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Publié par | Thesee |
Nombre de lectures | 53 |
Langue | Français |
Poids de l'ouvrage | 2 Mo |
Extrait
Université Victor Segalen Bordeaux 2
Année 2010
Thèse n°1 724
THÈSE
pour le
DOCTORAT DE L’UNIVERSITÉ BORDEAUX 2
Mention : Science, Technologies, Santé
Option : Epidémiologie et Santé Publique
Présentée et soutenue publiquement
Le 27 septembre 2010
Par Junaid Ahmad BHATTI
Né(e) le 15/01/1980 à Rawalpindi (Pakistan)
Les facteurs environnementaux dans les accidents de la
circulation sur des routes interurbaines dans les pays en
développement
Situational factors involved in traffic crashes on interurban roads in
developing countries
Membres du Jury
Monsieur le Pr. Pierre PHILIP ................................................................Président du jury
Monsieur le Dr. Pierre VAN ELSLANDE..............................................Rapporteur
Madame le Pr. María SEGUÍ-GÓMEZ...................................................Rapporteur
Monsieur le Dr. Junaid Abdul RAZZAK................................................Examinateur
Monsieur le Pr. Louis-Rachid SALMI....................................................Directeur
2
Contents
Abbreviations ............................................................................................................................. 8
Résumé ....................................................................................................................................... 9
Abstract .................................................................................................................................... 10
1. Introduction .......................................................................................................................... 11
1. Introduction .......................................................................................................................... 13
2. Background .......................................................................................................................... 14
2.1 Road injury burden in LMICs ........................................................................................ 14
2.2 Road safety is a key to development in LMICs ............................................................. 14
2.3 Risk factors..................................................................................................................... 15
2.4 Multiple factors involved in traffic crashes.................................................................... 16
2.5 Implications of interactions for highway safety............................................................. 16
2.6 Factors limiting implementation of engineering measures in LMICs............................ 17
2.7 Interurban road safety research gaps in LMICs ............................................................. 20
3. Objectives............................................................................................................................. 20
4. Descriptive studies ............................................................................................................... 21
4.1 Study I: Traffic crash and injury burden on Yaoundé-Douala road section, Cameroon 21
Objectives......................................................................................................................... 22
Methods............................................................................................................................ 22
Results .............................................................................................................................. 24
4.2 Study II: Differences in police, ambulance, and emergency department reporting of
traffic injuries on Karachi-Hala road section, Pakistan........................................................ 29
Objectives......................................................................................................................... 29
Methods............................................................................................................................ 30
Results .............................................................................................................................. 31
5. Analytical Studies ................................................................................................................ 36
5.1 Study III: Situational factors at traffic crash sites: a case-control study on Yaoundé-
Douala road section, Cameroon ........................................................................................... 36
Objectives......................................................................................................................... 37
Methods............................................................................................................................ 37
Results .............................................................................................................................. 38
5.2 Study IV: Burden and factors associated with highway work zone crashes, Karachi-
Hala road section, Pakistan .................................................................................................. 41
Objectives......................................................................................................................... 41
Methods............................................................................................................................ 42
Results .............................................................................................................................. 44
5.3 Study V: Road hazard perception at high-risk crash sites in voluntary Pakistani drivers
.............................................................................................................................................. 47
Objectives......................................................................................................................... 47
Methods............................................................................................................................ 48
Results .............................................................................................................................. 51
6. Discussion ............................................................................................................................ 56
6.1 Originality of studies...................................................................................................... 56
6.2 Comparison with published literature ............................................................................ 56
7. Limitations and perspectives................................................................................................ 61
8. Conclusion............................................................................................................................ 62
References ................................................................................................................................ 63
3 Publications (peer-reviewed).................................................................................................... 71
Related to thesis ................................................................................................................... 71
Other articles related to traffic injuries................................................................................. 71
Related to other injuries ....................................................................................................... 72
Appendices ............................................................................................................................... 73
4 Index of tables
Table 1. The Haddon Matrix applied to highway crashes involving speed (examples of
intervention) ............................................................................................................................. 15
Table 2. Traffic fatalities according to road network type in France, 2004............................. 17
Table 3 Burden of road traffic crashes and injuries, according to vehicle type on Yaoundé-
Douala road section (2004-2007)............................................................................................. 24
Table 4. Crash types, causes, and situational factors on the Yaoundé-Douala road section
(2004-2007).............................................................................................................................. 27
Table 5. Traffic injury outcome, according to road-user characteristics, on the Yaoundé-
Douala road section (2004-2007)............................................................................................. 28
Table 6. Traffic injuries reported to police, ambulance, and emergency department on
Karachi-Hala road section (2008). ........................................................................................... 34
Table 7. Differences in outcome of traffic injury among police, ambulance, and emergency
department for same patient on Karachi-Hala road section, 2008 (N=108) ............................ 35
Table 8. Ascertainment of police, ambulance, and emergency department records for traffic