Driving under the influence of alcohol: frequency, reasons, perceived risk and punishment
Background The aim of this study was to gain information useful to improve traffic safety, concerning the following aspects for DUI (Driving Under the Influence): frequency, reasons, perceived risk, drivers' knowledge of the related penalties, perceived likelihood of being punished, drivers’ perception of the harshness of punitive measures and drivers’ perception of the probability of behavioral change after punishment for DUI. Methods A sample of 1100 Spanish drivers, 678 men and 422 women aged from 14 to 65 years old, took part in a telephone survey using a questionnaire to gather sociodemographic and psychosocial information about drivers, as well as information on enforcement, clustered…
Work stress and health problems of professional drivers: A hazardous formula for their safety outcomes
BackgroundSeveral empirical studies have shown that professional drivers are a vulnerable occupational group, usually exposed to environmental stressors and adverse work conditions. Furthermore, recent studies have associated work-related stress with negative job performances and adverse health outcomes within this occupational group, including cardiovascular diseases and unsafe vehicle operation.ObjectiveThe aim of this study was to describe the working conditions and the health status of this occupational group, and to evaluate the association between the Demand–Control model of job stress and their self-reported health and safety outcomes.MethodsA pooled sample of 3,665 Colombian profess…
Psychotropic drugs and driving: prevalence and types
Background Some psychotropic medications (e.g., benzodiazepines, sedative antidepressants, etc.) may impair cognitive and psychomotor functions and, therefore, endanger traffic safety (Ravera, Br J Clin Pharmacol, 72(3):505–513, 2011). They affect detection, registration, and information processing, problem solving, and decision-making processes, and they also affect emotional and social aspects. The objective of this research was to clarify three closely related issues that are significant for traffic safety: the prevalence of psychotropic drugs on driving, the most frequently used psychotropic drugs to treat depression, anxiety, insomnia, or any tranquilizers (whether it is a medical pres…
Behavioral Health at School: Do Three Competences in Road Safety Education Impact the Protective Road Behaviors of Spanish Children?
Background: Education in road safety (also known as Road Safety Education&mdash
Effect of Road Safety Education on Road Risky Behaviors of Spanish Children and Adolescents: Findings from a National Study
Background: Road Safety Education (RSE) is widely known as a reliable determinant of the future results for what concerns health and welfare and as an undisputable factor which contributes to the social behavior of individuals and to their mid- and long-term road safety outcomes. However, its development has been relatively scarce in most countries, a fact which has contributed to letting matters as delicate as traffic crashes, largely explained by road misbehaviors, continue to be a prevalent problem, thus affecting the health of the community. Objective: The aim of this study was to describe the relationship between demographic and RSE-related variables and the self-reported road risky be…
Are Latin American cycling commuters 'at risk'? A comparative study on cycling patterns, behaviors, and crashes with non-commuter cyclists
Abstract Introduction As part of the transformation of urban transportation dynamics, commuter cycling has acquired a high relevance as an alternative mode of transport in different countries, and Latin America seems to be one of the main focus of this worldwide “revolution”. However, the high rates of crashes and injuries suffered by commuters have become a relevant issue in the field of road safety, especially in emerging regions with low cycling tradition, where social and infrastructural gaps may endanger the cyclists’ safety. Objectives This study had two objectives. First, to compare key safe cycling-related variables between cycling commuters and non-commuters; and second, to differe…
Education for Road Safety: What is the State of Affairs in Three Groups of Vulnerable Road Users in Spain?
RSE (Road Safety Education) is well recognized as a reliable predictor of future safety and health outcomes. However, most countries have been slow to develop it, which has contributed to the sensitivity of the situation, as traffic accidents continue to be a major concern for community health. This paper aims to describe and compare key variables related to the RSE among three critical segments of the population, using the data provided by: 477 high school students, 843 university students and 476 older adults. Differential coverage rates were found. Perceived quality, aroused interest and attributed utility for RSE interventions were also compared among groups, finding substantial differe…
Compliance, practices, and attitudes towards VTIs (Vehicle Technical Inspections) in Spain: What prevents Spanish drivers from checking up their cars?
Objective Mechanical conditions of vehicles may play a determinant role in driving safety, the reason why vehicle periodical technical inspections (VTIs) are mandatory in many countries. However, the high number of drivers sanctioned for not complying with this regulation is surprisingly high, and there is not much evidence on what kind(s) of motives may explain this concerning panorama. This study aimed to identify the aspects that modulate the relationship between complying (or not) with VTI’s standards in a nationwide sample of Spanish drivers. The study design also addressed the drivers’ awareness regarding different risky behaviors while driving, depending on their sex and their crash…
Determinants and Stakeholders Influencing Children's Road Safety Education
Road safety education is, widely, the best base and the greatest assurance of the future in terms of road safety prevention and promotion. Nowadays, RSE constitutes one of the main growing concerns in terms of complimentary education in many countries, taking into account, among other factors, the high rates of accidents that affect the health and welfare of childhood and adolescence. Furthermore, it is a necessity for the community health to create, train, encourage and lead positives attitudes for good road safety education. The general objective of this study was to describe the factors and stakeholders that have influence on the learning of road safety education and safe behaviors of ch…
Lifestyle in Undergraduate Students and Demographically Matched Controls during the COVID-19 Pandemic in Spain
Few studies have used a multidimensional approach to describe lifestyle changes among undergraduate students during the COVID-19 pandemic or have included controls. This study aimed to evaluate lifestyle behaviors and mental health of undergraduate students and compare them with an age and sex-matched control group. A cross-sectional web survey using snowball sampling was conducted several months after the beginning of COVID-19 pandemic in Spain. A sample of 221 students was recruited. The main outcome was the total SMILE-C score. Students showed a better SMILE-C score than controls (79.8 + 8.1 vs. 77.2 + 8.3
Does Urban Security Modulate Transportation Choices and Travel Behavior of Citizens? A National Study in the Dominican Republic
Introduction: Traditionally, the scientific literature on urban and transportation dynamics addresses many topics, but the security-related outcomes of users remain a pending issue, especially in emerging countries and their cities. Nevertheless, recent evidence suggests that, especially in developing countries, security issues may influence people’s decision-making in the choice of transport means, daily urban-trip patterns and road behaviors of users. Objective: The purpose of this study was to explore the relationships between the perceived security (in both urban environments and public transport systems) and the daily-travel behavior and trip patterns of the Dominican Republic populati…
Explaining self-reported traffic crashes of cyclists: An empirical study based on age and road risky behaviors
Abstract The growing rates of traffic crashes involving cyclists are currently recognized as a major public health and road safety concern. Furthermore, risky behaviors on the road and their precedent factors have been conceptualized as potential determinants for explaining, intervening and preventing traffic injuries of cyclists. Objectives This study aimed at examining whether individual factors and self-reported risky behaviors could explain the crash rates of cyclists in a period of 5 years. Methods A sample of 1064 cyclists was used, with a mean age of 32.83 years. Participants answered a survey assessing demographic data and information on risky behaviors, risk perception, knowledge o…
Is There a Predisposition towards the Use of New Technologies within the Traffic Field of Emerging Countries? The Case of the Dominican Republic
Technological devices are becoming more and more integrated in the management and control of traffic in big cities. The population perceives the benefits provided by these systems, and, therefore, citizens usually have a favorable opinion of them. However, emerging countries, which have fewer available infrastructures, could present a certain lack of trust. The objective of this work is to detect the level of knowledge and predisposition towards the use of new technologies in the transportation field of the Dominican Republic. For this study, the National Survey on Mobility was administered to a sample of Dominican citizens, proportional to the ONE census and to sex, age and province. The k…
Conceptualization of aggressive driving behaviors through a Perception of aggressive driving scale (PAD)
Abstract Research on traffic safety has highlighted the importance of studying and intervening in aggressive driving in order to reduce crashes and accidents. The main objective of this work is to describe the perception of what people consider an aggressive behavior, and their perception of which are the most aggressive acts performed when driving. The sample was composed of 1079 Spanish drivers aged over 14. They participated in a national telephone survey, completing a questionnaire which gathered socio-demographic data and information on the drivers’ profiles, containing a “Perception of aggressive driving Scale (PAD)”. The unifactorial ANOVA test for repeated measures of the General Li…
Differences in the Assessment of Safe and Risky Driving Behaviors: Pedestrians Versus Drivers
Interactions between pedestrians and drivers are an important traffic safety issue. Psycho-social factors such as thoughts, perceptions and attitudes toward other people can be reliable predictors of riskier or safer behaviors among road users. The aim of this study was to assess how frequently participants perceive that drivers perform safe and risky road behaviors through drivers’ self-reported behavior and pedestrians and other drivers’ external perceptions. The results show that pedestrians assess the road behaviors of drivers in a seriously negative way. Meanwhile, drivers perceive their own behaviors as more appropriate than those performed by the rest of drivers. Women attribute mor…
ASSESSING USERS’ PERCEPTIONS OF FOUR TYPES OF ROAD SAFETY MEASURES
Road crashes remain an important public health issue. This study aimed to assess the perceived importance of four types of measures for reducing traffic crash rates. For this cross-sectional study, data were obtained from a national sample of 1,200 Spanish drivers responding to a telephone-assisted survey. The most valued types of road safety measures were those related to users’ training/education and infrastructural improvements. Further, individual perceptions were influenced by both demographic and trip-related factors. The results of this study support the idea that user features remain a relevant issue to consider when developing and implementing road safety measures.
Reported prevalence of health conditions that affect drivers
Drivers’ health and fitness are essential factors in order to predict performance outcomes and to promote road safety. It is a demonstrated fact that drivers with (physical and mental) health impairments or illnesses have more probabilities of being involved in traffic crashes and suffering (or causing) several injuries. The general objective of this study was to examine the prevalence of adverse health conditions that may affect Spanish drivers and its perceived impact on driving fitness. It was used a sample of 1,200 Spanish drivers (666 men and 534 women). The only selection criteria were to be in possession of any type of driving license for vehicles other than motorcycles and to drive …
Job stress and emotional exhaustion at work in Spanish workers: Does unhealthy work affect the decision to drive?
Objectives The purpose of this study was to assess the relationships among the following elements: unhealthy work indicators (job stress and emotional exhaustion at work), the decision to drive (or not), and driving crashes suffered by Spanish workers. Methods For this cross-sectional study, a full sample of 1,200 Spanish drivers (44% women and 56% men) was used, their mean age being 42.8 years. They answered a questionnaire divided into three sections: demographic and driving-related data; burnout, job stress, and life stress; and self-reported road behaviors and driving safety indicators. Results Overall, 41.6% of drivers reported emotional exhaustion at work. Furthermore, 80.2% of the pa…
Distraction of cyclists: how does it influence their risky behaviors and traffic crashes?
BackgroundUndisputedly, traffic crashes constitute a public health concern whose impact and importance have been increasing during the past few decades. Specifically, road safety data have systematically shown how cyclists are highly vulnerable to suffering traffic crashes and severe injuries derived from them. Furthermore, although the empirical evidence is still very limited in this regard, in addition to other human factors involved in cycling crashes, distractions while cycling appear to be a major contributor to the road risk of cyclists.ObjectivesThe main objectives of this study were, first, to explore the prevalence and trends of cycling distractions within an international sample o…
Could Road Safety Education (RSE) Help Parents Protect Children? Examining Their Driving Crashes with Children on Board
Recent evidence suggests that driving behavior and traffic safety outcomes of parents may be influenced by the extent to which they receive information and education on road safety, as well as the fact of driving with their children on board, which may increase their risk perception. However, there are no studies specifically addressing the case of crashes suffered while driving with children. Hence, this study aimed to describe the relationship between road safety education-related variables and parents’ traffic safety outcomes while driving with children on board. For this cross-sectional study, data was retrieved from a sample composed of 165 Spanish parents—all of them licensed drivers—…
Are adult driver education programs effective? A Systematic Review of evaluations of accident prevention training courses
Road safety training programs are commonly used to raise awareness of risky attitudes and behaviors. The evaluation of road safety education courses aimed at children is carried out with some assiduity. However, this does not usually occur in courses aimed at young people and adults. The present systematic review aims to identify studies that evaluate the effectiveness of road safety training programs in this population group. This systematic review followed the PRISMA methodology, by which the relevant articles based on the research term were identified. A total number of 1,336 indexed articles were filtered, and a final selection of 22 articles directly addressing the issue was obtained. …
Importance of Social- and Health-Related Problems: Do Spaniards Give Them the Significance They Actually Deserve?
Social and health problems imply an impact on society. The main objective of this study is to provide an overview of how Spanish people perceive cancer, terrorism, cardiovascular diseases, crime, AIDS, drugs, and traffic accidents, finding out whether they assess the importance of these issues in correspondence with their actual severity. The study used a full sample of 1206 Spaniards (51.6% females and 48.4% males) who responded to a computer-assisted telephone interviewing (CATI) survey on the significance of these social and health-related problems, assessed through a zero to ten Likert scale. The perceived severity of the problems was considered taking into account the official data of …
Lifestyle changes and mental health during the COVID-19 pandemic: A repeated, cross-sectional web survey
VBM acknowledges the national grant PI16/01770 from the Instituto de Salud Carlos III, ISCIII (The PROBILIFE study). EV thanks the support of the Spanish Ministry of Science and Innovation (PI15/00283, PI18/00805) integrated into the Plan Nacional de I+D+I and co-financed by the ISCIII-Subdirección General de Evaluación and the Fondo Europeo de Desarrollo Regional (FEDER); the Instituto de Salud Carlos III; the CIBER of Mental Health (CIBERSAM) (...)
Knowledge, perceived effectiveness and qualification of traffic rules, police supervision, sanctions and justice
Road safety is a complex process that not only depends on technical and environmental improvements, but in a major part from human factors. In this sense, recent empirical studies have remarked the need to study the interaction between subject and laws, at the glance of several elements preceding road behavior. This is the case of attitudes, opinions and perceptions in the field of road safety, factors that influence the interaction with issues such as traffic rules, police supervision, penalties and justice in traffic. The objective of this study was to describe the self-rated knowledge and perceptions regarding traffic norms and its interaction with road safety among drivers. For this stu…
Consistency Between the Subjective Perception of Feeling Indisposed, the Decision to Drive and Driving Performance
Drivers' health and fitness are essential issues in order to predict traffic crashes, taking into account that these characteristics are essential to perform this task correctly and safety. The purpose of this research was to analyze the frequency in which drivers who feel physically or emotionally unable to drive decide to perform this task, or not, under states of indisposition, as well as the perception of the effect that this indisposition had on driving. This cross-sectional study used a total sample of n=1200 (666 [56%] men and 534 [44%] women) Spanish drivers, who answered a questionnaire designed to collect data about their psychosocial characteristics, driving habits and perception…