Automobile Injury: Selected Risk Factors and Prevention in the Health Care Setting

  • Jack H. Medalie
Chapter
Part of the Frontiers of Primary Care book series (PRIMARY)

Abstract

Injuries of all types rank fourth among leading causes of death in the United States, after heart disease, cancer, and stroke. They are the leading cause of death from the ages 1 to 44 and the leading cause of preretirement years of life lost.1-4 Motor vehicle crashes are the most important cause of injury, producing 40,000 to 50,000 deaths and 4 to 5 million injuries annually in recent years.3-4 An incidence-based cost comparison of cancer, coronary heart disease, stroke and motor vehicle injuries in 1975 ranked motor vehicle injuries as second most costly, after cancer.1 The frequency of motor vehicle injuries varies substantially by age and sex. Injury and fatality rates per passenger-mile of travel are bimodally related to age, being highest in the ages 16 to 24 and over 70. From about age 10, fatality rates are higher for males than for females at all ages, and at ages 16 to 24, death rates for males are more than double those for females.3

Keywords

Automobile Injury Motor Vehicle Crash Crash Risk Restraint System Safety Belt 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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References

  1. 1.
    Robertson LS. Injuries: Causes, Control Strategies, and Public Policy. Lexington, Mass: Heath, 1983.Google Scholar
  2. 2.
    Waller JA. Injury Control: A Guide to the Causes and Prevention of Trauma. Lexington, Mass: Heath, 1985.Google Scholar
  3. 3.
    Baker SP, O’Neill B, Karpf R. The Injury Fact Book. Lexington, Mass: Heath, 1984.Google Scholar
  4. 4.
    Committee on Trauma Research. Injury in America. A Continuing Public Health Problem. Washington: National Academy Press, 1985.Google Scholar
  5. 5.
    Council on Scientific Affairs. Automobile-related injuries: components, trends, prevention. JAMA 1983; 249: 3216–3222.CrossRefGoogle Scholar
  6. 6.
    McCarroll JR, Haddon W Jr. A controlled study of fatal automobile accidents in New York City. J Chron Dis 1962; 15: 811–826.PubMedCrossRefGoogle Scholar
  7. 7.
    US Department of Transportation, National Highway Traffic Safety Administration. Alcohol and Traffic Safety: A Review of the State of Knowledge, 1978. Publ. No. DOT HS 805–172 Washington: GPO, 1979.Google Scholar
  8. 8.
    Council on Scientific Affairs. Alcohol and the driver. JAMA 1986; 255: 22–527.CrossRefGoogle Scholar
  9. 9.
    Waller PF, Stewart JR, Hansen AR, et al. The potentiating effects of alcohol on driver injury. JAMA 1986; 256: 1461–1466.PubMedCrossRefGoogle Scholar
  10. 10.
    Honkanen R, Ertama L, Linnoila M, et al. Role of drugs in traffic accidents. Br Med J 1980; 281: 1309–1312.PubMedCrossRefGoogle Scholar
  11. 11.
    Skegg DCG, Richards SM, Doll R. Minor tranquilisers and road accidents. Br Med J 1979; 1: 917–919.PubMedCrossRefGoogle Scholar
  12. 12.
    Terhune KW, Fell JC. The role of alcohol, marijuana, and other drugs in the accidents of injured drivers. US DOT/NHTSA Technical Report No. DOT HS 806 181. Washington: GPO, 1982.Google Scholar
  13. 13.
    Williams AF, Peat MA, Crouch DJ, et al. Drugs in fatally injured young male drivers. Public Health Rep 1985; 100: 19–25.PubMedGoogle Scholar
  14. 14.
    Waller JA. Chronic medical conditions and traffic safety: review of the California experience. N Engl J Med 1965; 273: 1413–1420.PubMedCrossRefGoogle Scholar
  15. 15.
    Waller JA. Cardiovascular disease, aging, and traffic accidents. J Chron Dis 1967; 20: 615–620.PubMedCrossRefGoogle Scholar
  16. 16.
    Johnson CA, Keltner JL. Incidence of visual field loss in 20,000 eyes and its relationship to driving performance. Arch Opthalmol 1983; 101: 371–375.Google Scholar
  17. 17.
    Baker SP, Spitz WU. An evaluation of the hazard created by natural death at the wheel. N Engl J Med 1970; 283: 405–409.PubMedCrossRefGoogle Scholar
  18. 18.
    Baker SP, Spitz WU. Age effects and autopsy evidence of disease in fatally injured drivers. JAMA 1970; 214: 1079–1088.PubMedCrossRefGoogle Scholar
  19. 19.
    Ysander L. The safety of drivers with chronic diseases. Brit J Industr Med 1966; 23: 28–36.PubMedGoogle Scholar
  20. 20.
    Ysander L. The safety of physically disabled drivers. Brit J Industr Med 1966; 23: 173–180.PubMedGoogle Scholar
  21. 21.
    U.S. Department of Transportation, National Highway Traffic Safety Administration. Final Regulatory Impact Analysis: Amendment to FMVSS 208, Passenger Car Front Seat Occupant Protection. Washington: GPO, 1984.Google Scholar
  22. 22.
    Decker MD, Dewey MJ, Hutcheson RH Jr, et al. The use and efficacy of child restraint devices: the Tennessee experience, 1982 and 1983. JAMA 1984; 252: 2571–2575.PubMedCrossRefGoogle Scholar
  23. 23.
    Agran PF, Dunkle DE, Winn DG. Motor vehicle childhood injuries caused by noncrash falls and ejections. JAMA 1985; 253: 2530–2533.PubMedCrossRefGoogle Scholar
  24. 24.
    Goodell-Grivas, Inc. Restraint System Usage in the Traffic Population: Progress Report on contracts DNTH-22-82-C-07126 and DNTH-22-84-C-07264. Washington: 1984.Google Scholar
  25. 25.
    Insurance Institute for Highway Safety. Status Report 1986; 21 (12): 5–6.Google Scholar
  26. 26.
    California Department of Motor Vehicles: Senior Driver Facts. Publ No. CAL-DMV-RSS-82–82. Sacramento: 1982.Google Scholar
  27. 27.
    Allen DB, Bergman AB. Social learning approaches to health education: utilization of infant auto restraint devices. Pediatrics 1976; 58: 323–328.PubMedGoogle Scholar
  28. 28.
    Kanthor HA. Car safety for infants: effectiveness of prenatal counseling. Pediatrics 1976; 58: 320–322.PubMedGoogle Scholar
  29. 29.
    Scherz RG. Restraint systems for the prevention of injury to children in automobile accidents. Am J Public Health 1976; 66: 451–455.PubMedCrossRefGoogle Scholar
  30. 30.
    Reisinger KS, Williams AF, Wells JK, et al. Effect of pediatricians’ counseling on infant restraint use. Pediatrics 1981; 67: 201–206.PubMedGoogle Scholar
  31. 31.
    Reisinger KS, Williams AF. Evaluation of programs designed to increase the protection of infants in cars. Pediatrics 1978; 62: 280–287.PubMedGoogle Scholar
  32. 32.
    Miller JR, Pless IB. Child automobile restraints: Evaluation of health education. Pediatrics 1977; 59: 907–911.PubMedGoogle Scholar
  33. 33.
    Christophersen ER, Sullivan MA. Increasing the protection of newborn infants in cars. Pediatrics 1982; 70: 21–25.PubMedGoogle Scholar
  34. 34.
    Christophersen ER, Sosland-Edelman D, LeClaire S. Evaluation of two comprehensive infant car seat loaner programs with 1-year follow-up. Pediatrics 1985; 76: 36–42.PubMedGoogle Scholar
  35. 35.
    Berger LR, Saunders S, Armitage K, et al. Promoting the use of car safety devices for infants: an intensive health education approach. Pediatrics 1984; 74: 16–19.PubMedGoogle Scholar
  36. 36.
    Colletti RB. Hospital-based rental programs to increase car seat usage. Pediatrics 1983; 71: 771–773.PubMedGoogle Scholar
  37. 37.
    Christophersen ER. Preventing injuries to children: a behavioral approach to child passenger safety. In Matarazzo JD, et al. (eds). Behavioral Health: A Handbook of Health Enhancement and Disease Prevention. New York: Wiley, 1984.Google Scholar
  38. 38.
    Guerin D, Mackinnon DP. An assessment of the California child passenger restraint requirement. Am J Public Health 1985; 75: 142–144.PubMedCrossRefGoogle Scholar
  39. 39.
    Wagenaar AC. Alcohol, Young Drivers, and Traffic Accidents: Effects of Minimum Age Laws. Lexington, Mass: Heath, 1983.Google Scholar
  40. 40.
    Williams AF, Karpf RS, Zador PL. Variations in minimum licensing age and fatal motor vehicle crashes. Am J Public Health 1983; 73: 1401–1403.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag New York Inc. 1990

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  • Jack H. Medalie

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