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1.
PLoS One ; 19(6): e0303160, 2024.
Article de Anglais | MEDLINE | ID: mdl-38843160

RÉSUMÉ

One of the primary challenges for autonomous vehicle (AV) is planning a collision-free path in dynamic environment. It is a tricky task for achieving high-performance obstacle avoidance with velocity-varying obstacle. To solve this problem, a highly smooth and parameter independent obstacle avoidance method for autonomous vehicle with velocity-varying obstacle (HSPI-OAM) is presented in this work. The proposed method uses the virtual collision point model to accurately design the desired acceleration, which makes the obtained path highly smooth. At the same time, the method gets rid of the dependence on parameter adjustment and has strong adaptability to different environments. The simulation is implemented on the Matlab-Carsim co-simulation platform, and the simulation results show that the path planned by HSPI-OAM has good performance for obstacle with acceleration.


Sujet(s)
Accidents de la route , Accidents de la route/prévention et contrôle , Simulation numérique , Conduite automobile , Algorithmes , Accélération , Humains , Modèles théoriques , Automobiles
3.
Accid Anal Prev ; 203: 107610, 2024 Aug.
Article de Anglais | MEDLINE | ID: mdl-38749269

RÉSUMÉ

Due to the escalating occurrence and high casualty rates of accidents involving Electric Two-Wheelers (E2Ws), it has become a major safety concern on the roads. Additionally, with the widespread adoption of current autonomous driving technology, a greater challenge has arisen for the safety of vulnerable road participants. Most existing trajectory planning methods primarily focus on the safety, comfort, and dynamics of autonomous vehicles themselves, often overlooking the protection of vulnerable road users (VRUs), typically E2W riders. This paper aims to investigate the kinematic response of E2Ws in vehicle collisions, including the 15 ms Head Injury Criterion (HIC15). It analyzes the impact of key collision parameters on head injuries, establishes injury prediction models for anticipated scenarios, and proposes a trajectory planning framework for autonomous vehicles based on predicting head injuries of VRUs. Firstly, a multi-rigid-body model of two-wheeler-vehicle collision was established based on a real accident database, incorporating four critical collision parameters (initial collision velocity, initial collision position, and collision angle). The accuracy of the multi-rigid-body model was validated through verifications with real fatal accidents to parameterize the collision scenario. Secondly, a large-scale effective crash dataset has been established by the multi-parameterized crash simulation automation framework combined with Monte Carlo sampling algorithm. The training and testing of the injury prediction model were implemented based on the MLP + XGBoost regression algorithm on this dataset to explore the potential relationship between the head injuries of the E2W riders and the crash variables. Finally, based on the proposed injury prediction model, this paper generated a trajectory planning framework for autonomous vehicles based on head collision injury prediction for VRUs, aiming to achieve a fair distribution of collision risks among road users. The accident reconstruction results show that the maximum error in the final relative positions of the E2W, the car, and the E2W rider compared to the real accident scene is 11 %, demonstrating the reliability of the reconstructed model. The injury prediction results indicate that the MLP + XGBoost regression prediction model used in this article achieved an R2 of 0.92 on the test set. Additionally, the effectiveness and feasibility of the proposed trajectory planning algorithm were validated in a manually designed autonomous driving traffic flow scenario.


Sujet(s)
Accidents de la route , Traumatismes cranioencéphaliques , Humains , Accidents de la route/statistiques et données numériques , Accidents de la route/prévention et contrôle , Traumatismes cranioencéphaliques/prévention et contrôle , Traumatismes cranioencéphaliques/étiologie , Phénomènes biomécaniques , Simulation numérique , Conduite automobile/statistiques et données numériques , Automatisation , Motocyclettes , Modèles théoriques
4.
Accid Anal Prev ; 203: 107633, 2024 Aug.
Article de Anglais | MEDLINE | ID: mdl-38754318

RÉSUMÉ

Facilitating proactive pedestrian safety management, the application of extreme value theory (EVT) models has gained popularity due to its extrapolation capabilities of estimating crashes from their precursors (i.e., conflicts). However, past studies either applied EVT models for crash risk analysis of autonomous vehicle-pedestrian interactions or human-driven vehicle-pedestrian interactions at signalised intersections. However, our understanding of human-driven vehicle-pedestrian interactions remains elusive because of scant evidence of (i) EVT models' application for heterogeneous traffic conditions, (ii) appropriate set of determinants, (iii) which EVT approach to be used, and (iv) which conflict measure is appropriate. Addressing these issues, the objective of this study is to investigate pedestrian crash risk analysis in heterogeneous and disordered traffic conditions, where drivers do not follow lane disciplines. Eleven-hour video recording was collected from a busy pedestrian crossing at a midblock location in India and processed using artificial intelligence techniques. Vehicle-pedestrian interactions are characterised by two conflict measures (i.e., post encroachment time and gap time) and modelled using block maxima and peak over threshold approaches. To handle the non-stationarity of pedestrian conflict extremes, several explanatory variables are included in the models, which are estimated using the maximum likelihood estimation procedure. Modelling results indicate that the EVT models provide reasonable estimates of historical crash records at the study location. From the EVT models, a few key insights related to vehicle-pedestrian interactions are as follows. Firstly, a comparison of EVT models shows that the peak over threshold model outperforms the block maxima model. Secondly, post encroachment time conflict measure is found to be appropriate for modelling vehicle-pedestrian interactions compared to gap time. Thirdly, pedestrian crash risk significantly increases when they interact with two-wheelers in contrast with interactions involving buses where the crash risk decreases. Fourthly, pedestrian crash risk decreases when they cross in groups compared to crossing individually. Finally, pedestrian crash risk is positively related to average vehicle speed, pedestrian speed, and five-minute post encroachment time counts less than 1.5 s. Further, different block sizes are tested for the block maxima model, and the five-minute block size yields the most accurate and precise pedestrian crash estimates. These findings demonstrate the applicability of extreme value analysis for heterogeneous and disordered traffic conditions, thereby facilitating proactive safety management in disordered and undisciplined lane conditions.


Sujet(s)
Accidents de la route , Piétons , Accidents de la route/statistiques et données numériques , Accidents de la route/prévention et contrôle , Humains , Piétons/statistiques et données numériques , Appréciation des risques/méthodes , Inde , Enregistrement sur magnétoscope , Modèles théoriques , Intelligence artificielle , Fonctions de vraisemblance , Conception de l'environnement
6.
PLoS One ; 19(5): e0302216, 2024.
Article de Anglais | MEDLINE | ID: mdl-38781198

RÉSUMÉ

The real-time monitoring on the risk status of the vehicle and its driver can provide the assistance for the early detection and blocking control of single-vehicle accidents. However, complex risk coupling relationship is one of the main features of single-vehicle accidents with high mortality rate. On the basis of investigating the coupling effect among multi-risk factors and establishing a safety management database throughout the life cycle of vehicles, single-vehicle driving risk network (SVDRN) with a three-level threshold was developed, and its topology features were analyzed to assessment the importance of nodes. To avoid the one-sidedness of single indicator, the multi-attribute comprehensive evaluation model was applied to measure the comprehensive effect of characteristic indicators for nodes importance. A algorithm for real-time monitoring of vehicle driving risk status was proposed to identify key risk chains. The result revealed that improper operation, speeding, loss of vehicle control and inefficient driver management were the sequence of top four risk factors in the comprehensive evaluation result of nodes importance (mean value = 0.185, SD = 0.119). There were minor differences of 0.017 in the node importance among environmental factors, among which non-standard road alignment had the larger value. The improper operation and non-standard road alignment were the highest combination correlation of factors affecting road safety, with the support of 51.81% and the confidence of 69.35%. This identification algorithm of key risk chains that combines node importance and its risk state threshold can effectively determine the high-frequency risk transmission paths and risk factors through multi-vehicle test, providing a basis for centralization management of transport enterprises.


Sujet(s)
Accidents de la route , Algorithmes , Accidents de la route/prévention et contrôle , Accidents de la route/statistiques et données numériques , Facteurs de risque , Humains , Conduite automobile , Appréciation des risques/méthodes
7.
PLoS One ; 19(5): e0303518, 2024.
Article de Anglais | MEDLINE | ID: mdl-38781239

RÉSUMÉ

The Traffic Locus of Control scale (T-LOC) serves as a measure of drivers' personality attributes, providing insights into their perceptions of potential causes of road traffic crashes (RTCs). This study meticulously evaluated the psychometric properties of the Arabic version of T-LOC (T-LOC-A) among Lebanese drivers. Additionally, the study aimed to explore associations between the T-LOC scale and various driving variables, including driver behavior, accident involvement, and traffic offenses. A cross-sectional study was conducted among Lebanese drivers using a face-to-face approach. The validation of the Arabic version of T-LOC (T-LOC-A) occurred through a two-stage process: translating and culturally adapting T-LOC in the first stage, and testing its psychometric properties in the second stage. Data were collected using a comprehensive self-reported questionnaire in Arabic, covering demographic and travel-related variables, risk involvement, and measures such as the Driver Behavior Questionnaire (DBQ) and T-LOC. Exploratory factor analysis and confirmatory factor analysis were performed to scrutinize the factorial structure of T-LOC. Pearson correlation and chi-square tests were used for continuous and categorical variables, respectively. Two logistic regression analyses were executed to probe associations between T-LOC and involvement in road traffic crashes (RTCs) and T-LOC subscales with the occurrence of traffic offenses. The study included 568 drivers, predominantly male (69%) and aged between 30 and 49 years (42.1%). The findings revealed that T-LOC-A exhibited robust psychometric properties, with excellent reliabilities (α = 0.85) and adherence to the original four-factor structure, encompassing self (α = 0.88), other drivers (α = 0.91), vehicle/environment (α = 0.86), and fate (α = 0.66). The multidimensional structure was statistically supported by favorable fit indices. Gender differences revealed men attributing responsibility to other drivers, while women leaned towards fate and luck beliefs. Regarding driver behavior, the "other drivers" and self-dimensions of T-LOC-A correlated positively with aggressive violations. The fate dimension showed positive associations with aggressive violations and lapses. The "other drivers" subscale correlated positively with errors, and the vehicle/environment subscale with lapses. External T-LOC factors were positively associated with accident involvement, while the "LOC self" factor emerged as a protective element. In terms of traffic offenses, "LOC fate" displayed a positive association, while the "LOC self" factor showed a protective effect. In conclusion, the Arabic T-LOC is a reliable and valuable instrument, suggesting potential improvements in driving safety by addressing drivers' locus of control perceptions.


Sujet(s)
Accidents de la route , Conduite automobile , Contrôle interne-externe , Psychométrie , Humains , Accidents de la route/psychologie , Accidents de la route/prévention et contrôle , Mâle , Conduite automobile/psychologie , Femelle , Adulte , Études transversales , Adulte d'âge moyen , Psychométrie/méthodes , Enquêtes et questionnaires , Liban , Jeune adulte
8.
Sci Total Environ ; 935: 173460, 2024 Jul 20.
Article de Anglais | MEDLINE | ID: mdl-38788939

RÉSUMÉ

Reduction of conflicts arising from human-wildlife interactions is necessary for coexistence. Collisions between animals and automobiles cost the world's economy billions of dollars, and wildlife management agencies often are responsible for reducing wildlife-vehicle collisions. But wildlife agencies have few proven options for reducing wildlife-vehicle collisions that are effective and financially feasible at large spatiotemporal scales germane to management. Recreational hunting by humans is a primary population management tool available for use with abundant wild ungulates that often collide with automobiles. Therefore, we tested how well policies designed to increase human hunting of deer (longer hunting seasons and increased harvest limits) reduced collisions between white-tailed deer and automobiles along 618 km of high-risk roadways in Indiana, USA. We used a 20-y dataset that compiled >300,000 deer-vehicle collisions. Targeted recreational hunting decreased deer-vehicle collisions by 21.12 % and saved society up to $653,756 (95 % CIs = $286,063-$1,154,118) in economic damages from 2018 to 2022. Potential savings was up to $1,265,694 (95 % CIs = $579,108-$2,402,813) during the same 5-y span if relaxed hunting regulations occurred along all high-risk roadways. Moreover, license sales from targeted hunting generated $206,268 in revenue for wildlife management. Targeted hunting is likely effective in other systems where ungulate-vehicle collisions are prevalent, as behavioral changes in response to human hunting has been documented in many ungulate species across several continents. Our methods are attractive for management agencies with limited funds, as relaxed hunting regulations are relatively inexpensive to implement and may generate substantial additional revenue.


Sujet(s)
Accidents de la route , Conservation des ressources naturelles , Cervidae , Chasse , Animaux , Conservation des ressources naturelles/méthodes , Accidents de la route/prévention et contrôle , Indiana , Loisir , Animaux sauvages , Humains
9.
Accid Anal Prev ; 203: 107640, 2024 Aug.
Article de Anglais | MEDLINE | ID: mdl-38759380

RÉSUMÉ

The primary objective of this study was to evaluate the performance of traffic conflict measures for real-time crash risk prediction. Drone recordings were collected from a freeway section in Nanjing, China, over a year. Twenty rear-end crashes and their associated trajectories were obtained. Vehicle trajectories preceding the crash were segmented based on different time periods to represent varying crash conditions. The Extreme Value Theory (EVT) approach combined with a block maxima sampling method was then employed to investigate the generalized extreme value (GEV) distributions of extremely risky events under non-crash and crash conditions. The prediction performance was demonstrated by the differences in GEV distributions under these two conditions. Within the proposed modeling framework, the performances of Time-to-Collision (TTC), Deceleration Rate to Avoid a Crash (DRAC), and Absolute value of Derivative of Instantaneous Acceleration (ADIA) were examined and compared. The results revealed a decreasing trend in the prediction performances as the preceding time window before a crash increased. For any given length of crash conditions, TTC consistently outperformed DRAC and ADIA. Notably, TTC's reliability in crash risk prediction became more uncertain when forecasting crashes more than 2 s in advance. This study provided the optimal thresholds for TTC and ADIA for practical application in crash early warning. The methods and results in this study have the potential to be used for crash risk assessments in autonomous vehicles.


Sujet(s)
Accélération , Accidents de la route , Décélération , Accidents de la route/statistiques et données numériques , Accidents de la route/prévention et contrôle , Humains , Chine , Appréciation des risques/méthodes , Conduite automobile/statistiques et données numériques , Facteurs temps , Prévision/méthodes
10.
Accid Anal Prev ; 203: 107639, 2024 Aug.
Article de Anglais | MEDLINE | ID: mdl-38763064

RÉSUMÉ

The interactions between vehicles and pedestrians are complex due to their interdependence and coupling. Understanding these interactions is crucial for the development of autonomous vehicles, as it enables accurate prediction of pedestrian crossing intentions, more reasonable decision-making, and human-like motion planning at unsignalized intersections. Previous studies have devoted considerable effort to analyzing vehicle and pedestrian behavior and developing models to forecast pedestrian crossing intentions. However, these studies have two limitations. First, they mainly focus on investigating variables that explain pedestrian crossing behavior rather than predicting pedestrian crossing intentions. Moreover, some factors such as age, sensation seeking and social value orientation, used to establish decision-making models in these studies are not easily accessible in real-world scenarios. In this paper, we explored the critical factors influencing the decision-making processes of human drivers and pedestrians respectively by using virtual reality technology. To do this, we considered available kinematic variables and analyzed the internal relationship between motion parameters and pedestrian behavior. The analysis results indicate that longitudinal distance and vehicle acceleration are the most influential factors in pedestrian decision-making, while pedestrian speed and longitudinal distance also play a crucial role in determining whether the vehicle yields or not. Furthermore, a mathematical relationship between a pedestrian's intention and kinematic variables is established for the first time, which can help dynamically assess when pedestrians desire to cross. Finally, the results obtained in driver-yielding behavior analysis provide valuable insights for autonomous vehicle decision-making and motion planning.


Sujet(s)
Conduite automobile , Prise de décision , Intention , Piétons , Réalité de synthèse , Humains , Piétons/psychologie , Mâle , Adulte , Conduite automobile/psychologie , Femelle , Jeune adulte , Accélération , Phénomènes biomécaniques , Accidents de la route/prévention et contrôle , Marche à pied/psychologie
11.
Accid Anal Prev ; 203: 107636, 2024 Aug.
Article de Anglais | MEDLINE | ID: mdl-38776837

RÉSUMÉ

The visual information regarding the road environment can influence drivers' perception and judgment, often resulting in frequent speeding incidents. Identifying speeding hotspots in cities can prevent potential speeding incidents, thereby improving traffic safety levels. We propose the Dual-Branch Contextual Dynamic-Static Feature Fusion Network based on static panoramic images and dynamically changing sequence data, aiming to capture global features in the macro scene of the area and dynamically changing information in the micro view for a more accurate urban speeding hotspot area identification. For the static branch, we propose the Multi-scale Contextual Feature Aggregation Network for learning global spatial contextual association information. In the dynamic branch, we construct the Multi-view Dynamic Feature Fusion Network to capture the dynamically changing features of a scene from a continuous sequence of street view images. Additionally, we designed the Dynamic-Static Feature Correlation Fusion Structure to correlate and fuse dynamic and static features. The experimental results show that the model has good performance, and the overall recognition accuracy reaches 99.4%. The ablation experiments show that the recognition effect after the fusion of dynamic and static features is better than that of static and dynamic branches. The proposed model also shows better performance than other deep learning models. In addition, we combine image processing methods and different Class Activation Mapping (CAM) methods to extract speeding frequency visual features from the model perception results. The results show that more accurate speeding frequency features can be obtained by using LayerCAM and GradCAM-Plus for static global scenes and dynamic local sequences, respectively. In the static global scene, the speeding frequency features are mainly concentrated on the buildings and green layout on both sides of the road, while in the dynamic scene, the speeding frequency features shift with the scene changes and are mainly concentrated on the dynamically changing transition areas of greenery, roads, and surrounding buildings. The code and model used for identifying hotspots of urban traffic accidents in this study are available for access: https://github.com/gwt-ZJU/DCDSFF-Net.


Sujet(s)
Accidents de la route , Conduite automobile , Villes , Apprentissage profond , Traitement d'image par ordinateur , , Humains , Accidents de la route/prévention et contrôle , Traitement d'image par ordinateur/méthodes
12.
Accid Anal Prev ; 203: 107614, 2024 Aug.
Article de Anglais | MEDLINE | ID: mdl-38781631

RÉSUMÉ

Vulnerable Road Users (VRUs), such as pedestrians and bicyclists, are at a higher risk of being involved in crashes with motor vehicles, and crashes involving VRUs also are more likely to result in severe injuries or fatalities. Signalized intersections are a major safety concern for VRUs due to their complex dynamics, emphasizing the need to understand how these road users interact with motor vehicles and deploy evidence-based safety countermeasures. Given the infrequency of VRU-related crashes, identifying conflicts between VRUs and motorized vehicles as surrogate safety indicators offers an alternative approach. Automatically detecting these conflicts using a video-based system is a crucial step in developing smart infrastructure to enhance VRU safety. However, further research is required to enhance its reliability and accuracy. Building upon a study conducted by the Pennsylvania Department of Transportation (PennDOT), which utilized a video-based event monitoring system to assess VRU and motor vehicle interactions at fifteen signalized intersections in Pennsylvania, this research aims to evaluate the reliability of automatically generated surrogates in predicting confirmed conflicts without human supervision, employing advanced data-driven models such as logistic regression and tree-based algorithms. The surrogate data used for this analysis includes automatically collectable variables such as vehicular and VRU speeds, movements, post-encroachment time, in addition to manually collected variables like signal states, lighting, and weather conditions. To address data scarcity challenges, synthetic data augmentation techniques are used to balance the dataset and enhance model robustness. The findings highlight the varying importance and impact of specific surrogates in predicting true conflicts, with some surrogates proving more informative than others. Additionally, the research examines the distinctions between significant variables in identifying bicycle and pedestrian conflicts. These findings can assist transportation agencies to collect the right types of data to help prioritize infrastructure investments, such as bike lanes and crosswalks, and evaluate their effectiveness.


Sujet(s)
Accidents de la route , Cyclisme , Piétons , Enregistrement sur magnétoscope , Humains , Cyclisme/traumatismes , Accidents de la route/prévention et contrôle , Accidents de la route/statistiques et données numériques , Reproductibilité des résultats , Marche à pied/traumatismes , Pennsylvanie , Conception de l'environnement , Sécurité , Véhicules motorisés
13.
Accid Anal Prev ; 203: 107644, 2024 Aug.
Article de Anglais | MEDLINE | ID: mdl-38788433

RÉSUMÉ

Modern vehicles are vulnerable to cyberattacks and the consequences can be severe. While technological efforts have attempted to address the problem, the role of human drivers is understudied. This study aims to assess the effectiveness of training and warning systems on drivers' response behavior to vehicle cyberattacks. Thirty-two participants completed a driving simulator study to assess the effectiveness of training and warning system according to their velocity, deceleration events, and count of cautionary behaviors. Participants, who held a valid United States driving license and had a mean age of 20.4 years old, were equally assigned to one of four groups: control (n = 8), training-only (n = 8), warning-only (n = 8), training and warning groups (n = 8). For each drive, mixed ANOVAs were implemented on the velocity variables and Poisson regression was conducted on the normalized time with large deceleration events and cautionary behavior variables. Overall, the results suggest that drivers' response behaviors were moderately affected by the training programs and the warning messages. Most drivers who received training or warning messages responded safely and appropriately to cyberattacks, e.g., by slowing down, pulling over, or performing cautionary behaviors, but only in specific cyberattack events. Training programs show promise in improving drivers' responses toward vehicle cyberattacks, and warning messages show rather moderate improvement but can be further refined to yield consistent behavior.


Sujet(s)
Conduite automobile , Simulation numérique , Décélération , Humains , Conduite automobile/enseignement et éducation , Conduite automobile/psychologie , Mâle , Femelle , Jeune adulte , Accidents de la route/prévention et contrôle , Adulte , Adolescent , Temps de réaction , Dispositifs de protection , Sécurité
14.
Sci Rep ; 14(1): 12202, 2024 05 28.
Article de Anglais | MEDLINE | ID: mdl-38806613

RÉSUMÉ

Drink driving is an infamous factor in road crashes and fatalities. Alcohol testing is a major countermeasure, and random breath tests (RBTs) deter tested drivers and passersby (observers who are not tested). We propose a genetic algorithm (GA)-based RBT scheduling optimisation method to achieve maximal deterrence of drink driving. The RBT schedule denotes the daily plan of where, when, and for how long tests should occur in the road network. The test results (positive and negative) and observing drivers are considered in the fitness function. The limited testing resource capacity is modeled by a number of constraints that consider the total duration of tests, the minimum and maximum duration of a single test site, and the total number of test sites during the day. Clustering of the alcohol-related crash data is used to estimate the matrix for drink driving on the scheduled day. The crash data and traffic flow data from Victoria, Australia are analysed and used to describe sober/drink driving. A detailed synthetic example is developed and a significant improvement with 150% more positive results and 59% more overall tests is observed using the proposed scheduling optimisation method.


Sujet(s)
Consommation d'alcool , Algorithmes , Tests d'analyse de l'haleine , Humains , Tests d'analyse de l'haleine/méthodes , Conduite automobile , Accidents de la route/prévention et contrôle , Conduite avec facultés affaiblies/prévention et contrôle
15.
PLoS One ; 19(5): e0303866, 2024.
Article de Anglais | MEDLINE | ID: mdl-38809845

RÉSUMÉ

Wearing helmets is essential in two-wheeler traffic to reduce the incidence of injuries caused by accidents. We present FB-YOLOv7, an improved detection network based on the YOLOv7-tiny model. The objective of this network is to tackle the problems of both missed detection and false detection that result from the difficulties in identifying small targets and the constraints in equipment performance during helmet detection. By applying an enhanced Bi-Level Routing Attention, the network can improve its capacity to extract global characteristics and reduce information distortion. Furthermore, we deploy the AFPN framework and effectively resolve information conflict using asymptotic adaptive feature fusion technology. Incorporating the EfficiCIoU loss significantly improves the prediction box's accuracy. Experimental trials done on specific datasets reveal that FB-YOLOv7 attains an accuracy of 87.2% and 94.6% on the mean average precision (mAP@.5). Additionally, it maintains a high level of efficiency with frame rates of 129 and 126 frames per second (FPS). FB-YOLOv7 surpasses the other six widely-used detection networks in terms of detection accuracy, network implementation requirements, sensitivity in detecting small targets, and potential for practical applications.


Sujet(s)
Algorithmes , Dispositifs de protection de la tête , Humains , Accidents de la route/prévention et contrôle
17.
Global Health ; 20(1): 42, 2024 May 10.
Article de Anglais | MEDLINE | ID: mdl-38725015

RÉSUMÉ

BACKGROUND: Traffic-related crashes are a leading cause of premature death and disability. The safe systems approach is an evidence-informed set of innovations to reduce traffic-related injuries and deaths. First developed in Sweden, global health actors are adapting the model to improve road safety in low- and middle-income countries via technical assistance (TA) programs; however, there is little evidence on road safety TA across contexts. This study investigated how, why, and under what conditions technical assistance influenced evidence-informed road safety in Accra (Ghana), Bogotá (Colombia), and Mumbai (India), using a case study of the Bloomberg Philanthropies Initiative for Global Road Safety (BIGRS). METHODS: We conducted a realist evaluation with a multiple case study design to construct a program theory. Key informant interviews were conducted with 68 government officials, program staff, and other stakeholders. Documents were utilized to trace the evolution of the program. We used a retroductive analysis approach, drawing on the diffusion of innovation theory and guided by the context-mechanism-outcome approach to realist evaluation. RESULTS: TA can improve road safety capabilities and increase the uptake of evidence-informed interventions. Hands-on capacity building tailored to specific implementation needs improved implementers' understanding of new approaches. BIGRS generated novel, city-specific analytics that shifted the focus toward vulnerable road users. BIGRS and city officials launched pilots that brought evidence-informed approaches. This built confidence by demonstrating successful implementation and allowing government officials to gauge public perception. But pilots had to scale within existing city and national contexts. City champions, governance structures, existing political prioritization, and socio-cultural norms influenced scale-up. CONCLUSION: The program theory emphasizes the interaction of trust, credibility, champions and their authority, governance structures, political prioritization, and the implement-ability of international evidence in creating the conditions for road safety change. BIGRS continues to be a vehicle for improving road safety at scale and developing coalitions that assist governments in fulfilling their role as stewards of population well-being. Our findings improve understanding of the complex role of TA in translating evidence-informed interventions to country-level implementation and emphasize the importance of context-sensitive TA to increase impact.


Sujet(s)
Accidents de la route , Humains , Accidents de la route/prévention et contrôle , Ghana , Santé mondiale , Colombie , Inde , Évaluation de programme , Sécurité
18.
PLoS One ; 19(5): e0303139, 2024.
Article de Anglais | MEDLINE | ID: mdl-38728302

RÉSUMÉ

Road traffic accidents (RTAs) pose a significant hazard to the security of the general public, especially in developing nations. A daily average of more than three thousand fatalities is recorded worldwide, rating it as the second most prevalent cause of death among people aged 5-29. Precise and reliable decisionmaking techniques are essential for identifying the most effective approach to mitigate road traffic incidents. This research endeavors to investigate this specific concern. The Fermatean fuzzy set (FFS) is a strong and efficient method for addressing ambiguity, particularly when the concept of Pythagorean fuzzy set fails to provide a solution. This research presents two innovative aggregation operators: the Fermatean fuzzy ordered weighted averaging (FFOWA) operator and the Fermatean fuzzy dynamic ordered weighted geometric (FFOWG) operator. The salient characteristics of these operators are discussed and important exceptional scenarios are thoroughly delineated. Furthermore, by implementing the suggested operators, we develop a systematic approach to handle multiple attribute decisionmaking (MADM) scenarios that involve Fermatean fuzzy (FF) data. In order to show the viability of the developed method, we provide a numerical illustration encompassing the determination of the most effective approach to alleviate road traffic accidents. Lastly, we conduct a comparative evaluation of the proposed approach in relation to a number of established methodologies.


Sujet(s)
Accidents de la route , Logique floue , Accidents de la route/prévention et contrôle , Humains
19.
Bull World Health Organ ; 102(6): 448-452, 2024 Jun 01.
Article de Anglais | MEDLINE | ID: mdl-38812799

RÉSUMÉ

Just under 2.5 million people die annually due to alcohol use. This global estimate, however, excludes most of the health burden borne by others than the alcohol user. Alcohol's harm to others includes a multitude of conditions, such as trauma from traffic crashes, fetal disorders due to prenatal exposure to alcohol, as well as interpersonal and intimate partner violence. While alcohol's causal role in these conditions is well-established, alcohol's harm to others' contribution to the overall health burden of alcohol remains unknown. This knowledge gap leads to a situation in which alcohol policy and prevention strategies largely focus on the reduction of alcohol's detrimental health harms on the alcohol users, neglecting affected others and population groups most vulnerable to these harms, including women and children. In this article, we seek to elucidate why estimates for alcohol's harm to others are lacking and offer guidance for future research. We also argue that a full assessment of the alcohol health burden that includes the harm caused by others' alcohol use would enhance the visibility and public awareness of such harms, and advancing the evaluation of policy interventions to mitigate them.


Chaque année, un peu moins de 2,5 millions de décès sont liés à la consommation d'alcool. Cette estimation globale ne tient cependant pas compte de l'impact sur la santé de l'entourage des consommateurs d'alcool. Les méfaits de l'alcool sur les autres ont une multitude de conséquences, parmi lesquelles des traumatismes dus aux accidents de la circulation, des anomalies fœtales liées à une exposition prénatale à l'alcool, ainsi que des actes de violence interpersonnelle et entre partenaires. Bien que le rôle causal de l'alcool dans ces problématiques soit bien établi, les répercussions de tels méfaits sur la santé dans son ensemble restent à déterminer. Des lacunes qui aboutissent souvent à une situation dans laquelle les politiques et stratégies de prévention se concentrent principalement sur la diminution des effets néfastes de l'alcool sur la santé des consommateurs eux-mêmes, négligeant les personnes qui les entourent et les catégories de population les plus vulnérables, en particulier les femmes et les enfants. Dans cet article, nous tentons d'expliquer pourquoi il n'existe aucune estimation concernant les méfaits de l'alcool sur les autres et prodiguons des conseils pour de futures recherches. Nous plaidons aussi pour une analyse complète de la charge sanitaire imputable à l'alcool incluant les méfaits de l'alcool sur les autres, afin d'améliorer la visibilité et de mieux sensibiliser l'opinion publique à ces problématiques, mais aussi de faire progresser l'évaluation des interventions politiques entreprises pour y remédier.


Cerca de 2,5 millones de personas mueren cada año por el consumo de alcohol. Sin embargo, esta estimación global excluye la mayor parte de la carga sanitaria que soportan personas que no son consumidores de alcohol. Los daños del alcohol a terceros incluyen multitud de afecciones, como los traumatismos por accidentes de tráfico, los trastornos fetales debidos a la exposición prenatal al alcohol, y la violencia interpersonal y de pareja. Aunque se sabe que el alcohol influye en estas afecciones, se desconoce la contribución de los daños del alcohol a terceros a la carga sanitaria global que supone el alcohol. Esta falta de conocimiento conduce a una situación en la que las estrategias de política y de prevención del alcohol se centran en gran medida en la reducción de los daños perjudiciales del alcohol para la salud de los consumidores de alcohol, dejando de lado a los demás afectados y a los grupos de población más vulnerables a estos daños, incluidas las mujeres y los niños. En este artículo, tratamos de dilucidar por qué faltan estimaciones sobre los daños del alcohol en otras personas y ofrecemos orientaciones para futuras investigaciones. También argumentamos que una evaluación completa de la carga sanitaria del alcohol que incluya los daños causados por el consumo de alcohol de otras personas mejoraría la visibilidad y la concienciación pública de esos daños, y haría avanzar la evaluación de las intervenciones políticas para mitigarlos.


Sujet(s)
Consommation d'alcool , Politique de santé , Humains , Consommation d'alcool/effets indésirables , Femelle , Accidents de la route/prévention et contrôle , Grossesse
20.
Accid Anal Prev ; 203: 107615, 2024 Aug.
Article de Anglais | MEDLINE | ID: mdl-38718663

RÉSUMÉ

This paper presents an enhanced probabilistic approach to estimate the real-world safety performance of new device concepts for road safety applications from the perspective of Powered Two-Wheeler (PTW) riders who suffer multiple injuries in different body regions. The proposed method estimates the overall effectiveness of safety devices for PTW riders by correlating computer simulations with various levels of actual injuries collected worldwide from accident databases. The study further develops the methodology initially presented by Johnny Korner in 1989 by introducing a new indicator, Global Potential Damage (GPD), that overcomes the limitations of the original method, encompassing six biomechanical injury indices estimated in five body regions. A Weibull regression model was fit to the field data using the Maximum Likelihood Method with boundaries at the 90% confidence level for the construction of novel injury risk curves for PTW riders. The modified methodology was applied for the holistic evaluation of the effectiveness of a new safety system, the Belted Safety Jacket (BSJ), in head-on collisions across multiple injury indices, body regions, vehicle types, and speed pairs without sub-optimizing it at specific crash severities. A virtual multi-body environment was employed to reproduce a selected set of crashes. The BSJ is a device concept comprising a vest with safety belts to restrict the rider's movements relative to the PTW during crashes. The BSJ exhibited 59% effectiveness, with an undoubted benefit to the head, neck, chest, and lower extremities. The results show that the proposed methodology enables an overall assessment of the injuries, thus improving the protection of PTW users. The novel indicator supports a robust evaluation of safety systems, specifically relevant in the context of PTW accidents.


Sujet(s)
Accidents de la route , Simulation numérique , Dispositifs de protection , Sécurité , Humains , Accidents de la route/prévention et contrôle , Motocyclettes , Plaies et blessures/prévention et contrôle , Fonctions de vraisemblance , Phénomènes biomécaniques , Ceintures de sécurité
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