Road traffic injury prevention initiatives

A systematic review and metasummary of effectiveness in low and middle income countries

Catherine Staton, Joao Vissoci, Enying Gong, Nicole Toomey, Rebeccah Wafula, Jihad Abdelgadir, Yi Zhou, Chen Liu, Fengdi Pei, Brittany Zick, Camille D. Ratliff, Claire Rotich, Nicole Jadue, Luciano De Andrade, Megan Von Isenburg, Michael Brian Hocker

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

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 controlmeasures, educational interventions, enforcement, road improvement, community programs, or a multifaceted intervention. Conclusion: Legislation was themost 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.

Original languageEnglish (US)
Article numbere0144971
JournalPloS one
Volume11
Issue number1
DOIs
StatePublished - Jan 6 2016

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systematic review
traffic
roads
income
Health
Wounds and Injuries
Speed control
Legislation
laws and regulations
community programs
death
Urbanization
Middle East
Far East
Latin America
Africa South of the Sahara
MEDLINE
Sub-Saharan Africa
urbanization
electronics

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)

Cite this

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 Brian.

In: PloS one, Vol. 11, No. 1, e0144971, 06.01.2016.

Research output: Contribution to journalArticle

Staton, C, Vissoci, J, Gong, E, Toomey, N, Wafula, R, Abdelgadir, J, Zhou, Y, Liu, C, Pei, F, Zick, B, Ratliff, CD, Rotich, C, Jadue, N, De Andrade, L, Von Isenburg, M & Hocker, MB 2016, 'Road traffic injury prevention initiatives: A systematic review and metasummary of effectiveness in low and middle income countries', PloS one, vol. 11, no. 1, e0144971. https://doi.org/10.1371/journal.pone.0144971
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 Brian. / Road traffic injury prevention initiatives : A systematic review and metasummary of effectiveness in low and middle income countries. In: PloS one. 2016 ; Vol. 11, No. 1.
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abstract = "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 controlmeasures, educational interventions, enforcement, road improvement, community programs, or a multifaceted intervention. Conclusion: Legislation was themost 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.",
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AU - Staton, Catherine

AU - Vissoci, Joao

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AU - Toomey, Nicole

AU - Wafula, Rebeccah

AU - Abdelgadir, Jihad

AU - Zhou, Yi

AU - Liu, Chen

AU - Pei, Fengdi

AU - Zick, Brittany

AU - Ratliff, Camille D.

AU - Rotich, Claire

AU - Jadue, Nicole

AU - De Andrade, Luciano

AU - Von Isenburg, Megan

AU - Hocker, Michael Brian

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