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2014 ; 1
(1
): 22
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gab.com Text
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Road traffic fatalities - a neglected epidemic in rural northern Ghana: evidence
from the navrongo demographic surveillance system
#MMPMID27747657
Bawah A
; Welaga P
; Azongo DK
; Wak G
; Phillips JF
; Oduro A
Inj Epidemiol
2014[Dec]; 1
(1
): 22
PMID27747657
show ga
BACKGROUND: Globally, road traffic fatalities have been on the increase,
particularly in low-and-middle income countries. Much of this is attributed to
increases in the acquisition, and use of motorized vehicles. However, there is
very little empirical research to understand the causes and determinants of this
threat. This paper investigates time trends and determinants of road traffic
accidents in the Kasena-Nankana district of northern Ghana. METHODS: First, we
utilized causes of death data gathered by the Health and Demographic Surveillance
System in Navrongo, to examine trends in deaths due to injury, particularly those
related to road traffic crashes. Subsequently, we employed multivariate logistic
regression to examine factors associated with deaths due to all injuries and road
traffic crashes among adults 15-59 years of age. RESULTS: Results show a
three-fold increase in mortality (18%) due to injuries in the Kasena-Nankana
district in about a decade. Fatalities resulting from road traffic crashes
constitute the greatest share of the burden of mortality resulting from injuries.
Increases in road traffic fatalities have coincided with recent increases in
motor and vehicular traffic in the region. Several factors are associated with
the increased risk of deaths from road traffic accidents, principal among which
include urban residence (OR = 1.74 95% CI 1.09-2.78), being male and in the prime
adult ages of between 20-29 years old (OR = 4.85 95% CI 2.65-8.89), as well as
people with higher levels of education (OR = 3.21 95% CI 1.75-5.87) and those in
higher socioeconomic status categories (OR = 2.43 95% CI 1.21-4.88). CONCLUSIONS:
Results suggest that road traffic fatalities have become a major cause of
morbidity and mortality and brings into focus the need for measures to curb this
looming crisis. There is need for strategic interventions to be adopted to avert
what is sure to become one of the leading causes of death in this impoverished
locality.