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Environmental Factors Associated with Severe Motorcycle Crash Injury in University Neighborhoods: A Multicenter Study in Taiwan

Author

Listed:
  • Heng-Yu Lin

    (School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan
    These authors contributed equally to this work.)

  • Jian-Sing Li

    (Department of Emergency Medicine, Taipei Medical University Hospital, Taipei 11031, Taiwan
    These authors contributed equally to this work.)

  • Chih-Wei Pai

    (Graduate Institute of Injury Prevention and Control, College of Public Health, Taipei Medical University, Taipei 11031, Taiwan)

  • Wu-Chien Chien

    (Department of Medical Research, Tri-Service General Hospital, National Defense Medical Center, Taipei 11490, Taiwan
    Graduate Institute of Life Sciences, National Defense Medical Center, Taipei 11490, Taiwan
    School of Public Health, National Defense Medical Center, Taipei 11490, Taiwan
    Taiwanese Injury Prevention and Safety Promotion Association, Taipei 11490, Taiwan)

  • Wen-Cheng Huang

    (Emergency Department, Department of Emergency and Critical Care Medicine, Wan Fang Hospital, Taipei Medical University, Taipei 11696, Taiwan
    Department of Emergency, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan
    Center for Education in Medical Simulation, Taipei Medical University, Taipei 11031, Taiwan
    Department of Education and Humanities in Medicine, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan)

  • Chin-Wang Hsu

    (Emergency Department, Department of Emergency and Critical Care Medicine, Wan Fang Hospital, Taipei Medical University, Taipei 11696, Taiwan
    Department of Emergency, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan)

  • Chia-Chieh Wu

    (Department of Emergency, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan
    Emergency Department, Wan Fang Hospital, Taipei Medical University, Taipei 11696, Taiwan)

  • Shih-Hsiang Yu

    (Institute of Transportation, Ministry of Transportation and Communications, Taipei 10548, Taiwan)

  • Wen-Ta Chiu

    (Graduate Institute of Injury Prevention and Control, College of Public Health, Taipei Medical University, Taipei 11031, Taiwan
    AHMC Health System, Alhambra, CA 91801, USA)

  • Carlos Lam

    (Department of Emergency, School of Medicine, College of Medicine, Taipei Medical University, Taipei 11031, Taiwan
    Emergency Department, Wan Fang Hospital, Taipei Medical University, Taipei 11696, Taiwan)

Abstract

University neighborhoods in Taiwan have high-volume traffic, which may increase motorcyclists’ risk of injury. However, few studies have analyzed the environmental factors affecting motorcycle crash injury severity in university neighborhoods. In this multicenter cross-sectional study, we explored the factors that increase the severity of such injuries, especially among young adults. We retrospectively connected hospital data to the Police Traffic Accident Dataset. Areas within 500 m of a university were considered university neighborhoods. We analyzed 4751 patients, including 513 with severe injury (injury severity score ≥ 8). Multivariate analysis revealed that female sex, age ≥ 45 years, drunk driving, early morning driving, flashing signals, and single-motorcycle crashes were risk factors for severe injury. Among patients aged 18–24 years, female sex, late-night and afternoon driving, and flashing signals were risk factors. Adverse weather did not increase the risk. Time to hospital was a protective factor, reflecting the effectiveness of urban emergency medical services. Lifestyle habits among young adults, such as drunk driving incidents and afternoon and late-night driving, were also explored. We discovered that understanding chaotic traffic in the early morning, flashing signals at the intersections, and roadside obstacles is key for mitigating injury severity from motorcycle crashes in university neighborhoods.

Suggested Citation

  • Heng-Yu Lin & Jian-Sing Li & Chih-Wei Pai & Wu-Chien Chien & Wen-Cheng Huang & Chin-Wang Hsu & Chia-Chieh Wu & Shih-Hsiang Yu & Wen-Ta Chiu & Carlos Lam, 2022. "Environmental Factors Associated with Severe Motorcycle Crash Injury in University Neighborhoods: A Multicenter Study in Taiwan," IJERPH, MDPI, vol. 19(16), pages 1-16, August.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:16:p:10274-:d:891558
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    References listed on IDEAS

    as
    1. Ya-Hui Chang & Chung-Yi Li & Tsung-Hsueh Lu & Kurnia Dwi Artanti & Wen-Hsuan Hou, 2020. "Risk of Injury and Mortality among Driver Victims Involved in Single-Vehicle Crashes in Taiwan: Comparisons between Vehicle Types," IJERPH, MDPI, vol. 17(13), pages 1-9, June.
    2. Ta-Chien Chan & Chih-Wei Pai & Chia-Chieh Wu & Jason C. Hsu & Ray-Jade Chen & Wen-Ta Chiu & Carlos Lam, 2022. "Association of Air Pollution and Weather Factors with Traffic Injury Severity: A Study in Taiwan," IJERPH, MDPI, vol. 19(12), pages 1-15, June.
    3. Chiu, W.-T. & Kuo, C.-Y. & Hung, C.-C. & Chen, M., 2000. "The effect of the Taiwan motorcycle helmet use law on head injuries," American Journal of Public Health, American Public Health Association, vol. 90(5), pages 793-796.
    4. Carlos Lam & Chih-Wei Pai & Chia-Chang Chuang & Yu-Chun Yen & Chia-Chieh Wu & Shih-Hsiang Yu & Kuo-Sheng Hung & Wen-Ta Chiu, 2019. "Rider factors associated with severe injury after a light motorcycle crash: A multicentre study in an emerging economy setting," PLOS ONE, Public Library of Science, vol. 14(6), pages 1-17, June.
    5. Ahmed Ramdan M. Alanazy & Stuart Wark & John Fraser & Amanda Nagle, 2019. "Factors Impacting Patient Outcomes Associated with Use of Emergency Medical Services Operating in Urban Versus Rural Areas: A Systematic Review," IJERPH, MDPI, vol. 16(10), pages 1-16, May.
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    2. Khondoker Billah & Hatim O. Sharif & Samer Dessouky, 2023. "Bivariate-Logit-Based Severity Analysis for Motorcycle Crashes in Texas, 2017–2021," Sustainability, MDPI, vol. 15(13), pages 1-26, June.

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