农用车驾驶员道路交通伤害危险因素研究  

Risk factors for road traffic injury in agricultural vehicle drivers

作　　者：崔梦晶[1] 陈宇[1] 李洋[1] 胡洁[1] 张徐军[1] Cui Mengjing Chen Yu Li Yang Hu Jie Zhang Xujun.(School of Public Health, Southeast University Injury Prevention Research Institute, Southeast University, Nanjing 210009, China)

机构地区：[1]东南大学公共卫生学院实验中心、东南大学伤害预防研究所,南京210009

出　　处：《中华劳动卫生职业病杂志》2017年第8期574-577,共4页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：美国国立卫生研究院（NIH）资助（ID43TW007257-01A2）

摘　　要：目的探讨农用车驾驶员道路交通伤害的危险因素。方法于2014年12月至2015年1月，采用方便抽样的方法，从宜兴市农机站进行农用车辆年度检验工作的驾驶员中收集103人作为病例组（按照公安机关交通管理部门道路交通伤害登记数据，过去一年内发生过农用车辆道路交通伤害的驾驶员）；以1：2比例，按性别、年龄及文化程度一致为匹配原则，收集过去一年未发生农用车辆道路交通伤害的驾驶员206人作为对照组。对农用车驾驶员的基本情况、车辆情况、驾驶情况、驾驶行为及事故情况进行分析。结果103名农用车驾驶员过去一年内发生过农用车辆道路交通伤害，伤害发生率为7．24％。单因素logistic回归分析结果显示，饮酒、债务、压力、车祸史、酒驾史及开车过程中吸烟、接打电话、疲劳驾驶、带病驾驶是农用车驾驶员道路交通伤害的危险因素（OR=2．332、2．429、19．778、5．589、8．517、2．125、3．203、10．249、5．639）。多因素logistic回归分析结果显示，压力、车祸史、酒驾史、疲劳驾驶及带病驾驶是农用车驾驶员道路伤害的危险因素（OR=12．139、11．184、6．729、5．939、6．544）。结论农用车驾驶员道路交通伤害的主要危险因素为压力、车祸史、酒驾史、疲劳驾驶及带病驾驶等。Objective To examine the rise factors for road traffic injury in agricultural vehicle drivers. Methods A total of 103 drivers （who had suffered agricultural vehicle road traffic injury within the past year based on the road traffic injury registrar from the Traffic Management Bureau） who were involved in the annual agricultural vehicle inspection from December 2014 to January 2015 were randomly sampled from the Yixing Agricultural Vehicle Station as the case group for this study. Based on a 1：2 assignment ratio and matched for sex, age, and education, a total of 206 drivers who had not suffered any agricultural vehicle road traffic injury within the past year were selected as the control group. The general information, vehicle information, driving information, driving behavior, and accident details of the agricultural vehicle drivers were analyzed. Results The incidence rate of road traffic injury was 7.24% given the 103 agricultural vehicle drivers who had suffered agricultural vehicle road traffic injury in the past year. Univariate logistic regression analysis showed that drinking, debt, pressure, history of car accident, history of drunk driving, smoking and phone use during driving, fatigue driving, and driving with illness were the risk factors for road traffic injury in agricultural vehicle drivers（OR=2.332, 2.429, 19.778, 5.589, 8.517, 2.125, 3.203, 10.249 and 5.639, respectively）. Multivariate logistic regression analysis also demonstrated that pressure, history of car accident, history of drunk driving, fatigue driving, and driving with illness were the risk factors for road traffic injury in agricultural vehicle drivers （OR =12.139, 11.184, 6.729, 5.939, and 6.544, respectively）. Conclusion Pressure, history of car accident, history of drunk driving, fatigue driving, and driving with illness are the major risk factors for road traffic injury in agricultural vehicle drivers.

关 键 词：农用车 事故 交通 病例对照研究 危险因素 

分 类 号：R139[医药卫生—劳动卫生]