Tzu Chi Medical Journal
Volume 19, Issue 3 , Pages 152-158, September 2007

Road Traffic Casualties and Risky Driving Behavior in Hualien County, 2001–2005

  • Yin-Ming Li

      Affiliations

    • Corresponding Author InformationCorresponding author. Department of Family Medicine, Buddhist Tzu Chi General Hospital, 707, Section 3, Chung Yang Road, Hualien, Taiwan

Department of Family Medicine, Buddhist Tzu Chi General Hospital and Tzu Chi University, Hualien, Taiwan

Received 12 March 2007; received in revised form 19 April 2007; accepted 4 May 2007.

Article Outline

Abstract 

Objectives

The highest number of road traffic fatalities has consistently occurred in eastern Taiwan, with an average of 150 lives lost in 1 year. In this study, the risk of fatal crashes caused by drivers' error was assessed, including controlling environmental factors or types of crash.

Materials and Methods

Police records of motor vehicle crashes occurring in Hualien county, from January 2001 to December 2005, were used. The analyses were based on 9611 crashes caused by drivers' error.

Results

On average, the fatality rate was 5.2%. Half of the deaths were caused by drivers' driving under the influence of alcohol (DUI) and speeding. Risky driving behavior was more common in rural areas. Multivariate analysis showed that DUI and speeding were significant factors associated with fatality in rural areas.

Conclusion

Risky driving behavior is common in rural areas in eastern Taiwan. The characteristics of road users and the efficiency of trauma rescue systems should be further assessed. Road safety campaigns and public transport education should be discussed.

Keywords:  Hualien county , Risky driving behavior , Road traffic fatality

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References 

  1. Department of Health, Executive Yuan, R.O.C . In: Health and Vital Statistic, 2004 . Taipei: Department of Health, Republic of China; 2005;p. 244–245
  2. Peden M , McGee K , Sharma G . A graphical overview of the global burden of injuries . In: The Injury Chart Book . Geneva: World Health Organization; 2002;p. 16–21
  3. Hualien County Government  . The Statistical Abstract of Hualien County, 2005 . Available at: http://www.hl.gov.tw/static/book/94book/94book.htm [Date accessed: December 18, 2006]
  4. World Heath Organization  . Risk factors . In:  Peden M ,  Scurfied R editor. World Report on Road Traffic Injury Prevention . Geneva: World Health Organization; 2004;p. 71–103
  5. Li YM , Shaw CK . A telephone survey of health behavioral risk factors in Hualien County . Tzu Chi Med J . 1997;9:241–248
  6. Yen LL , Li YM . Prevalence and correlates of hazardous motorcycling behavior among students of senior high schools in Hualien . Chin J Public Health . 1997;16:396–403
  7. Li YM , Lu P , Haung PS . Driving without a helmet and under the influence of alcohol among injured motorcyclists. A hospital-based study in Hualien County . Tzu Chi Med J . 2000;12:165–172
  8. Li YM . Traffic accidents caused by hazardous driving in Hualien County . Tzu Chi Med J . 2003;15:175–183
  9. Evans L . Alcohol . In: Traffic Safety . Bloomfield Hills, Michigan: Science Serving Society; 2004;p. 237–269
  10. Fabbri A , Marchesini G , Morselli-Labate AM , et al.   Positive blood alcohol concentration and road accidents. A prospective study in an Italian emergency department . Emerg Med J . 2002;19:210–214
  11. Foster GR , Dunbar JA , Whittet D , Fernando GC . Contribution of alcohol to deaths in road traffic accidents in Tayside 1982–6 . Br Med J . 1988;296:1430–1432
  12. Kasantikul V , Ouellet JV , Smith T , Sirathranont J , Panichabhongse V . The role of alcohol in Thailand motorcycle crashes . Accid Anal Prevent . 2005;37:357–366
  13. McCoy GF , Johnston RA , Nelson IW , Duthie RB . A review of fatal road accidents in Oxfordshire over a 2-year period . Injury . 1989;20:65–68
  14. Centers for Disease Control and Prevention (CDC) . Trends in motorcycle fatalities associated with alcohol-impaired driving–United States, 1983–2003 . MMWR Morb Mortal Wkly Rep . 2004;53:1103–1106
  15. Lu TH , Hong CK , Chen IK , Chen AD , Lee MC , Chou MC . A preliminary study of the relationships between place of occurrence, place of death and place of residence in motor vehicle injury. Experience in the Huatung area . Chin J Public Health (Taipei) . 1999;18:28–33
  16. Muelleman RL , Mueller K . Fatal motor vehicle crashes: variation of crash characteristics within rural regions of different population densities . J Trauma . 1996;41:315–320
  17. Zwerling C , Peek-Asa C , Whitten PS , Choi SW , Sprine NL , Jones MP . Fatal motor vehicle crashes in rural and urban areas: decomposing rates into contributing factors . Inj Prev . 2005;11:24–28
  18. Gonzalez RP , Cummings G , Mulekar M , Rodning CB . Increased mortality in rural vehicular trauma. Identifying contributing factors through data linkage . J Trauma . 2006;61:404–409
  19. Yang CY , Chiu JF , Lin MC , Cheng MF . Geographic variations in mortality from motor vehicle crashes in Taiwan . J Trauma . 1997;43:74–77
  20. Muller BA , Rivara FP , Berman AB . Urban–rural location and the risk of dying in a pedestrian-vehicle collision . J Trauma . 1988;28:91–94
  21. Dellinger M , Langlois J , Li G . Fatal crashes among older drivers. Decomposition of rates into contributing factors . Am J Epidemiol . 2002;155:235–241
  22. Zhang J , Fraser S , Lindsay J , Clarke K , Mao Y . Age-specific patterns of factors related to fatal motor vehicle traffic crashes. Focus on young and elderly drivers . Public Health . 1998;112:289–295
  23. Chang HL , Yeh CC . The life cycle of the policy for preventing road accidents. An empirical example of the policy for reducing drunk driving crashes in Taipei . Accid Anal Prev . 2004;36:809–818

PII: S1016-3190(10)60008-0

doi:10.1016/S1016-3190(10)60008-0

Tzu Chi Medical Journal
Volume 19, Issue 3 , Pages 152-158, September 2007