This study determines the individual and areal risk factors for road traffic injury deaths in South Korea. The risk factors that influence road traffic injury deaths are defined by multilevel Poisson regression analysis. It is seen that not only demographic factors but also individual educational level, which represents socioeconomic status, influences road traffic injury deaths. The material deprivation index, which represents areal socioeconomic status, and W statistics, as a measure of the quality of the emergency medical system in an area, also influence road traffic injury deaths. Based on this study, the most vulnerable group for road traffic injury deaths is elderly men with a low level of education who live in the most deprived areas.Therefore, preventive policies focusing on both these areas and this population demographic should be established.
Organisation for Economic Co-operation and Development. OECD Health Data 2006. 2006.
2.
Korean Statistical Information Service.Database on the Internet. http://www.kosis.kr/. Accessed January 18, 2010.
3.
Road Traffic Safety Authority.The Estimation and Evaluation of Road Traffic Accident Cost [in Korean]. Seoul, South Korea: Road Traffic Safety Authority; 2007.
4.
Ministry of Land, Transport and Maritime Affairs.Annual Report on the Road Safety 2007 [in Korean]. Seoul , South Korea: Ministry of Land, Transport and Maritime Affairs; 2007.
5.
Pless B.Road traffic injury prevention: WHO report advocates input from public health and a systems approach. BMJ. 2004;328:846.
6.
National Emergency Management Agency, Seoul National University Hospital.Development of National Strategy for Injury Prevention [in Korean]. Seoul, South Korea: National Emergency Management Agency; 2007.
7.
Engström K., Ekman R., Welander G., Laflamme L.Area-based differences in injury risks in a small Swedish municipality: geographic and social differences. Inj Control Saf Promot. 2002;9:53-57.
8.
Engström K., Diderichsen F., Laflamme L.Socioeconomic differences in injury risks in childhood and adolescence: a nation-wide study of intentional and unintentional injuries in Sweden. Inj Prev. 2002;8:137-142.
9.
Borrell C., Rodríguez M., Ferrando J., et al. Role of individual and contextual effects in injury mortality: new evidence from small area analysis. Inj Prev. 2002;8:297-302.
10.
Poulos R., Hayen A., Finch C., Zwi A.Area socioeconomic status and childhood injury morbidity in New South Wales, Australia. Inj Prev. 2007;13:322-327.
11.
Simpson K., Janssen I., Craig WM, Pickett W.Multilevel analysis of associations between socioeconomic status and injury amongCanadian adolescents. J Epidemiol Community Health. 2005;59:1072-1077.
12.
Hasselberg M., Vaez M., Laflamme L.Socioeconomic aspects of the circumstances and consequences of car crashes among young adults. Soc Sci Med. 2005;60:287-295.
13.
Borrel C., Plasencia A., Huisman M., et al. Educational level inequalities and transportation injury mortality in the middle aged and elderly inEuropean settings. Inj Prev . 2005;11:138-142.
14.
Ha BMOutcome Analysis of Trauma Centers: Variation and Its Factors [PhD thesis] . Seoul, South Korea: Seoul National University; 2006.
15.
Minino AM, Anderson RN, Fingerhut LA, Boudreault MA, Warner M.National Vital StatisticsReports; vol 54 no 10. Hyattsville, MD: National Center for Health Statistics; 2006.
16.
Son M.The relationships of occupational class, educational level and deprivation with mortality in Korea [in Korean]. Korean J Prev Med. 2002;35:76-82.
17.
Carstairs V. , Morris R.Deprivation: explaining differences in mortality between Scotland and England and Wales. BMJ. 1989;299:886-889.
18.
Waller LA, Gotway CALinking spatial exposure data to health events. In: Waller LA, Gotway CA, eds. Applied Spatial Statistics for Public Health Data. Chapter 9, pp. 325-443. Hoboken, NJ: John Wiley; 2004.
19.
Ministry of Land, Transport and Maritime Affairs.The 6th National Plan for the Road Safety (2007~2011) [in Korean]. Seoul, South Korea: Ministry of Land, Transport and Maritime Affairs; 2006.
20.
Department of Injuries and Violence Prevention, Noncommunicable Diseases and Mental Health Cluster, World Health Organization.The Injury Chart Book: A Graphical Overview of the Global Burden of Injuries . Geneva, Switzerland: World Health Organization; 2002.
21.
Hyder AA, Peden M.Inequality and road-traffic injuries: call for action. Lancet2003;362:2034-2035.
22.
Rahman F., Rahman A., Linnan M., Giersing M., Shafinaz S.The magnitude of child injuries in Bangladesh: a major child health problem . Inj Control Saf Promot. 2004;11:153-157.
23.
Rahman A.The burden of road traffic injuries in South Asia. J Coll Physicians Surg Pak. 2004;14:707-708.
24.
Koptis E., Cropper M.Traffic Fatalities and Economic Growth. Washington, DC : World Bank; 2003.
25.
Kin KH, Lee KH, Lee SM, et al. The proportional mortality ratios of specific-cause mortality by occupation and education among men aged 20-64 in Korea (1993-2004) [in Korean]. J Prev Med Public Health. 2007;40:7-15.
26.
Waters HR, Hyder AA, Phillips TLEconomic evaluation of interventions to reduce road traffic injuries: a review of the literature with applications to low and middle-income countries. Asia Pac J Public Health. 2004;16:23-31.
27.
Takanishi DM Jr, Yu M., Morita SYIncreased fatalities and cost of traumatic injuries in elderly pedestrians in Hawaii: a challenge for prevention and outreach. Asia Pac J Public Health. 2008;20:327-339.
28.
Yiannakoulias N., Rowe BH, Svenson LW, Schopflocher DP, Kelly K., Voaklander DCZones of prevention: the geography of fall injuries in the elderly. Soc Sci Med. 2003 ;57:2065-2073.
