Objectives: To investigate traffic accidents caused by hazardous driving. Materials and Methods: Records of registered deaths from the Department of Health and traffic accident records from the Department of Transportation (1999-2000) were analyzed in this study. The average mortality from motor vehicle injuries in various districts, the proportions of drivers who were speedy, and the proportion of drivers who were under the influence of alcohol were assessed. Results: The mortality from motor vehicle injuries in Hualien County (46.7 per 105 population) was twice that of Taiwan as a whole (23.2 per 105 population) in 2000. The highest mortality (79.5 per 105 population) was found in the aboriginal community. In addition, the age at death was lowest in the aboriginal community (average 40.4 years old). There were 1275 traffic accidents in 1999-2000; 18.5% were due to driving under the influence of alcohol (DUA) and 18.3% were due to speeding. The proportion of DUA was high in the aboriginal community. Of the 1424 motorcyclists involved in accidents, 12.1% were not wearing a helmet. Of 950 drivers of four-wheeled vehicles, 81.2% were not using a seatbelt. Of drivers who were DUA, 58.8% had levels of alcohol higher than the regulation limit (breath alcohol test >0.25 mg/L), 7.5% was 'drunk' and 40.8% were not wearing a seatbelt or helmet. Among drivers who were speeding, 6.5% were DUA, and 43.5% were not wearing a seatbelt or helmet. Deaths and injuries were most severe in accidents caused by speeding. There were significant differences between vehicles, patterns of collisions, and timing in accidents caused by speeding or driving under the influence of alcohol. The drivers' gender, age, education, occupation, and injuries between hazardous driving were significantly different. Conclusions: Speeding and driving under the influence of alcohol were important causes of accidents. The estimation of alcohol related injuries from police records might be low. The emergency room may be an ideal location for screening and monitoring alcohol related motor-vehicle injuries. Furthermore, promoting safe driving in the aboriginal community is crucial in preventing traffic accidents caused by hazardous driving. (Tzu Chi Med J 2003; 15:175-183)
Objectives: To investigate traffic accidents caused by hazardous driving. Materials and Methods: Records of registered deaths from the Department of Health and traffic accident records from the Department of Transportation (1999-2000) were analyzed in this study. The average mortality from motor vehicle injuries in various districts, the proportions of drivers who were speedy, and the proportion of drivers who were under the influence of alcohol were assessed. Results: The mortality from motor vehicle injuries in Hualien County (46.7 per 105 population) was twice that of Taiwan as a whole (23.2 per 105 population) in 2000. The highest mortality (79.5 per 105 population) was found in the aboriginal community. In addition, the age at death was lowest in the aboriginal community (average 40.4 years old). There were 1275 traffic accidents in 1999-2000; 18.5% were due to driving under the influence of alcohol (DUA) and 18.3% were due to speeding. The proportion of DUA was high in the aboriginal community. Of the 1424 motorcyclists involved in accidents, 12.1% were not wearing a helmet. Of 950 drivers of four-wheeled vehicles, 81.2% were not using a seatbelt. Of drivers who were DUA, 58.8% had levels of alcohol higher than the regulation limit (breath alcohol test >0.25 mg/L), 7.5% was 'drunk' and 40.8% were not wearing a seatbelt or helmet. Among drivers who were speeding, 6.5% were DUA, and 43.5% were not wearing a seatbelt or helmet. Deaths and injuries were most severe in accidents caused by speeding. There were significant differences between vehicles, patterns of collisions, and timing in accidents caused by speeding or driving under the influence of alcohol. The drivers' gender, age, education, occupation, and injuries between hazardous driving were significantly different. Conclusions: Speeding and driving under the influence of alcohol were important causes of accidents. The estimation of alcohol related injuries from police records might be low. The emergency room may be an ideal location for screening and monitoring alcohol related motor-vehicle injuries. Furthermore, promoting safe driving in the aboriginal community is crucial in preventing traffic accidents caused by hazardous driving. (Tzu Chi Med J 2003; 15:175-183)