Self-reported involvement in road traffic crashes in Kenya: A cross-sectional survey of a nationally representative sample

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Self-reported involvement in road traffic crashes in Kenya: A cross-sectional survey of a nationally representative sample


Journalhealth science reports
Article typeJournal research article – Clinical research
Publication date – Sep – 2022
Authors – Masood Ali Shaikh, Herman Lule, Till Bärnighausen, Michael Lowery Wilson, Anne Abio
KeywordsKenya, Low-and middle-income countries, road traffic crashes (RTCs), sociodemographic factors
Open access – Yes
SpecialityEmergency surgery, Health policy, Trauma surgery
World region Eastern Africa
Country: Kenya
Language – English
Submitted to the One Surgery Index on September 30, 2022 at 11:52 pm
Abstract:

Background
Road traffic crashes (RTCs) are a global public health burden whose resulting morbidity and mortality disproportionately impact low- and middle-income countries with stressed health systems. There is a paucity of published studies that evaluate the sociodemographic distribution of RTCs using nationally representative samples from the African region.

Aim
To examine population-wide associations between sociodemographic factors and involvement in RTCs in Kenya.

Methods
Data were obtained from the 2014 Kenyan Demographic Health Survey, representing all 47 counties in Kenya, from May to October of 2014. We estimated the prevalence of RTCs and utilized logistic regression for bivariate and multivariable analyses to determine the sociodemographic factors associated with RTCs. Study variables included age, place of residence, household wealth index, educational attainment, and history of alcohol consumption. We computed odds ratios (ORs) and their corresponding 95% confidence intervals (CIs).

Results
A higher prevalence was reported among men (8.76%) versus women (3.22%). The risk factors among men included being 20−34 years of age, living in a rural area (OR 1.38, 95% CI 1.09, 1.74), drinking alcohol (OR 1.33, 95% CI 1.11, 1.59), and having not higher than a primary (OR 1.90, 95% CI 1.19, 3.03) or secondary (OR 1.68, 95% CI 1.04, 2.71) education. The strongest risk factors for women included the being aged 45−49 (OR 2.30, 95% CI 1.44, 3.67) and 20−24 years (OR 1.81, 95% 1.17, 2.79) as well as being in the fourth wealth quintile (OR 1.83, 95% CI 1.15, 2.91).

Conclusion
Men and the most economically productive age groups were more likely to report being involved in RTCs. Strategies to reduce the occurrences of RTCs should prioritize the most vulnerable sociodemographic groups.

OSI Number – 21770

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