un<strong>de</strong>r supervision of Dr. Sobngwi-Tambekou and Dr. Lagar<strong>de</strong>. (ii) A second set of variableswas generated from the examination of the vi<strong>de</strong>o recording of the road section, taken duringdaylight hours. Case and control sites were i<strong>de</strong>ntified in the vi<strong>de</strong>o using their GlobalPositioning System (GPS) coordinates as recor<strong>de</strong>d both in the vi<strong>de</strong>o and on the standardizedcoding sheets. Data recor<strong>de</strong>d from vi<strong>de</strong>o watching inclu<strong>de</strong>d: number of lanes, si<strong>de</strong> markings,presence of road drain, type of intersection (four-legged, three-legged, and access),intersection control (sign, signals), intersection treatment (speed calming, improving visibilityby angling the entering si<strong>de</strong> road), speed control measures (speed sign, hazard sign, road signwith rumble strips), the maximum in both directions of the length of straight section (length ofclosest straight section if the site is on a curve), important structures (housing and other nonshopbuildings, shops, toll plaza). I conducted this second step of data extraction from vi<strong>de</strong>orecording, blindly to the case or control status of the sites.AnalysisSituational variables, with the exception of intersection type, important structures at roadsi<strong>de</strong>,and speed control measures, were grouped into two categories. The maximum in bothdirections of the length of straight section at or near the crash and control sites was measuredto account for the potential for vehicles to gather speed. For intersections and sections beforecurves only, the variable indicated whether the maximum in both directions of the straightsection was above vs. below or equal to this value of 85 th percentile of this maximum lengthof straight section.Associations between injury crash site (outcome variable) and situational factors (in<strong>de</strong>pen<strong>de</strong>ntvariables) were <strong>de</strong>termined using logistic regression mo<strong>de</strong>ls. Because controls for casesoccurring in the section closer (the last 10 km) to Douala could not be selected, the data setwas not analyzed as an individually matched case-control study. To control for variations intraffic <strong>de</strong>nsity throughout the road section, the road was divi<strong>de</strong>d into 10 sub-sections of 25 kmin length from Yaoundé to Douala and the corresponding nominal variable was entered as aroad section random effect in the mo<strong>de</strong>ls.We fitted three multivariate mo<strong>de</strong>ls including all variables significantly associated (p
case and control sites, as estimated from Moran’s I statistic (P ≥ 0.12). High crash site <strong>de</strong>nsitywas observed near Yaoundé and on the Edéa-Douala road section (Figure 11).Figure 11. Injury crash site <strong>de</strong>nsity along 25-km stretches of Yaoundé-Douala roadsectionNDoualaEdéaPoumaBoumnyebelYaoundéMbankomoInhabitants per city (,000)>200Site/km1.3-1.4>20-2001.5-2.5 8 m, andintersections were significantly more frequent at case sites than controls (Table 9). Vi<strong>de</strong>oscrutiny showed that shops and schools were more frequent at case sites than controls. Noassociations were observed between lengthy straight sections (>872 m) and case sites.In the mo<strong>de</strong>l including only variables from site visits, crash sites were more likely to belocated at intersections than control sites. Similarly, the crash sites were more likely to belocated in built-up areas as compared to control sites. Similarly, likelihood of crashes on flatroad sections increased when the road was wi<strong>de</strong>r than 8 m as compared to narrow roadsections. Moreover, injury crash likelihood increased in presence of nearby obstacles whenroad surface was irregular than regular. In the mo<strong>de</strong>l including only variables from vi<strong>de</strong>o,crash sites were more likely near shops than control sites.In the mo<strong>de</strong>l including both types of variables (mo<strong>de</strong>l 3), crash sites were more likely to belocated on road sections with flat road profiles, irregular surface conditions, near (< 4 m) solidobstacles, except for crash barriers, and at three- and four-legged intersections (Table 9).Furthermore, crash likelihood increased in built-up areas when verge <strong>de</strong>pth was null ascompared to verge <strong>de</strong>pth more than 0 m. Attributable crash risk proportions were 21.9% forflat road profiles, 11.3% for irregular surface conditions, 5.5% for nearby (< 4 m) obstacles,4.6% for three-legged intersections, and 3.4% for four-legged intersections. Attributable crashrisk proportion was 16.1% for built-up areas as estimated from mo<strong>de</strong>l 1.39
- Page 1: Université Victor Segalen Bordeaux
- Page 4 and 5: Publications (peer-reviewed).......
- Page 6 and 7: Index of figuresFigure 1. Traffic f
- Page 8 and 9: AbbreviationsAKUAVCIBMIEASESSDALYDW
- Page 10 and 11: AbstractBackground: Interurban traf
- Page 12 and 13: L'objectif de cette thèse était d
- Page 14 and 15: 2. Background2.1 Road injury burden
- Page 16 and 17: 2.4 Multiple factors involved in tr
- Page 18 and 19: Figure 4. Percentage difference of
- Page 20 and 21: 2.7 Interurban road safety research
- Page 22 and 23: ObjectivesThe objectives of this fi
- Page 24 and 25: ResultsCrash burdenA total of 935 R
- Page 26 and 27: Figure 7. Monthly trend of traffic
- Page 28 and 29: Injury outcome patternsMost of inju
- Page 30 and 31: MethodsThe study setting was 196-km
- Page 32 and 33: patients. In the ED, those with NIS
- Page 34 and 35: Table 6. Traffic injuries reported
- Page 36 and 37: 5. Analytical StudiesPrevious liter
- Page 40 and 41: Table 9. Situational variables at c
- Page 42 and 43: MethodsStudy design and settingStud
- Page 44 and 45: to Dec 08 were retrieved and photoc
- Page 46 and 47: normal zones. However, this associa
- Page 48 and 49: MethodsStudy design and settingsThe
- Page 50 and 51: Figure 14. Picture extracted of a h
- Page 52 and 53: located in built-up area in Pakista
- Page 54 and 55: Table 15. Differences in hazard per
- Page 56 and 57: 6. Discussion6.1 Originality of stu
- Page 58 and 59: Although adjustments are possible,
- Page 60 and 61: observational studies on how the de
- Page 62 and 63: to understand the deficiencies in t
- Page 64 and 65: [24] Damsere-Derry J, Afukaar FK, D
- Page 66 and 67: [69] Central Intelligence Agency. T
- Page 68 and 69: [111] Geurts K, Wets G, Brijs T, Va
- Page 70 and 71: [154] Rosenbloom T, Shahar A, Elhar
- Page 72 and 73: 4. Farooq U, Bhatti JA, Siddiq M, M
- Page 74 and 75: Appendix 1: Literature review on in
- Page 76 and 77: they identified a cluster of long b
- Page 78 and 79: more cost-effective than redesignin
- Page 80 and 81: Table 18. Traffic injury interventi
- Page 86 and 87: Appendix 3: Study I supplementary r
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Appendix 4: Manuscript in preparati
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BACKGROUNDPakistan, located at the
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patients were recorded during their
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This might motivate police officers
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12. Peden M, Scurfiled R, Sleet D,
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Table 1. Traffic injuries reported
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Table 3. Ascertainment of police, a
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Appendix 5: Article published - Stu
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104
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106
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108
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Appendix 6: Article under review -
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1. INTRODUCTIONWith the aging of hi
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A total of 180 crashes were identif
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conspicuity at HWZs in Pakistan. 2
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21. Sobngwi-Tambekou J, Bhatti J, K
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Table 2. Highway work zone crash fa
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122
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ABSTRACTObjectives: Interurban road
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oad). A matched strategy was used t
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SitesOut of 131 crash sites identif
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Similarly, it was shown previously
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Majdzadeh, R., Khalagi, K., Naraghi
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Table 2. Characteristics of Pakista
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Table 4. Factors associated with ha
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Table 21. Situational factors at hi
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Table 23. Situational factors assoc