Head-on crashes on two-way interurban roads: a public health concern in road safety
Objective: To describe the magnitude and characteristics of crashes and drivers involved in head-on crashes on two-way interurban roads in Spain between 2007 and 2012, and to identify the factors associated with the likelihood of head-on crashes on these roads compared with other types of crash. Met...
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| Format: | Article |
| Language: | English |
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Elsevier
2015-09-01
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| Series: | Gaceta Sanitaria |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0213911115000618 |
| _version_ | 1818935416760303616 |
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| author | Marta Olabarria Elena Santamariña-Rubio Marc Marí-Dell’Olmo Mercè Gotsens Ana M. Novoa Carme Borrell Katherine Pérez |
| author_facet | Marta Olabarria Elena Santamariña-Rubio Marc Marí-Dell’Olmo Mercè Gotsens Ana M. Novoa Carme Borrell Katherine Pérez |
| author_sort | Marta Olabarria |
| collection | DOAJ |
| description | Objective: To describe the magnitude and characteristics of crashes and drivers involved in head-on crashes on two-way interurban roads in Spain between 2007 and 2012, and to identify the factors associated with the likelihood of head-on crashes on these roads compared with other types of crash.
Methods: A cross-sectional study was conducted using the National Crash Register. The dependent variables were head-on crashes with injury (yes/no) and drivers involved in head-on crashes (yes/no). Factors associated with head-on crashes and with being a driver involved in a head-on crash versus other types of crash were studied using a multivariate robust Poisson regression model to estimate proportion ratios (PR) and confidence intervals (95% CI).
Results: There were 9,192 head-on crashes on two-way Spanish interurban roads. A total of 15,412 men and 3,862 women drivers were involved. Compared with other types of crash, head-on collisions were more likely on roads 7 m or more wide, on road sections with curves, narrowings or drop changes, on wet or snowy surfaces, and in twilight conditions. Transgressions committed by drivers involved in head-on crashes were driving in the opposite direction and incorrectly overtaking another vehicle. Factors associated with a lower probability of head-on crashes were the existence of medians (PR = 0.57; 95%CI: 0.48-0.68) and a paved shoulder of less than 1.5 meters (PR = 0.81; 95%CI: 0.77-0.86) or from 1.5 to 2.45 meters (PR = 0.90; 95%CI: 0.84-0.96).
Conclusions: This study allowed the characterization of crashes and drivers involved in head-on crashes on two-way interurban roads. The lower probability observed on roads with median strips point to these measures as an effective way to reduce these collisions |
| first_indexed | 2024-12-20T05:19:50Z |
| format | Article |
| id | doaj.art-a3d5a7b12fb8480885d8ef0b7e305d1c |
| institution | Directory Open Access Journal |
| issn | 0213-9111 |
| language | English |
| last_indexed | 2024-12-20T05:19:50Z |
| publishDate | 2015-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Gaceta Sanitaria |
| spelling | doaj.art-a3d5a7b12fb8480885d8ef0b7e305d1c2022-12-21T19:52:03ZengElsevierGaceta Sanitaria0213-91112015-09-0129S1162310.1016/j.gaceta.2015.03.007Head-on crashes on two-way interurban roads: a public health concern in road safetyMarta Olabarria0Elena Santamariña-Rubio1Marc Marí-Dell’Olmo2Mercè Gotsens3Ana M. Novoa4Carme Borrell5Katherine Pérez6CIBER de Epidemiología y Salud Pública (CIBERESP), SpainCIBER de Epidemiología y Salud Pública (CIBERESP), SpainCIBER de Epidemiología y Salud Pública (CIBERESP), SpainCIBER de Epidemiología y Salud Pública (CIBERESP), SpainAgència de Salut Pública de Barcelona, Barcelona, SpainCIBER de Epidemiología y Salud Pública (CIBERESP), SpainCIBER de Epidemiología y Salud Pública (CIBERESP), SpainObjective: To describe the magnitude and characteristics of crashes and drivers involved in head-on crashes on two-way interurban roads in Spain between 2007 and 2012, and to identify the factors associated with the likelihood of head-on crashes on these roads compared with other types of crash. Methods: A cross-sectional study was conducted using the National Crash Register. The dependent variables were head-on crashes with injury (yes/no) and drivers involved in head-on crashes (yes/no). Factors associated with head-on crashes and with being a driver involved in a head-on crash versus other types of crash were studied using a multivariate robust Poisson regression model to estimate proportion ratios (PR) and confidence intervals (95% CI). Results: There were 9,192 head-on crashes on two-way Spanish interurban roads. A total of 15,412 men and 3,862 women drivers were involved. Compared with other types of crash, head-on collisions were more likely on roads 7 m or more wide, on road sections with curves, narrowings or drop changes, on wet or snowy surfaces, and in twilight conditions. Transgressions committed by drivers involved in head-on crashes were driving in the opposite direction and incorrectly overtaking another vehicle. Factors associated with a lower probability of head-on crashes were the existence of medians (PR = 0.57; 95%CI: 0.48-0.68) and a paved shoulder of less than 1.5 meters (PR = 0.81; 95%CI: 0.77-0.86) or from 1.5 to 2.45 meters (PR = 0.90; 95%CI: 0.84-0.96). Conclusions: This study allowed the characterization of crashes and drivers involved in head-on crashes on two-way interurban roads. The lower probability observed on roads with median strips point to these measures as an effective way to reduce these collisionshttp://www.sciencedirect.com/science/article/pii/S0213911115000618AccidentsRisk factorsMortality |
| spellingShingle | Marta Olabarria Elena Santamariña-Rubio Marc Marí-Dell’Olmo Mercè Gotsens Ana M. Novoa Carme Borrell Katherine Pérez Head-on crashes on two-way interurban roads: a public health concern in road safety Gaceta Sanitaria Accidents Risk factors Mortality |
| title | Head-on crashes on two-way interurban roads: a public health concern in road safety |
| title_full | Head-on crashes on two-way interurban roads: a public health concern in road safety |
| title_fullStr | Head-on crashes on two-way interurban roads: a public health concern in road safety |
| title_full_unstemmed | Head-on crashes on two-way interurban roads: a public health concern in road safety |
| title_short | Head-on crashes on two-way interurban roads: a public health concern in road safety |
| title_sort | head on crashes on two way interurban roads a public health concern in road safety |
| topic | Accidents Risk factors Mortality |
| url | http://www.sciencedirect.com/science/article/pii/S0213911115000618 |
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