Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2025
Determinants of motorcycle-related head injuries among children and youth: an unmatched case-control study in northern Ghana.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Baffour Appiah Anthony, Akweongo Patricia, Sackey Samuel Oko, Lowery Wilson Michael, Dambach Peter, Tuoyire Derek Anamaale, Dapaa Samuel, Tengey John, Donkor Peter, Mock Charles
Аннотация
BACKGROUND: Motorcycles are a major source of road traffic injuries, with a preponderance of head injuries (HIs), especially among children and young adults. The reported prevalence of HI among children and young adults ranges between 17% and 67%. This study examined the determinants of motorcycle-related HIs among children and youth in northern Ghana.
METHODS: A case-control study was conducted among children and youth (ages: 1-24 years) with motorcycle injuries seen at a tertiary hospital in northern Ghana. A case was defined as Glasgow Coma Scale<14 and/or head Abbreviated Injury Score>1, while controls were patients with no HI. A questionnaire was used to collect sociodemographic, crash and road characteristics data. The determinants of HI were assessed using multivariable logistic regression analysis at p<0.05.
RESULTS: The proportion of survivors with HI was 52.0%, which was higher in children (<15 years, 57.4%) than in youth (15-24 years, 48.85%). The rate of helmet use was low (24%) and significantly lower in children (17.82%) compared with youth (27.59%). There was an increased odds of HI for non-helmet use among youth (adjusted OR=5.73, 95% CI 2.47 to 13.31) and in the combined group (OR=9.49, 95% CI 4.34 to 20.76).
CONCLUSION: Lack of helmet use was the only significant risk factor for HI among youth and the combined group in this study. Motorcycle safety efforts in the study area should emphasise helmet promotion. Injury prevention strategies should enhance riders' education and enforce road safety regulations, especially on helmet use.
METHODS: A case-control study was conducted among children and youth (ages: 1-24 years) with motorcycle injuries seen at a tertiary hospital in northern Ghana. A case was defined as Glasgow Coma Scale<14 and/or head Abbreviated Injury Score>1, while controls were patients with no HI. A questionnaire was used to collect sociodemographic, crash and road characteristics data. The determinants of HI were assessed using multivariable logistic regression analysis at p<0.05.
RESULTS: The proportion of survivors with HI was 52.0%, which was higher in children (<15 years, 57.4%) than in youth (15-24 years, 48.85%). The rate of helmet use was low (24%) and significantly lower in children (17.82%) compared with youth (27.59%). There was an increased odds of HI for non-helmet use among youth (adjusted OR=5.73, 95% CI 2.47 to 13.31) and in the combined group (OR=9.49, 95% CI 4.34 to 20.76).
CONCLUSION: Lack of helmet use was the only significant risk factor for HI among youth and the combined group in this study. Motorcycle safety efforts in the study area should emphasise helmet promotion. Injury prevention strategies should enhance riders' education and enforce road safety regulations, especially on helmet use.