Cargando…

Road Traffic Injury Prevention Initiatives: A Systematic Review and Metasummary of Effectiveness in Low and Middle Income Countries

BACKGROUND: Road traffic injuries (RTIs) are a growing but neglected global health crisis, requiring effective prevention to promote sustainable safety. Low- and middle-income countries (LMICs) share a disproportionately high burden with 90% of the world’s road traffic deaths, and where RTIs are esc...

Descripción completa

Detalles Bibliográficos
Autores principales: Staton, Catherine, Vissoci, Joao, Gong, Enying, Toomey, Nicole, Wafula, Rebeccah, Abdelgadir, Jihad, Zhou, Yi, Liu, Chen, Pei, Fengdi, Zick, Brittany, Ratliff, Camille D., Rotich, Claire, Jadue, Nicole, de Andrade, Luciano, von Isenburg, Megan, Hocker, Michael
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4703343/
https://www.ncbi.nlm.nih.gov/pubmed/26735918
http://dx.doi.org/10.1371/journal.pone.0144971
_version_ 1782408729018236928
author Staton, Catherine
Vissoci, Joao
Gong, Enying
Toomey, Nicole
Wafula, Rebeccah
Abdelgadir, Jihad
Zhou, Yi
Liu, Chen
Pei, Fengdi
Zick, Brittany
Ratliff, Camille D.
Rotich, Claire
Jadue, Nicole
de Andrade, Luciano
von Isenburg, Megan
Hocker, Michael
author_facet Staton, Catherine
Vissoci, Joao
Gong, Enying
Toomey, Nicole
Wafula, Rebeccah
Abdelgadir, Jihad
Zhou, Yi
Liu, Chen
Pei, Fengdi
Zick, Brittany
Ratliff, Camille D.
Rotich, Claire
Jadue, Nicole
de Andrade, Luciano
von Isenburg, Megan
Hocker, Michael
author_sort Staton, Catherine
collection PubMed
description BACKGROUND: Road traffic injuries (RTIs) are a growing but neglected global health crisis, requiring effective prevention to promote sustainable safety. Low- and middle-income countries (LMICs) share a disproportionately high burden with 90% of the world’s road traffic deaths, and where RTIs are escalating due to rapid urbanization and motorization. Although several studies have assessed the effectiveness of a specific intervention, no systematic reviews have been conducted summarizing the effectiveness of RTI prevention initiatives specifically performed in LMIC settings; this study will help fill this gap. METHODS: In accordance with PRISMA guidelines we searched the electronic databases MEDLINE, EMBASE, Scopus, Web of Science, TRID, Lilacs, Scielo and Global Health. Articles were eligible if they considered RTI prevention in LMICs by evaluating a prevention-related intervention with outcome measures of crash, RTI, or death. In addition, a reference and citation analysis was conducted as well as a data quality assessment. A qualitative metasummary approach was used for data analysis and effect sizes were calculated to quantify the magnitude of emerging themes. RESULTS: Of the 8560 articles from the literature search, 18 articles from 11 LMICs fit the eligibility and inclusion criteria. Of these studies, four were from Sub-Saharan Africa, ten from Latin America and the Caribbean, one from the Middle East, and three from Asia. Half of the studies focused specifically on legislation, while the others focused on speed control measures, educational interventions, enforcement, road improvement, community programs, or a multifaceted intervention. CONCLUSION: Legislation was the most common intervention evaluated with the best outcomes when combined with strong enforcement initiatives or as part of a multifaceted approach. Because speed control is crucial to crash and injury prevention, road improvement interventions in LMIC settings should carefully consider how the impact of improvements will affect speed and traffic flow. Further road traffic injury prevention interventions should be performed in LMICs with patient-centered outcomes in order to guide injury prevention in these complex settings.
format Online
Article
Text
id pubmed-4703343
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Public Library of Science
record_format MEDLINE/PubMed
spelling pubmed-47033432016-01-15 Road Traffic Injury Prevention Initiatives: A Systematic Review and Metasummary of Effectiveness in Low and Middle Income Countries Staton, Catherine Vissoci, Joao Gong, Enying Toomey, Nicole Wafula, Rebeccah Abdelgadir, Jihad Zhou, Yi Liu, Chen Pei, Fengdi Zick, Brittany Ratliff, Camille D. Rotich, Claire Jadue, Nicole de Andrade, Luciano von Isenburg, Megan Hocker, Michael PLoS One Research Article BACKGROUND: Road traffic injuries (RTIs) are a growing but neglected global health crisis, requiring effective prevention to promote sustainable safety. Low- and middle-income countries (LMICs) share a disproportionately high burden with 90% of the world’s road traffic deaths, and where RTIs are escalating due to rapid urbanization and motorization. Although several studies have assessed the effectiveness of a specific intervention, no systematic reviews have been conducted summarizing the effectiveness of RTI prevention initiatives specifically performed in LMIC settings; this study will help fill this gap. METHODS: In accordance with PRISMA guidelines we searched the electronic databases MEDLINE, EMBASE, Scopus, Web of Science, TRID, Lilacs, Scielo and Global Health. Articles were eligible if they considered RTI prevention in LMICs by evaluating a prevention-related intervention with outcome measures of crash, RTI, or death. In addition, a reference and citation analysis was conducted as well as a data quality assessment. A qualitative metasummary approach was used for data analysis and effect sizes were calculated to quantify the magnitude of emerging themes. RESULTS: Of the 8560 articles from the literature search, 18 articles from 11 LMICs fit the eligibility and inclusion criteria. Of these studies, four were from Sub-Saharan Africa, ten from Latin America and the Caribbean, one from the Middle East, and three from Asia. Half of the studies focused specifically on legislation, while the others focused on speed control measures, educational interventions, enforcement, road improvement, community programs, or a multifaceted intervention. CONCLUSION: Legislation was the most common intervention evaluated with the best outcomes when combined with strong enforcement initiatives or as part of a multifaceted approach. Because speed control is crucial to crash and injury prevention, road improvement interventions in LMIC settings should carefully consider how the impact of improvements will affect speed and traffic flow. Further road traffic injury prevention interventions should be performed in LMICs with patient-centered outcomes in order to guide injury prevention in these complex settings. Public Library of Science 2016-01-06 /pmc/articles/PMC4703343/ /pubmed/26735918 http://dx.doi.org/10.1371/journal.pone.0144971 Text en © 2016 Staton et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
spellingShingle Research Article
Staton, Catherine
Vissoci, Joao
Gong, Enying
Toomey, Nicole
Wafula, Rebeccah
Abdelgadir, Jihad
Zhou, Yi
Liu, Chen
Pei, Fengdi
Zick, Brittany
Ratliff, Camille D.
Rotich, Claire
Jadue, Nicole
de Andrade, Luciano
von Isenburg, Megan
Hocker, Michael
Road Traffic Injury Prevention Initiatives: A Systematic Review and Metasummary of Effectiveness in Low and Middle Income Countries
title Road Traffic Injury Prevention Initiatives: A Systematic Review and Metasummary of Effectiveness in Low and Middle Income Countries
title_full Road Traffic Injury Prevention Initiatives: A Systematic Review and Metasummary of Effectiveness in Low and Middle Income Countries
title_fullStr Road Traffic Injury Prevention Initiatives: A Systematic Review and Metasummary of Effectiveness in Low and Middle Income Countries
title_full_unstemmed Road Traffic Injury Prevention Initiatives: A Systematic Review and Metasummary of Effectiveness in Low and Middle Income Countries
title_short Road Traffic Injury Prevention Initiatives: A Systematic Review and Metasummary of Effectiveness in Low and Middle Income Countries
title_sort road traffic injury prevention initiatives: a systematic review and metasummary of effectiveness in low and middle income countries
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4703343/
https://www.ncbi.nlm.nih.gov/pubmed/26735918
http://dx.doi.org/10.1371/journal.pone.0144971
work_keys_str_mv AT statoncatherine roadtrafficinjurypreventioninitiativesasystematicreviewandmetasummaryofeffectivenessinlowandmiddleincomecountries
AT vissocijoao roadtrafficinjurypreventioninitiativesasystematicreviewandmetasummaryofeffectivenessinlowandmiddleincomecountries
AT gongenying roadtrafficinjurypreventioninitiativesasystematicreviewandmetasummaryofeffectivenessinlowandmiddleincomecountries
AT toomeynicole roadtrafficinjurypreventioninitiativesasystematicreviewandmetasummaryofeffectivenessinlowandmiddleincomecountries
AT wafularebeccah roadtrafficinjurypreventioninitiativesasystematicreviewandmetasummaryofeffectivenessinlowandmiddleincomecountries
AT abdelgadirjihad roadtrafficinjurypreventioninitiativesasystematicreviewandmetasummaryofeffectivenessinlowandmiddleincomecountries
AT zhouyi roadtrafficinjurypreventioninitiativesasystematicreviewandmetasummaryofeffectivenessinlowandmiddleincomecountries
AT liuchen roadtrafficinjurypreventioninitiativesasystematicreviewandmetasummaryofeffectivenessinlowandmiddleincomecountries
AT peifengdi roadtrafficinjurypreventioninitiativesasystematicreviewandmetasummaryofeffectivenessinlowandmiddleincomecountries
AT zickbrittany roadtrafficinjurypreventioninitiativesasystematicreviewandmetasummaryofeffectivenessinlowandmiddleincomecountries
AT ratliffcamilled roadtrafficinjurypreventioninitiativesasystematicreviewandmetasummaryofeffectivenessinlowandmiddleincomecountries
AT rotichclaire roadtrafficinjurypreventioninitiativesasystematicreviewandmetasummaryofeffectivenessinlowandmiddleincomecountries
AT jaduenicole roadtrafficinjurypreventioninitiativesasystematicreviewandmetasummaryofeffectivenessinlowandmiddleincomecountries
AT deandradeluciano roadtrafficinjurypreventioninitiativesasystematicreviewandmetasummaryofeffectivenessinlowandmiddleincomecountries
AT vonisenburgmegan roadtrafficinjurypreventioninitiativesasystematicreviewandmetasummaryofeffectivenessinlowandmiddleincomecountries
AT hockermichael roadtrafficinjurypreventioninitiativesasystematicreviewandmetasummaryofeffectivenessinlowandmiddleincomecountries