Driving without a Helment and Under the Influence of Alcohol among Injured Motorcyclists: A Hospital-Based Study in Hualien County

受傷機車騎士沒戴安全帽及酒後騎車的行為調查：以花蓮縣內醫院個案為例

李燕鳴(Yin-Ming Li) ； 白璐(Lu Pai) ； 黃勝雄(Peter S Huang)

《慈濟醫學雜誌》 12卷3期 (2000/09) Pp. 165-172

https://doi.org/10.6440/TZUCMJ.200009.0165

摘要

目的：評估機車騎士沒配戴安全帽及酒後騎車的比例和其人口學特性、其相關因子，及發生頭部外傷的風險。材料與方法：民國82年12月至87年5月間於花蓮兩所醫院急診室因車禍求診的機車騎士570位，檢驗血中酒精濃度並由護理人員調查其人口學特性、事故登錄及配戴安全帽否。結果：分析436份有否安全帽使用記錄的傷者資料，發現57.5%男性和24.1%原住民，平均年齡是33.8±18.2歲；發現全體中有124人（28.5%）是未戴安全帽，146人(33.6%)是酒後騎車。於124位未戴安全帽的傷者中有71人（57.3%）是酒後騎車，即有16.3%的傷者是在沒戴安全帽且是酒後騎車，全體傷者中約半數屬冒險者。男性和原住民較多是未戴安全帽及酒後騎車，兩項風險行為之傷者有頭部受傷的風險也是最高（風險比是4.28，95%信賴區間為2.30-8.08）。男性和年齡輕者較多是沒戴安全帽，中年男原住民則較多是沒戴安全帽及酒後駕駛。結論：評估冒險者之態度和提供行為改變計畫在花蓮縣尤其重要。因急診醫療中很大機會發現風險行為之機車騎士，故提供行為治療有助於預防事故的再次發生。

關鍵字

酒後駕駛 ； 安全帽 ； 機車騎士 ； 風險行為

並列摘要

Objectives: Investigating the prevalence of non-helmeted motorcyclists who drive under the influence of alcohol (DUI), and the factors associated with lack of helmet usage and DUI, and the risk of head injury. Materials and Methods: from December 1997 to May 1998, we checked the blood alcohol concentrations of 570 injured motorcyclists from vehicle crashes, who were treated at two emergency rooms in two teaching hospitals in Hualien County. Nurses filled out a questionnaire about the patient’s characteristics, injury coding and helmet usage. Results: Of 436 patients with helmet usage recorded, 124 (28.5%) were not wearing helmets at the time of the accident, and 146 (33.5%) were DUI. Of the 124 not wearing helmets, 71 (57.3%) were DUI. One out of six did not wear a helmet and was DUI. Half were risk-takers. Men and aborigines were more likely to not wear helmets and DUI. The odds ratio (OR) of head injury was highest for non-helmeted and DUI motorcyclists (OR, 4.28; 95% confidence interval [CI], 2.30-8.08). Men and young motorcyclists were more likely to not use a helmet. Middle-aged ale aborigines were more likely to not wear a helmet and DUI. Conclusions: Studies of attitudes toward risk-taking while driving and programs aimed at modifying risk-taking behaviors are crucial in Hualien County. A high incidence of risk-taking behaviors seen in the emergency service emphasized the need for concerted efforts to prevent recurrent injuries.

並列關鍵字

driving under the influence of alcohol ； helment ； motorcyclist ； risk-taking behaviors