title: Factors associated with fatal traffic accidents in Tirana, Albania: cross-sectional study.
abstract: OBJECTIVE
  To assess the prevalence of fatal road traffic accidents in Tirana, Albania, and describe their determinants.
  
  
  METHODS
  This cross-sectional study included all road traffic accidents recorded by the Traffic Police Department of Tirana district for the period 2000-2005. A structured questionnaire included information about the type of traffic accident (fatal vs non-fatal event), year of event, age and sex of the responsible party, reason of accident, location and time of event, and the type of vehicle involved. Multivariable-adjusted binary logistic regression analysis was used to assess the predictors of fatal road traffic accidents.
  
  
  RESULTS
  Overall, there were 1578 recorded road traffic accidents in Tirana district during 2000-2005. Of these, 272 (17%) were fatal. Multivariable-adjusted models showed that younger age (OR, 3.97; 95% CI, 2.28-6.91), high speed (OR, 2.54; 95% CI, 1.62-3.98), and especially alcohol consumption (OR, 6.15; 95% CI, 3.54-10.66) were strong and significant predictors of fatal accidents. Fatal accidents were more prevalent on intercity roads (OR, 4.25; 95% CI, 3.11-5.82) and involved especially vans and trucks (OR, 4.12; 95% CI, 2.34-7.24).
  
  
  CONCLUSIONS
  Young age, high speed, and alcohol are predictors of fatal road traffic accidents in Tirana district. These findings can serve as a basis for health care professionals and policymakers to create preventive measures for traffic accidents.
authors.affiliation: Faculty of Medicine, Rr. Dibres No. 371, Tirana, Albania. gentaqirjako@yahoo.com
authors.forename: Gentiana
authors.initials: G
authors.lastname: Qirjako
authors.forename: Genc
authors.initials: G
authors.lastname: Burazeri
authors.forename: Bajram
authors.initials: B
authors.lastname: Hysa
authors.forename: Enver
authors.initials: E
authors.lastname: Roshi
mesh_terms: D000063:Accidents, Traffic / Q000401:mortality* / Q000706:statistics & numerical data; D000328:Adult; D000415:Albania / Q000453:epidemiology; D015984:Causality; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D055815:Young Adult