title: Road traffic crashes among farm vehicle drivers in southern China: A cross-sectional survey.
abstract: The objective of this study was to identify the prevalence and potential risk factors of farm vehicle-related road traffic crashes among farm vehicle drivers in southern China.
  
  
  
  A cross-sectional study was used to interview 1,422 farm vehicle drivers in southern China. Farm vehicle-related road traffic crashes that occurred from December 2013 to November 2014 were investigated. Data on farm vehicle-related road traffic crashes and related factors were collected by face-to-face interviews.
  
  
  
  The prevalence of farm vehicle-related road traffic crashes among the investigated drivers was 7.2%. Farm vehicle-related road traffic crashes were significantly associated with self-reported vision problem (adjusted odds ratio [AOR] = 6.48, 95% confidence interval [CI], 3.86-10.87), self-reported sleep disorders (AOR = 10.03, 95% CI, 6.28-15.99), self-reported stress (AOR = 20.47, 95% CI, 9.96-42.08), reported history of crashes (AOR = 5.40, 95% CI, 3.47-8.42), reported history of drunk driving (AOR = 5.07, 95% CI, 2.97-8.65), and reported history of fatigued driving (AOR = 5.72, 95% CI, 3.73-8.78). The number of road traffic crashes was highest in the daytime and during harvest season. In over 96% of farm vehicle-related road traffic crashes, drivers were believed to be responsible for the crash. Major crash-causing factors included improper driving, careless driving, violating of traffic signals or signs, and being in the wrong lane.
  
  
  
  Findings of this study suggest that farm vehicle-related road traffic crashes have become a burgeoning public health problem in China. Programs need to be developed to prevent farm vehicle-related road traffic crashes in this emerging country.
authors.affiliation: a Injury Prevention Research Institute, Department of Epidemiology and Biostatistics, School of Public Health , Southeast University , Nanjing , Jiangsu Province , China.|b Key Laboratory of Environmental Medicine Engineering, Ministry of Education, School of Public Health , Southeast University, Nanjing , Jiangsu Province , China.
authors.forename: Xujun
authors.initials: X
authors.lastname: Zhang
authors.affiliation: c Yixing Center for Disease Control and Prevention , Yixing , Jiangsu Province , China.
authors.forename: Yaming
authors.initials: Y
authors.lastname: Yang
authors.affiliation: a Injury Prevention Research Institute, Department of Epidemiology and Biostatistics, School of Public Health , Southeast University , Nanjing , Jiangsu Province , China.
authors.forename: Yu
authors.initials: Y
authors.lastname: Chen
authors.affiliation: d Office of Epidemiology , Chinese Center for Disease Control and Prevention , Beijing , China.
authors.forename: Hongyan
authors.initials: H
authors.lastname: Yao
authors.affiliation: e Jiangsu Provincial Center for Disease Control and Prevention , Nanjing , Jiangsu Province , China.
authors.forename: Ming
authors.initials: M
authors.lastname: Wu
authors.affiliation: a Injury Prevention Research Institute, Department of Epidemiology and Biostatistics, School of Public Health , Southeast University , Nanjing , Jiangsu Province , China.
authors.forename: Mengjing
authors.initials: M
authors.lastname: Cui
authors.affiliation: a Injury Prevention Research Institute, Department of Epidemiology and Biostatistics, School of Public Health , Southeast University , Nanjing , Jiangsu Province , China.
authors.forename: Yang
authors.initials: Y
authors.lastname: Li
authors.affiliation: a Injury Prevention Research Institute, Department of Epidemiology and Biostatistics, School of Public Health , Southeast University , Nanjing , Jiangsu Province , China.
authors.forename: Jie
authors.initials: J
authors.lastname: Hu
authors.affiliation: a Injury Prevention Research Institute, Department of Epidemiology and Biostatistics, School of Public Health , Southeast University , Nanjing , Jiangsu Province , China.
authors.forename: Cong
authors.initials: C
authors.lastname: Zhang
authors.affiliation: a Injury Prevention Research Institute, Department of Epidemiology and Biostatistics, School of Public Health , Southeast University , Nanjing , Jiangsu Province , China.
authors.forename: Zhen
authors.initials: Z
authors.lastname: Li
authors.affiliation: f Colorado Injury Control Research Center, Department of Psychology , Colorado State University , Fort Collins , Colorado.
authors.forename: Lorann
authors.initials: L
authors.lastname: Stallones
authors.affiliation: g Center for Injury Research and Policy and Center for Pediatric Trauma Research , The Research Institute at Nationwide Children's Hospital, The Ohio State University College of Medicine , Columbus , Ohio.
authors.forename: Huiyun
authors.initials: H
authors.lastname: Xiang
mesh_terms: D000062:Accidents, Occupational / Q000706:statistics & numerical data*; D000063:Accidents, Traffic / Q000706:statistics & numerical data*; D000383:Agriculture; D001334:Automobile Driving / Q000706:statistics & numerical data*; D002681:China / Q000453:epidemiology; D003430:Cross-Sectional Studies; D000066448:Driving Under the Influence / Q000706:statistics & numerical data; D005221:Fatigue / Q000453:epidemiology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012621:Seasons; D012893:Sleep Wake Disorders / Q000453:epidemiology; D014786:Vision Disorders / Q000453:epidemiology
keywords: China; Traffic safety; accident analysis; accident prevention; agricultural vehicles; public roads; road crashes