Pattern and risk factors for bicycle and motorcycle related injuries in Kisumu city: An implication for prevention
Cholo Wilberforce, Shem Olela
Commercial cycling/Boda Boda injuries constitute a major but neglected emerging public health problem in Kenya and are a common cause of road traffic injuries. Cycling related injuries are among the leading causes of disability and deaths and the main victims are the motorcyclists, bicyclists, pillion passengers and pedestrians in their young reproductive age group. Commercial cycling involving both human powered and motorized cycles has currently been on the increase and this has had subsequent corresponding and significant increase on injuries. This was a descriptive cross sectional study with objectives of comparing the injuries due to cycling among motorcyclists and bicyclists focusing on the pattern and characteristics of commercial cyclists injuries, their causes and possible interventions. Data was collected using structured questionnaires, interview schedules, checklists and key informant interview. Analysis was done using different tests. Descriptive statistics was done and comparisons was undertaken using Chi square. Data was presented in tables, graphs, charts and in narration form. The incidence of injuries were highest among motorcyclists at 60.9%. Injuries to bicyclists accounted for 39.1%. Overall 86.6 % of cyclists had had injuries and only 13.4% had not had injuries. Motorcyclists are more likely to sustain injuries than bicyclists. There was significant association between the type of cyclists whether motorcyclist or bicyclist and injury occurrence. (χ2= 18.2; P= 0.002). Most of casualties had suffered abrasion which accounted for(23.1%) of injuries. Slightly half (53%) of participants who reported they had had abrasion were bicyclists. Other respondents had suffered fractures (20.6%). Major factors contributing to injuries are: operating under influence of alcohol and other drugs cited by 84.8% of respondents, over-speeding cited by 49.5%, lack of training 32.9%, bad roads 32.1% and others. They have great economic loss to the affected individuals, families and society at large. Preferred intervention includes creation of awareness on matters surrounding commercial cycle injuries including discouraging alcohol consumption, wearing helmets and reflective jackets by both the operator and the passengers, avoiding over-speeding and others.