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The neglected epidemic—Risk factors associated with road traffic injuries in Mozambique: Results of the 2016 INCOMAS study

The neglected epidemic—Risk factors associated with road traffic injuries in Mozambique: Results of the 2016 INCOMAS study


Title: The neglected epidemic—Risk factors associated with road traffic injuries in Mozambique: Results of the 2016 INCOMAS study
Author: Peralta-Santos, André
Ahmed, Syed Masud
Gimbel, Sarah
Sorensen, Reed
Covele, Alfredo
Kawakatsu, Yoshito
Wagenaar, Bradley H.
Augusto, Orvalho
Ásbjörnsdóttir, Kristjana Hrönn
Gloyd, Stephen S.
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Date: 2022-02-28
Language: English
Scope:
Department: Faculty of Medicine
Series: PLOS Global Public Health; ()
DOI: https://doi.org/10.1371/journal.pgph.0000163
URI: https://hdl.handle.net/20.500.11815/3872

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Citation:

Peralta-Santos , A , Ahmed , S M (ed.) , Gimbel , S , Sorensen , R , Covele , A , Kawakatsu , Y , Wagenaar , B H , Augusto , O , Ásbjörnsdóttir , K H , Gloyd , S S , Cuembelo , F & Sherr , K 2022 , ' The neglected epidemic—Risk factors associated with road traffic injuries in Mozambique: Results of the 2016 INCOMAS study ' , PLOS Global Public Health . https://doi.org/10.1371/journal.pgph.0000163

Abstract:

In 2019, 93% of road traffic injury related mortality occurred in low- and middle-income countries, an estimated burden of 1.3 million deaths. This problem is growing; by 2030 road traffic injury will the seventh leading cause of death globally. This study both explores factors associated with RTIs in the central region of Mozambique, as well as pinpoints geographical “hotspots” of RTI incidence. A cross-sectional, population-level survey was carried out in two provinces (Sofala and Manica) of central Mozambique where, in addition to other variables, the number of road traffic injuries sustained by the household within the previous six months, was collected. Urbanicity, household ownership of a car or motorcycle, and socio-economic strata index were included in the analysis. We calculated the prevalence rate ratios using a generalized linear regression with a Poisson distribution, as well as the spatial prevalence rate ratio using an Integrated Nested Laplace Approximation. The survey included 3,038 households, with a mean of 6.29 (SD 0.06) individuals per household. The road traffic injury rate was 6.1% [95%CI 7.1%, 5.3%]. Urban residence was associated with a 47% decrease in rate of injury. Household motorbike ownership was associated with a 92% increase in the reported rate of road traffic injury. Higher socio-economic status households were associated with a 26% increase in the rate of road traffic injury. The rural and peri-urban areas near the “Beira corridor” (national road N6) have higher rates of road traffic injuries. In Mozambique, living in the rural areas near the “Beira corridor”, higher household socio-economic strata, and motorbike ownership are risk factors for road traffic injury.

Description:

This study was supported by the Doris Duke Charitable Foundation’s African Health Initiative funded study "Strengthening Integrated Primary Health Care and Workforce Training in Sofala Province, Mozambique" (2009059) and by the Doris Duke Charitable Foundation's African Health Initiative funded study "Spreading IDEAs: the integrated district evidence to action program to improve maternal, newborn and child health" (2016106). which was awarded to KS, as Principal Investigator. The Doris Duke Charitable Foundation had no role in the design of the study, the collection, analysis, and interpretation of the data and in the writing of the manuscript.

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