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原文传递 Factors Associated with Motorcycle Traffic Crash Fatalities among Army Soldiers, 1995-2014.

题名：	Factors Associated with Motorcycle Traffic Crash Fatalities among Army Soldiers, 1995-2014.
作者：	Rappole, C. A.; Canham-Chervak, M.; Taylor, B.; Jones, B. H.
关键词：	Motorcycles, Brain injuries, Injury prevention, Wounds and injuries, Army personnel, Motor vehicles, Military personnel, Statistics, Risk factors, Public health, Head injuries, Active duty, Crash injuries, Concussion, Crash fatalities, Bac(blood alcohol content), Asmis(army safety management information system)
摘要：	Motorcyclists are 30 to 35 times more likely to die in a crash than other vehicle occupants. In 2012, among active duty Service members, the rate of motorcycle deaths (6.5 per 100,000 person-years) approached that of non-motorcycle motor vehicle crashes (6.7 per 100,000 person-years) despite only 15 percent of Service members reporting riding motorcycles. Purpose: The purpose of this study was (1) to describe motorcycle crash-related injuries from safety report data and (2) to assess the effect of alcohol and helmet use on risk of death due to motorcycle crash-related injuries among active duty Army personnel. Methods: Data on motorcycle traffic crashes from 1995 to 2014 were obtained from the Army Safety Management Information System and person-years were obtained from the Armed Forces Health Surveillance Branch. Trends in motorcycle injury and fatality rates, descriptive statistics, and multivariable logistic regression were calculated. Results: The rate of motorcycle traffic crashes increased from 2.7 per 100,000 person-years in 1995 to 5.8 per 100,000 person-years in 2014. Two-thirds of motorcycle traffic crashes resulted in injuries requiring a lost workday; 17% resulted in fatality. Of the fatal motorcycle traffic crashes, 79% of riders sustained injuries to the head and neck, with 60% of fatal injuries categorized as fractures, 13% concussions, and 7% abrasions/lacerations. Motorcycle traffic crashes involving operators who had used alcohol had 3 times higher odds of fatality than those who did not use alcohol (OR [95% CI]: 3.2 [2.1-4.5]), controlling for operator and crash characteristics. Operators who did not wear a helmet had 1.9 times higher odds of fatality than those who did wear a helmet (OR [95% CI]: 1.9 [1.2-2.9]), controlling for the same factors. Conclusions: There are a number of modifiable risk factors (i.e., alcohol use, helmet use, riding at night, and sleep) associated with motorcycle traffic fatalities among Soldiers.
报告类型：	科技报告