≤14 years who visited the emergency departments of three teaching hospitals following a motorcycle crash were recruited. Children's injury data were collected from medical records, and their riding behaviors along with operators' demographics were sourced from telephone interviews. Parental responses over the telephone about children's riding behaviors were checked by roadside observations. Results: Results of the multivariable logistic regression analysis revealed that compared to child passengers aged ≥7 years, those aged ≤3 (odds ratio (OR), 2.88; 95% confidence interval (CI), 1.37∼6.06) and 4∼6 years (OR, 2.93; 95% CI, 1.50∼5.70) were significantly more likely to have sustained a head/face injury, while those aged 4∼6 years (OR, 2.76; 95% CI, 1.01∼7.55) were significantly more likely to have sustained a severe injury. Compared to child passengers who were wearing a full-coverage helmet, those who were not wearing a helmet were significantly more likely to have sustained a head/face injury (OR, 3.12; 95% CI, 1.02∼9.52) and a severe injury (OR, 3.02; 95% CI, 1.19∼7.62). Children seated in front of the operator were significantly more likely to have experienced a head/face injury (OR, 2.22; 95% CI, 1.25∼3.94) than those seated behind the operator. For each increment in the riding speed of 1 km/h, the odds of a severe injury to child passengers increased by 5% (OR, 1.05; 95% CI, 1.01∼1.09). Conclusions: For the safety of child motorcycle passengers, laws on a minimum age restriction, helmet use, an adequate seating position, and riding speed need to be enacted and comprehensively enforced.

原文英語
文章編號1070
期刊BMC Public Health
19
發行號1
DOIs
出版狀態已發佈 - 八月 8 2019

指紋

Motorcycles
Head Protective Devices
Odds Ratio
Confidence Intervals
Wounds and Injuries
Craniocerebral Trauma
Child Behavior
Taiwan
Telephone
Teaching Hospitals
Medical Records
Hospital Emergency Service
Logistic Models
Regression Analysis
Demography
Prospective Studies
Interviews
Safety

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

引用此文

Effects of helmet nonuse and seating position on patterns and severity of injuries in child motorcycle passengers. / Fan, Hsiu Ping; Chiu, Wen Ta; Lin, Mau Roung.

於: BMC Public Health, 卷 19, 編號 1, 1070, 08.08.2019.

研究成果: 雜誌貢獻文章

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title = "Effects of helmet nonuse and seating position on patterns and severity of injuries in child motorcycle passengers",
abstract = "Background: A prospective study was conducted to investigate the effects of helmet nonuse and seating position on patterns and severity of motorcycle injuries among child passengers in Taiwan. Methods: In total, 305 child passengers aged ≤14 years who visited the emergency departments of three teaching hospitals following a motorcycle crash were recruited. Children's injury data were collected from medical records, and their riding behaviors along with operators' demographics were sourced from telephone interviews. Parental responses over the telephone about children's riding behaviors were checked by roadside observations. Results: Results of the multivariable logistic regression analysis revealed that compared to child passengers aged ≥7 years, those aged ≤3 (odds ratio (OR), 2.88; 95{\%} confidence interval (CI), 1.37∼6.06) and 4∼6 years (OR, 2.93; 95{\%} CI, 1.50∼5.70) were significantly more likely to have sustained a head/face injury, while those aged 4∼6 years (OR, 2.76; 95{\%} CI, 1.01∼7.55) were significantly more likely to have sustained a severe injury. Compared to child passengers who were wearing a full-coverage helmet, those who were not wearing a helmet were significantly more likely to have sustained a head/face injury (OR, 3.12; 95{\%} CI, 1.02∼9.52) and a severe injury (OR, 3.02; 95{\%} CI, 1.19∼7.62). Children seated in front of the operator were significantly more likely to have experienced a head/face injury (OR, 2.22; 95{\%} CI, 1.25∼3.94) than those seated behind the operator. For each increment in the riding speed of 1 km/h, the odds of a severe injury to child passengers increased by 5{\%} (OR, 1.05; 95{\%} CI, 1.01∼1.09). Conclusions: For the safety of child motorcycle passengers, laws on a minimum age restriction, helmet use, an adequate seating position, and riding speed need to be enacted and comprehensively enforced.",
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N2 - Background: A prospective study was conducted to investigate the effects of helmet nonuse and seating position on patterns and severity of motorcycle injuries among child passengers in Taiwan. Methods: In total, 305 child passengers aged ≤14 years who visited the emergency departments of three teaching hospitals following a motorcycle crash were recruited. Children's injury data were collected from medical records, and their riding behaviors along with operators' demographics were sourced from telephone interviews. Parental responses over the telephone about children's riding behaviors were checked by roadside observations. Results: Results of the multivariable logistic regression analysis revealed that compared to child passengers aged ≥7 years, those aged ≤3 (odds ratio (OR), 2.88; 95% confidence interval (CI), 1.37∼6.06) and 4∼6 years (OR, 2.93; 95% CI, 1.50∼5.70) were significantly more likely to have sustained a head/face injury, while those aged 4∼6 years (OR, 2.76; 95% CI, 1.01∼7.55) were significantly more likely to have sustained a severe injury. Compared to child passengers who were wearing a full-coverage helmet, those who were not wearing a helmet were significantly more likely to have sustained a head/face injury (OR, 3.12; 95% CI, 1.02∼9.52) and a severe injury (OR, 3.02; 95% CI, 1.19∼7.62). Children seated in front of the operator were significantly more likely to have experienced a head/face injury (OR, 2.22; 95% CI, 1.25∼3.94) than those seated behind the operator. For each increment in the riding speed of 1 km/h, the odds of a severe injury to child passengers increased by 5% (OR, 1.05; 95% CI, 1.01∼1.09). Conclusions: For the safety of child motorcycle passengers, laws on a minimum age restriction, helmet use, an adequate seating position, and riding speed need to be enacted and comprehensively enforced.

AB - Background: A prospective study was conducted to investigate the effects of helmet nonuse and seating position on patterns and severity of motorcycle injuries among child passengers in Taiwan. Methods: In total, 305 child passengers aged ≤14 years who visited the emergency departments of three teaching hospitals following a motorcycle crash were recruited. Children's injury data were collected from medical records, and their riding behaviors along with operators' demographics were sourced from telephone interviews. Parental responses over the telephone about children's riding behaviors were checked by roadside observations. Results: Results of the multivariable logistic regression analysis revealed that compared to child passengers aged ≥7 years, those aged ≤3 (odds ratio (OR), 2.88; 95% confidence interval (CI), 1.37∼6.06) and 4∼6 years (OR, 2.93; 95% CI, 1.50∼5.70) were significantly more likely to have sustained a head/face injury, while those aged 4∼6 years (OR, 2.76; 95% CI, 1.01∼7.55) were significantly more likely to have sustained a severe injury. Compared to child passengers who were wearing a full-coverage helmet, those who were not wearing a helmet were significantly more likely to have sustained a head/face injury (OR, 3.12; 95% CI, 1.02∼9.52) and a severe injury (OR, 3.02; 95% CI, 1.19∼7.62). Children seated in front of the operator were significantly more likely to have experienced a head/face injury (OR, 2.22; 95% CI, 1.25∼3.94) than those seated behind the operator. For each increment in the riding speed of 1 km/h, the odds of a severe injury to child passengers increased by 5% (OR, 1.05; 95% CI, 1.01∼1.09). Conclusions: For the safety of child motorcycle passengers, laws on a minimum age restriction, helmet use, an adequate seating position, and riding speed need to be enacted and comprehensively enforced.

KW - Child

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KW - Injury severity

KW - Motorcycle passenger

KW - Risky behavior

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