OBJECTIVE: To increase seat belt restraint use in Guangzhou City, People's Republic of China. DESIGN: Comparison group pre-test, post-test design. SETTING: Guangzhou City. INTERVENTIONS: Interventions to increase the prevalence of seat belt use in high-income countries (enhanced training and enforcement practices along with raising of public awareness) were adapted and implemented in Guangzhou. The prevalence of seat belt use was determined before and after the introduction of the 12-month intervention. Seat belt prevalence was also examined over the same time period in the neighboring city of Nanning, and an incremental cost-effectiveness analysis of the intervention was undertaken. MAIN OUTCOME MEASURES: Prevalence rates and incremental cost effectiveness ratios. RESULTS: A 12% increase in seat belt use was observed in Guangzhou over the study period, increasing from a prevalence of 50% before (error range 30-62%) to 62% after (error range 60-67%) (p<0.001) the intervention; an absolute change difference between the intervention and reference city of 20% was achieved. The incremental cost-effectiveness ratio of the intervention was yen 3246 (US dollars 418) per disability-adjusted life year saved. CONCLUSIONS: This city-wide intervention demonstrates that it is possible to increase the prevalence of seat belt use using similar methods to those used in high-income countries and, importantly, that such an approach is cost-effective.
OBJECTIVE: To increase seat belt restraint use in Guangzhou City, People's Republic of China. DESIGN: Comparison group pre-test, post-test design. SETTING: Guangzhou City. INTERVENTIONS: Interventions to increase the prevalence of seat belt use in high-income countries (enhanced training and enforcement practices along with raising of public awareness) were adapted and implemented in Guangzhou. The prevalence of seat belt use was determined before and after the introduction of the 12-month intervention. Seat belt prevalence was also examined over the same time period in the neighboring city of Nanning, and an incremental cost-effectiveness analysis of the intervention was undertaken. MAIN OUTCOME MEASURES: Prevalence rates and incremental cost effectiveness ratios. RESULTS: A 12% increase in seat belt use was observed in Guangzhou over the study period, increasing from a prevalence of 50% before (error range 30-62%) to 62% after (error range 60-67%) (p<0.001) the intervention; an absolute change difference between the intervention and reference city of 20% was achieved. The incremental cost-effectiveness ratio of the intervention was yen 3246 (US dollars 418) per disability-adjusted life year saved. CONCLUSIONS: This city-wide intervention demonstrates that it is possible to increase the prevalence of seat belt use using similar methods to those used in high-income countries and, importantly, that such an approach is cost-effective.
Authors: A Movsisyan; L Arnold; L Copeland; R Evans; H Littlecott; G Moore; A O'Cathain; L Pfadenhauer; J Segrott; E Rehfuess Journal: Health Res Policy Syst Date: 2021-02-05
Authors: Blake Angell; Olutobi Sanuade; Ifedayo M O Adetifa; Iruka N Okeke; Aishatu Lawal Adamu; Muktar H Aliyu; Emmanuel A Ameh; Fatima Kyari; Muktar A Gadanya; Diana A Mabayoje; Adesola Yinka-Ogunleye; Tolu Oni; Rabiu Ibrahim Jalo; Fatimah I Tsiga-Ahmed; Sarah L Dalglish; Seye Abimbola; Tim Colbourn; Obinna Onwujekwe; Eme Theodora Owoaje; Gambo Aliyu; Sani H Aliyu; Belinda Archibong; Alex Ezeh; Chikwe Ihekweazu; Zubairu Iliyasu; Stephen Obaro; Ebenezer Babatunde Obadare; Friday Okonofua; Muhammed Pate; Babatunde L Salako; Fatima H Zanna; Scott Glenn; Ally Walker; Maha Ezalarab; Mohsen Naghavi; Ibrahim Abubakar Journal: Lancet Date: 2022-03-15 Impact factor: 79.321
Authors: Ting Hway Wong; Gek Hsiang Lim; Khuan Yew Chow; Nyi Nyi Zaw; Hai Van Nguyen; Hoong Chor Chin; Marcus Eng Hock Ong Journal: BMC Public Health Date: 2016-05-14 Impact factor: 3.295