Are female drivers safer? An application of the decomposition method

被引:74
作者
Li, GH
Baker, SP
Langlois, JA
Kelen, GD
机构
[1] Johns Hopkins Univ, Sch Med, Dept Emergency Med, Baltimore, MD 21287 USA
[2] Johns Hopkins Univ, Sch Hyg & Publ Hlth, Ctr Injury Res & Policy, Baltimore, MD 21287 USA
[3] NIA, Epidemiol Demog & Biometry Program, Washington, DC USA
关键词
case fatality rates; decomposition; death rates; epidemiologic methods; exposure; incidence density; injury; traffic safety;
D O I
10.1097/00001648-199807000-00006
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Using the decomposition method and national data for the year 1990, we examined gender and age differences in involvement rates in fatal motor vehicle crashes. The fatal crash involvement rate per driver is expressed as a multiplicative function of the crash fatality rate (defined as the proportion of fatal crashes involved among all crashes involved), crash incidence density (that is, number of crashes per million person-miles), and exposure prevalence (that is, annual average miles driven per driver). The fatal crash involvement rate per 10,000 drivers for men was three times that for women (5.3 vs 1.7) and was highest among teenagers. Of the male-female discrepancy in the fatal crash involvement rates, 51% was attributable to the difference between sexes in crash fatality rates, 41% to the difference in exposure prevalence, and 8% to the difference in crash incidence density. Age-related variations in the fatal crash involvement rates resulted primarily from the differences in crash incidence density. The results indicate that, despite having lower fatal crash involvement rates, female drivers do not seem to be safer than their male counterparts when exposure is considered. The decomposition method is valuable as both a conceptual framework and an exploratory tool for understanding the contributing factors related to cause-specific injury mortality and the differences in death rates among populations.
引用
收藏
页码:379 / 384
页数:6
相关论文
共 24 条
[1]  
[Anonymous], HEATH CARE FINANC RE
[2]  
Baker S.B., 1992, The injury fact book
[3]   EVALUATING THE DRIVING ABILITY OF OLDER ADULTS [J].
BALL, K ;
REBOK, G .
JOURNAL OF APPLIED GERONTOLOGY, 1994, 13 (01) :20-38
[4]   THE EFFECT OF AGE ON DRIVING SKILLS [J].
CARR, D ;
JACKSON, TW ;
MADDEN, DJ ;
COHEN, HJ .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 1992, 40 (06) :567-573
[5]   RISK-FACTORS FOR INJURY - SIMILARITIES AND DIFFERENCES FOR TRAFFIC CRASHES AND OTHER CAUSES [J].
CHIPMAN, ML .
ACCIDENT ANALYSIS AND PREVENTION, 1995, 27 (05) :699-706
[6]   THE ROLE OF EXPOSURE IN COMPARISONS OF CRASH RISK AMONG DIFFERENT DRIVERS AND DRIVING ENVIRONMENTS [J].
CHIPMAN, ML ;
MACGREGOR, CG ;
SMILEY, AM ;
LEEGOSSELIN, M .
ACCIDENT ANALYSIS AND PREVENTION, 1993, 25 (02) :207-211
[7]   HOW SAFE WERE TODAYS OLDER DRIVERS WHEN THEY WERE YOUNGER [J].
EVANS, L .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 1993, 137 (07) :769-775
[8]  
*FED HIGHW ADM, 1990, DOT PUBL
[9]   SEAT-BELT USE AMONG DRINKING DRIVERS IN MINNESOTA [J].
FOSS, RD ;
BEIRNESS, DJ ;
SPRATTLER, K .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1994, 84 (11) :1732-1737
[10]   ACCIDENTS, MILEAGE, AND THE EXAGGERATION OF RISK [J].
JANKE, MK .
ACCIDENT ANALYSIS AND PREVENTION, 1991, 23 (2-3) :183-188