title: Clothing-related motorcycle injuries in Pakistan: findings from a surveillance study.
abstract: This study aims to assess the burden and patterns of clothing-related motorcycle injuries in Karachi, Pakistan. Data were extracted from an ongoing traffic injury surveillance system. In three years (2007-2009), out of 99155 road traffic injury cases there were 986 (0.9%) cases of clothing-related motorcycle injuries. Most cases were females (73.9%) and pillion riders (80.6%). The crashes involving clothing-related injuries were mostly single vehicle (98.5%), and largely resulted in injuries to the external body (60.3%), limbs (51.0%), head (41.5%) and face (35.9%). One-third of injuries were either moderate (26.7%) or severe (10.2%) while 10 (1.01%) deaths were reported. Female gender (11.4%), age ≥ 45 years (19.4%), pillion riding (11.3%) and crashes occurring at intersections (12.3%) were more likely to result in moderate or severe injury as compared to other users (P < 0.001). Injuries due to entanglement of loose fitting clothing in motorcycles are not uncommon in Karachi. Awareness campaigns for prevention of such injuries may involve promotion of appropriate dressing for motorcycle riding including close wrapping of clothes and encouraging installations of covers on the rear wheels and drive chains.
authors.affiliation: a Department of Emergency Medicine , Aga Khan University , Karachi , Pakistan.
authors.forename: Uzma R
authors.initials: UR
authors.lastname: Khan
authors.affiliation: a Department of Emergency Medicine , Aga Khan University , Karachi , Pakistan.|b Douglas Hospital Research Centre , Montreal , Canada.|c Public Health Solutions Pakistan (Pvt.) Limited , Lahore , Pakistan.
authors.forename: Junaid A
authors.initials: JA
authors.lastname: Bhatti
authors.affiliation: a Department of Emergency Medicine , Aga Khan University , Karachi , Pakistan.
authors.forename: M Shahzad
authors.initials: MS
authors.lastname: Shamim
authors.affiliation: a Department of Emergency Medicine , Aga Khan University , Karachi , Pakistan.
authors.forename: Nukhba
authors.initials: N
authors.lastname: Zia
authors.affiliation: a Department of Emergency Medicine , Aga Khan University , Karachi , Pakistan.|d Aman Healthcare Services , Karachi , Sindh , Pakistan.
authors.forename: Junaid A
authors.initials: JA
authors.lastname: Razzak
authors.affiliation: a Department of Emergency Medicine , Aga Khan University , Karachi , Pakistan.|e Road Traffic Injury Research & Prevention Center , Karachi , Pakistan.
authors.forename: Rashid
authors.initials: R
authors.lastname: Jooma
mesh_terms: D000063:Accidents, Traffic / Q000706:statistics & numerical data*; D000328:Adult; D000367:Age Factors; D003020:Clothing / Q000009:adverse effects*; D003430:Cross-Sectional Studies; D003906:Developing Countries; D005260:Female; D006801:Humans; D015994:Incidence; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D009049:Motorcycles; D010154:Pakistan / Q000453:epidemiology; D018570:Risk Assessment; D012737:Sex Factors; D014505:Urban Population; D014947:Wounds and Injuries / Q000453:epidemiology / Q000209:etiology*; D055815:Young Adult
keywords: Pakistan; South Asia; clothing; female; injury; motorcycle; pillion riders; scarf/dupatta