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Socioeconomic Status, Health and Lifestyle Settings as Psychosocial Risk Factors for Road Crashes in Young People: Assessing the Colombian Case
International Journal of Environmental Research and Public Health ( IF 4.614 ) Pub Date : 2021-01-20 , DOI: 10.3390/ijerph18030886
Andrea Serge , Johana Quiroz Montoya , Francisco Alonso , Luis Montoro

The social determinants of health influence both psychosocial risks and protective factors, especially in high-demanding contexts, such as the mobility of drivers and non-drivers. Recent evidence suggests that exploring socioeconomic status (SES), health and lifestyle-related factors might contribute to a better understanding of road traffic crashes (RTCs). Thus, the aim of this study was to construct indices for the assessment of crash rates and mobility patterns among young Colombians who live in the central region of the country. The specific objectives were developing SES, health and lifestyle indices, and assessing the self-reported RTCs and mobility features depending on these indices. A sample of 561 subjects participated in this cross-sectional study. Through a reduction approach of Principal Component Analysis (PCA), three indices were constructed. Mean and frequency differences were contrasted for the self-reported mobility, crash rates, age, and gender. As a result, SES, health and lifestyle indices explained between 56.3–67.9% of the total variance. Drivers and pedestrians who suffered crashes had higher SES. A healthier lifestyle is associated with cycling, but also with suffering more bike crashes; drivers and those reporting traffic crashes have shown greater psychosocial and lifestyle-related risk factors. Regarding gender differences, men are more likely to engage in road activities, as well as to suffer more RTCs. On the other hand, women present lower healthy lifestyle-related indices and a less active implication in mobility. Protective factors such as a high SES and a healthier lifestyle are associated with RTCs suffered by young Colombian road users. Given the differences found in this regard, a gender perspective for understanding RTCs and mobility is highly suggestible, considering that socio-economic gaps seem to differentially affect mobility and crash-related patterns.

中文翻译:

社会经济地位,健康和生活方式设置作为年轻人道路交通事故的社会心理风险因素:评估哥伦比亚案例

健康的社会决定因素会影响社会心理风险和保护因素,尤其是在驾驶员和非驾驶员的流动性等要求较高的情况下。最近的证据表明,探索社会经济状况(SES),健康和与生活方式有关的因素可能有助于更好地理解道路交通事故(RTC)。因此,这项研究的目的是建立指数,以评估居住在该国中部地区的年轻哥伦比亚人的撞车率和行动方式。具体目标是制定SES,健康和生活方式指数,并根据这些指数评估自我报告的RTC和移动功能。561名受试者的样本参加了这项横断面研究。通过减少主成分分析(PCA)的方法,构建了三个指标。自我报告的行动能力,崩溃率,年龄和性别对均值和频率差异进行了对比。结果,SES,健康和生活方式指数解释了总差异的56.3–67.9%。遭受撞车的驾驶员和行人的SES较高。健康的生活方式不仅与骑自行车有关,而且还使更多的自行车撞车事故发生。驾驶员和那些报告交通事故的人已经显示出更大的社会心理和与生活方式相关的危险因素。关于性别差异,男人更有可能参加公路活动,并遭受更多的RTC。另一方面,妇女的健康生活方式相关指数较低,并且对流动性的影响较小。较高的SES和更健康的生活方式等保护性因素与哥伦比亚年轻道路使用者遭受的RTC相关。考虑到在这方面的差异,考虑到社会经济差距似乎在不同程度上影响流动性和与撞车相关的模式,因此从性别角度理解RTC和流动性是非常可取的。
更新日期:2021-01-21
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