Factors Associated with Death from Motorcycle Accidents inChildren and young Adults aged less than 20 years in Khon Kaen hospital,Khon Kaen Province, 2010-2019

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Abstract

Death from Motorcycle Accidents in Children and young adults aged less than 20 years has become a major problem of Thailand in over the past decade. This case-control study aimed to study factors associated with death from motorcycle accidents in children and young adults aged less than 20 years of age in Khon Kaen hospital, Khon Kaen province, 2010-2019. A total of 342 cases was divided into 171 samples of death and 171 samples of survivors. Data collection was obtained from injury surveillance records in the Khon Kaen hospital database. Data were analyzed using the descriptive and inferential statistics with multiple logistic regression and value presented as an adjusted odds ratio (OR_adj), 95%CI and the statistical significance level of 0.05.

          The results indicated the following listed factors are associated with death from motorcycle accidents in children and young adults aged less than 20 years in Khon Kaen hospital, Khon Kaen province, 2010-2019, severity of head injury, as severe and moderate head injury (OR_adj=61.76, 95% CI =26.31-144.97). The vehicle type factor, that is the collision of motorcycle only, or crashed with sedan car, small pickup trucks or tricycle (OR_adj=3.39, 95% CI =1.46-7.85). The segment of the road and environment factors were not statistically significance (p-value>0.05). Therefore, it is important to encourage or motivate children and young adults to wear a standard helmet with fastened chin strap to reduce severity of head injury, in conjunction with strict safety discipline according to traffic rules or careful for vehicle safety for reduce the chance of fatal injury when crashed or crashed with various vehicle types. Enforcement of these simple policies will reduce severity of injury, disability or death from motorcycle accidents in children and young adults.