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    Reducing the burden of road traffic injury: translating high-income country interventions to middle-income and low-income countries.

    Access Status
    Open access via publisher
    Authors
    Stevenson, M.
    Yu, J.
    Hendrie, Delia
    Li, L.
    Ivers, R.
    Zhou, Y.
    Su, S.
    Norton, R.
    Date
    2008
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Stevenson, M. and Yu, J. and Hendrie, D. and Li, L. and Ivers, R. and Zhou, Y. and Su, S. et al. 2008. Reducing the burden of road traffic injury: translating high-income country interventions to middle-income and low-income countries.. Injury Prevention. 14: pp. 284-289.
    Source Title
    Injury Prevention
    DOI
    10.1136/ip.2008.018820
    ISSN
    13538047
    School
    School of Public Health
    URI
    http://hdl.handle.net/20.500.11937/26222
    Collection
    • Curtin Research Publications
    Abstract

    Objective: To increase seat belt restraint use in Guangzhou City, People’s Republic of China. Design: Comparison group pre-test, post-test design. Setting: Guangzhou City. Interventions: Interventions to increase the prevalence of seat belt use in high-income countries (enhanced training and enforcement practices along with raising of public awareness) were adapted and implemented in Guangzhou. The prevalence of seat belt use was determined before and after the introduction of the 12-month intervention. Seat belt prevalence was also examined over the same time period in the neighboring city of Nanning, and an incremental cost-effectiveness analysis of the intervention was undertaken. Main outcome measures: Prevalence rates and incremental cost effectiveness ratios. Results: A 12% increase in seat belt use was observed in Guangzhou over the study period, increasing from a prevalence of 50% before (error range 30–62%) to 62% after (error range 60–67%) (p<0.001) the intervention; an absolute change difference between the intervention and reference city of 20% was achieved. The incremental cost-effectiveness ratio of the intervention was ¥3246 (US$418) per disability-adjusted life year saved. Conclusions: This city-wide intervention demonstrates that it is possible to increase the prevalence of seat belt use using similar methods to those used in high-income countries and, importantly, that such an approach is cost-effective.

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