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Indian Journal of Community Medicine Vol. 31, No. 3, July - September, 2006


       Road Safety Awareness and Practices Among School Children of Chandigarh
                                                 H.M. Swami, S. Puri, V. Bhatia

Introduction                                                              60) and those not having any vehicles (12.8%,125). Hence
It has been estimated that 1 million deaths & 15 million RSA              the sample comprised of 787 students (479 males & 308
(Road Side Accidents) occur on roads worldwide every year.                females) studying in these classes. Information regarding
Globally, RSA is 10th & in SEAR, 7th leading cause of death in            knowledge about accidents, use of vehicles, traffic safety,
all age groups1. According to WHO estimates, RSA is the 9th               various risk factors and their practices was recorded on
leading cause of death as per on the basis of DALY. However,              predesigned format.
this is likely to reach at no. 3 by 20202. It was estimated that          Information was collected by trained team of doctors & social
over 75% of RSA occur in the so called developing countries,              workers in school premises after taking consent from the
even though these countries account for only 32% of total                 Principals and students.
motor vehicle fleet, which involves 65% of pedestrians and
                                                                          Results and Discussion
35% of school children3. Child pedestrian injury, an important
cause of morbidity and mortality remains one of the leading               Forty percent of students lacked correct knowledge of traffic
causes of death in developed and developing countries. Each               safety rules. In particular, knowledge of correct speed limit
year in US approximately 850 children under the age of 15                 was lacking in 67.3% of the respondents. Girls were more
years are killed & another 30,000 are injured in pedestrian               aware of traffic rules to be followed at traffic lights (63%) and
collisions4. During last decades injuries due to RSA have                 while crossing zebra lines (41.2%), Whereas boys were more
risen by 300% in Asian and African countries in contrast to               versed with rules for pedestrians (49.8%). Around 60% of
30-40% in developed countries. There is limited literature                school children had correct knowledge of risk factors. The
available regarding accident related behaviour in developing              awareness was almost same in both government & private
countries. The chances of RSA can be averted to a large ex-               Schools as well as in males & female students. (Table-I)
tent, if school children who are going to be adults of tomorrow
                                                                          Table I: Knowledge of School Children Regarding Traffic Safety
are made aware of road safety measures. Hence present
                                                                          	                       Male		                   Female		              Total
study was focussed on school children to study knowledge                  Correct Knowledge of	 (n=479)		                  (n=308)	            (n=787)
of various risk factors pertaining to road side accidents and             Traffic Safety Rules	 No. 	   %	                 No. 	 % 	           No. 	 %
their practices.                                                          Rule to be followed at 	 267	          55.7	     197	     63.0	      464	   59.0
                                                                          traffic lights
Material and Methods                                                      Crossing zebra lines	     181	         37.7	     127	     41.2	      308	   39.5
                                                                          Rule for pedestrians	     239	         49.8	     81	      26.2	      320	   40.6
The Union Territory of Chandigarh is one of the modern cities
                                                                          Legal age at driving:
in India with an area of 114 sq. Km with population of about 1            Without gears	            259	         54.0	     144	     46.7	      403	   51.2
million and a high literacy rate of 81.6%. City is well known for         With gears	               272	         56.7	     146	     47.0	      418	   53.1
modern architecture, medical and educational infrastructure.              Speed limits in city:
                                                                          Main road	                191	         39.8	     67	      21.7	      258	   32.7
Large number of young people come to the city for pursuing
                                                                          Is It a Risk:
education from neighboring and far states such as North                   Driving without Helmet	 283	           59.1	     218	     70.8	      491	   62.4
Eastern State. UT of Chandigarh has about 185 schools in                  Driving at night without	 285	         59.4	     183	     59.4	      468	   59.5
Govt. & Private sector. More than 100 schools are up to level             headlight
                                                                          Not wearing seatbelts in 	284	         59.3	     181	     58.8	      465	   59.1	
of high and secondary level, having about 30000 children                  car
enrolled in classes between 9th –12th.
                                                                          Table II - Traffic Rule Violations By School Children
In this study, 8 schools (4 Govt. & 4 Private) were chosen
randomly. Total number of students studying in these classes              Caught for 	                Male	              Female	                Total
                                                                          Violating Traffic	       (n=479)	              (n=308)          	    (n=787)	
were approximately 5000. 4 classes from each school were                  Rules		                 No.      %	            No.   %	             No.      %
covered. Systemic random sampling method was used.                        Without Helmet	        108	    22.5	           42	      13.6	       450	    57.1
Every 2nd child was enrolled for the study. Hence on an                   Without valid 	         60	    12.5	           40	      13.0	       100	     l2.7
average 90-100 students were taken from each school. The                  document	
total number of students who were covered were 972. Of                    Without license	       124	    26.0	           57	      18.5	       171	    21.7
                                                                          Using mobile	          115	    24.0	           58	      18.$	       173	    22.0
the total students, those who were excluded from the study                while driving
were those who didn’t give complete information (6.1%,                    Over Speeding	         200	    41.8	           28	      9.09	       228	    29.0
                                                                          Crossing wrong 	       171	    35.7	           52	      16.9	       222	    28.2
                                                                          signal
Deptt. of Community Medicine, GMCH, Chandigarh                            Drunk with 	            65	    13.5	            -	         -	        65	     8.3
Received : 12.10.04                                                       Alcohol


                                                                                               Road Safetiy Awareness and Practices Among Children
                                                                    199
Indian Journal of Community Medicine Vol. 31, No. 3, July - September, 2006


Results of this study were similar to that done in other coun-          of motorised and unmotorised vehicles, inadequate vehicle
tries. In a study done in Bangladesh5, 62% of road traffic              safety standards, neglect of bicyclists safety, absence of
accidents were accounted by pedestrian casualties. 62% of               safety measures like helmets, seat belts, the rage of drinking
students agreed that risk factors that expose one to accidents          & driving, & least adherence to traffic rules. These reasons
are driving without helmet, driving at night without headlights         were witnessed in our study also.
(59.5%) & not wearing seatbelts (59.1%).
                                                                        Death of any school child in a road traffic accident while
Bicycle, motorcycle/scooter & car were being driven mostly              driving a vehicle is a serious issue. But this is certainly pre-
by 62%(488), 18.5% (146) & 1.7%(14) of school children                  ventable. Basically four stakeholders are involved - parents,
respectively. Use of motorcycle/scooter (23.7%) and car                 students, teachers and traffic police. Parents should not let
(2.5%) was higher in private schools as compared to govern-             their children drive at an early age. Students should refrain
ment schools (11.1 % & 0.6% respectively). Some, 13.3% of               themselves from traffic rule violations. School teachers
children started driving under the age of 10 years & females            should inculcate traffi safety among students and enforce
(17.9%) outnumbering males (10.4%) at this age. However,                traffic rules within school premises. Law enforcement agen-
57.3% of the students started driving after 12 yrs of age.              cies like traffic police, license issuing authorities must also be
Driving at such a young age, hence putting their lives and              stringent. Young traffic violators and their guardians should
also others life in danger, is ofcourse the result of laxity on         be appropriately punished. They should also ensure that the
the part of parents.                                                    community is aware of road safety signs which will help in
More than half (57.1%) of students informed that they were              reducing existing high accident rate, prevalent in developing
caught for not wearing helmets, & equal number of males                 countries as India.
& females (12.7%) for not having valid documents. Around                References
one fourth (26%) of males were caught without license as
compared to 18.5% girls This practice was more in private               1.	    Global Road Safety Partnership 2000, GRSP News & Bro-
school children. Students who were in habit of using mobile                    chure (Ist Edition), Geneva, Jan-2000
phones while driving were 22%, over speeding was done by
29% & 8.3% of them consumed alcohol while drinking. Male                2. 	   Murray CJL & Lopez AD. The global burden of diseases-A
students were doing more traffic rule violations as compared                   correspondence assessment of mortality & disability from
to girls (Table - II). Half ( 52.4%) of subjects agreed that                   diseases, Injuries & risk factors in 1990 & projected to 2020,
                                                                               Cambridge, MA: Harvard University Press 1996.
girls should wear helmets; 77.7% of them agreed that boys
keep helmets on their arms to impress girls, 25.7% did not              3. 	   Hoque M.M, Mac D M & Hall R D. Road Safety Improvement In
like wearing them & 4.95% gave some medical reasons for                        Developing Countries: Priority Issues & Options, Proceedings
not wearing.                                                                   of 20th Australian Road Research Board Conference 2004.
Several reports from developed countries show that rates
                                                                        4. 	   Alison M & Ian R. Children Exposure to Traffic & Pedestrian
of fatal & non fatal injuries from motor vehicle crashes is on
                                                                               Injuries: American J Of Public Health 1998; 12:88-92
the increase owing to non usage of helmets and seat belts.
Daniel observed in his study that the relative risk of death            5. 	   Didarul A M & Mazharuloque M. Pedestrian Accident in Met-
among helmet riders as compared to unhelmeted riders was                       ropolitan Dhaka, Presented in “SAFE”, 2nd Asian Regional
0.616. Hence many interventions were done & evaluated.                         Conference on safe communities in Bangladesh 2004.
Evaluation of interventions is an important aspect of injury
prevention like bicycle helmet use increased following dem-             6	     Daniel C. N & Peter C. Association of Helmet use with death
onstration of the impact of helmets on brain injury7.                          in Motorcycle crashes-A matched pair cohort study: American
                                                                               J of Epidemiology 2002;156:483-87
Involvement of motorised 2 wheelers, bicyclists in RSA is
greater in South East Asia than any other part of world. Some           7.	    Lynda D & Sue B. Evaluation of Interventions designed to prevent
of the major reasons are driving at an early age, heavy mix                    and Control Injuries Epidemiologic Reviews 2003;25:51-59




                                                                                   Road Safety Awareness and Practices Among School Children
                                                                  200

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Road safety awareness and practices among school children of chandigarh

  • 1. Indian Journal of Community Medicine Vol. 31, No. 3, July - September, 2006 Road Safety Awareness and Practices Among School Children of Chandigarh H.M. Swami, S. Puri, V. Bhatia Introduction 60) and those not having any vehicles (12.8%,125). Hence It has been estimated that 1 million deaths & 15 million RSA the sample comprised of 787 students (479 males & 308 (Road Side Accidents) occur on roads worldwide every year. females) studying in these classes. Information regarding Globally, RSA is 10th & in SEAR, 7th leading cause of death in knowledge about accidents, use of vehicles, traffic safety, all age groups1. According to WHO estimates, RSA is the 9th various risk factors and their practices was recorded on leading cause of death as per on the basis of DALY. However, predesigned format. this is likely to reach at no. 3 by 20202. It was estimated that Information was collected by trained team of doctors & social over 75% of RSA occur in the so called developing countries, workers in school premises after taking consent from the even though these countries account for only 32% of total Principals and students. motor vehicle fleet, which involves 65% of pedestrians and Results and Discussion 35% of school children3. Child pedestrian injury, an important cause of morbidity and mortality remains one of the leading Forty percent of students lacked correct knowledge of traffic causes of death in developed and developing countries. Each safety rules. In particular, knowledge of correct speed limit year in US approximately 850 children under the age of 15 was lacking in 67.3% of the respondents. Girls were more years are killed & another 30,000 are injured in pedestrian aware of traffic rules to be followed at traffic lights (63%) and collisions4. During last decades injuries due to RSA have while crossing zebra lines (41.2%), Whereas boys were more risen by 300% in Asian and African countries in contrast to versed with rules for pedestrians (49.8%). Around 60% of 30-40% in developed countries. There is limited literature school children had correct knowledge of risk factors. The available regarding accident related behaviour in developing awareness was almost same in both government & private countries. The chances of RSA can be averted to a large ex- Schools as well as in males & female students. (Table-I) tent, if school children who are going to be adults of tomorrow Table I: Knowledge of School Children Regarding Traffic Safety are made aware of road safety measures. Hence present Male Female Total study was focussed on school children to study knowledge Correct Knowledge of (n=479) (n=308) (n=787) of various risk factors pertaining to road side accidents and Traffic Safety Rules No. % No. % No. % their practices. Rule to be followed at 267 55.7 197 63.0 464 59.0 traffic lights Material and Methods Crossing zebra lines 181 37.7 127 41.2 308 39.5 Rule for pedestrians 239 49.8 81 26.2 320 40.6 The Union Territory of Chandigarh is one of the modern cities Legal age at driving: in India with an area of 114 sq. Km with population of about 1 Without gears 259 54.0 144 46.7 403 51.2 million and a high literacy rate of 81.6%. City is well known for With gears 272 56.7 146 47.0 418 53.1 modern architecture, medical and educational infrastructure. Speed limits in city: Main road 191 39.8 67 21.7 258 32.7 Large number of young people come to the city for pursuing Is It a Risk: education from neighboring and far states such as North Driving without Helmet 283 59.1 218 70.8 491 62.4 Eastern State. UT of Chandigarh has about 185 schools in Driving at night without 285 59.4 183 59.4 468 59.5 Govt. & Private sector. More than 100 schools are up to level headlight Not wearing seatbelts in 284 59.3 181 58.8 465 59.1 of high and secondary level, having about 30000 children car enrolled in classes between 9th –12th. Table II - Traffic Rule Violations By School Children In this study, 8 schools (4 Govt. & 4 Private) were chosen randomly. Total number of students studying in these classes Caught for Male Female Total Violating Traffic (n=479) (n=308) (n=787) were approximately 5000. 4 classes from each school were Rules No. % No. % No. % covered. Systemic random sampling method was used. Without Helmet 108 22.5 42 13.6 450 57.1 Every 2nd child was enrolled for the study. Hence on an Without valid 60 12.5 40 13.0 100 l2.7 average 90-100 students were taken from each school. The document total number of students who were covered were 972. Of Without license 124 26.0 57 18.5 171 21.7 Using mobile 115 24.0 58 18.$ 173 22.0 the total students, those who were excluded from the study while driving were those who didn’t give complete information (6.1%, Over Speeding 200 41.8 28 9.09 228 29.0 Crossing wrong 171 35.7 52 16.9 222 28.2 signal Deptt. of Community Medicine, GMCH, Chandigarh Drunk with 65 13.5 - - 65 8.3 Received : 12.10.04 Alcohol Road Safetiy Awareness and Practices Among Children 199
  • 2. Indian Journal of Community Medicine Vol. 31, No. 3, July - September, 2006 Results of this study were similar to that done in other coun- of motorised and unmotorised vehicles, inadequate vehicle tries. In a study done in Bangladesh5, 62% of road traffic safety standards, neglect of bicyclists safety, absence of accidents were accounted by pedestrian casualties. 62% of safety measures like helmets, seat belts, the rage of drinking students agreed that risk factors that expose one to accidents & driving, & least adherence to traffic rules. These reasons are driving without helmet, driving at night without headlights were witnessed in our study also. (59.5%) & not wearing seatbelts (59.1%). Death of any school child in a road traffic accident while Bicycle, motorcycle/scooter & car were being driven mostly driving a vehicle is a serious issue. But this is certainly pre- by 62%(488), 18.5% (146) & 1.7%(14) of school children ventable. Basically four stakeholders are involved - parents, respectively. Use of motorcycle/scooter (23.7%) and car students, teachers and traffic police. Parents should not let (2.5%) was higher in private schools as compared to govern- their children drive at an early age. Students should refrain ment schools (11.1 % & 0.6% respectively). Some, 13.3% of themselves from traffic rule violations. School teachers children started driving under the age of 10 years & females should inculcate traffi safety among students and enforce (17.9%) outnumbering males (10.4%) at this age. However, traffic rules within school premises. Law enforcement agen- 57.3% of the students started driving after 12 yrs of age. cies like traffic police, license issuing authorities must also be Driving at such a young age, hence putting their lives and stringent. Young traffic violators and their guardians should also others life in danger, is ofcourse the result of laxity on be appropriately punished. They should also ensure that the the part of parents. community is aware of road safety signs which will help in More than half (57.1%) of students informed that they were reducing existing high accident rate, prevalent in developing caught for not wearing helmets, & equal number of males countries as India. & females (12.7%) for not having valid documents. Around References one fourth (26%) of males were caught without license as compared to 18.5% girls This practice was more in private 1. Global Road Safety Partnership 2000, GRSP News & Bro- school children. Students who were in habit of using mobile chure (Ist Edition), Geneva, Jan-2000 phones while driving were 22%, over speeding was done by 29% & 8.3% of them consumed alcohol while drinking. Male 2. Murray CJL & Lopez AD. The global burden of diseases-A students were doing more traffic rule violations as compared correspondence assessment of mortality & disability from to girls (Table - II). Half ( 52.4%) of subjects agreed that diseases, Injuries & risk factors in 1990 & projected to 2020, Cambridge, MA: Harvard University Press 1996. girls should wear helmets; 77.7% of them agreed that boys keep helmets on their arms to impress girls, 25.7% did not 3. Hoque M.M, Mac D M & Hall R D. Road Safety Improvement In like wearing them & 4.95% gave some medical reasons for Developing Countries: Priority Issues & Options, Proceedings not wearing. of 20th Australian Road Research Board Conference 2004. Several reports from developed countries show that rates 4. Alison M & Ian R. Children Exposure to Traffic & Pedestrian of fatal & non fatal injuries from motor vehicle crashes is on Injuries: American J Of Public Health 1998; 12:88-92 the increase owing to non usage of helmets and seat belts. Daniel observed in his study that the relative risk of death 5. Didarul A M & Mazharuloque M. Pedestrian Accident in Met- among helmet riders as compared to unhelmeted riders was ropolitan Dhaka, Presented in “SAFE”, 2nd Asian Regional 0.616. Hence many interventions were done & evaluated. Conference on safe communities in Bangladesh 2004. Evaluation of interventions is an important aspect of injury prevention like bicycle helmet use increased following dem- 6 Daniel C. N & Peter C. Association of Helmet use with death onstration of the impact of helmets on brain injury7. in Motorcycle crashes-A matched pair cohort study: American J of Epidemiology 2002;156:483-87 Involvement of motorised 2 wheelers, bicyclists in RSA is greater in South East Asia than any other part of world. Some 7. Lynda D & Sue B. Evaluation of Interventions designed to prevent of the major reasons are driving at an early age, heavy mix and Control Injuries Epidemiologic Reviews 2003;25:51-59 Road Safety Awareness and Practices Among School Children 200