Determinants of motorcycle-related head injuries among children and youth: an unmatched case-control study in northern Ghana

Background Motorcycles are a major source of road traffic injuries, with a preponderance of head injuries (HIs), especially among children and young adults. The reported prevalence of HI among children and young adults ranges between 17% and 67%. This study examined the determinants of motorcycle-re...

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Hauptverfasser: Baffour Appiah, Anthony (VerfasserIn) , Akweongo, Patricia (VerfasserIn) , Sackey, Samuel Oko (VerfasserIn) , Wilson, Michael (VerfasserIn) , Dambach, Peter (VerfasserIn) , Tuoyire, Derek Anamaale (VerfasserIn) , Dapaa, Samuel (VerfasserIn) , Tengey, John (VerfasserIn) , Donkor, Peter (VerfasserIn) , Mock, Charles (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 2025
In: Injury prevention
Year: 2025, Pages: 1-8
ISSN:1475-5785
DOI:10.1136/ip-2024-045526
Online-Zugang:Verlag, kostenfrei, Volltext: https://doi.org/10.1136/ip-2024-045526
Verlag, kostenfrei, Volltext: https://injuryprevention.bmj.com/content/early/2025/09/19/ip-2024-045526
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Verfasserangaben:Anthony Baffour Appiah, Patricia Akweongo, Samuel Oko Sackey, Michael Lowery Wilson, Peter Dambach, Derek Anamaale Tuoyire, Samuel Dapaa, John Tengey, Peter Donkor, Charles Mock

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520 |a Background Motorcycles are a major source of road traffic injuries, with a preponderance of head injuries (HIs), especially among children and young adults. The reported prevalence of HI among children and young adults ranges between 17% and 67%. This study examined the determinants of motorcycle-related HIs among children and youth in northern Ghana. - Methods A case-control study was conducted among children and youth (ages: 1-24 years) with motorcycle injuries seen at a tertiary hospital in northern Ghana. A case was defined as Glasgow Coma Scale<14 and/or head Abbreviated Injury Score>1, while controls were patients with no HI. A questionnaire was used to collect sociodemographic, crash and road characteristics data. The determinants of HI were assessed using multivariable logistic regression analysis at p<0.05. - Results The proportion of survivors with HI was 52.0%, which was higher in children (<15 years, 57.4%) than in youth (15-24 years, 48.85%). The rate of helmet use was low (24%) and significantly lower in children (17.82%) compared with youth (27.59%). There was an increased odds of HI for non-helmet use among youth (adjusted OR=5.73, 95% CI 2.47 to 13.31) and in the combined group (OR=9.49, 95% CI 4.34 to 20.76). - Conclusion Lack of helmet use was the only significant risk factor for HI among youth and the combined group in this study. Motorcycle safety efforts in the study area should emphasise helmet promotion. Injury prevention strategies should enhance riders’ education and enforce road safety regulations, especially on helmet use. 
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700 1 |a Donkor, Peter  |e VerfasserIn  |4 aut 
700 1 |a Mock, Charles  |e VerfasserIn  |4 aut 
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