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Systematic review of the epidemiology of non-collision injuries occurring to older people during use of public buses in high-income countries

journal contribution
posted on 09.10.2015 by Denise Kendrick, Avril Drummond, Pip Logan, Jo Barnes, Esme J. Worthington
Each year more than 6000 people are injured on public buses in the UK, approximately half of whom are aged 65 or over. This review synthesises the published literature on the epidemiology of non-collision injuries occurring in older people using public buses, to enable understanding of the size and nature of the problem of injuries, and to explore strategies for improving the safety of public transport for older people. We searched PubMed, Embase, CINAHL, web of science, and Transport Research International Documentation (TRID). Studies were included if they were cross-sectional, case-control or cohort Studies. Pairs of reviewers independently screened Studies for inclusion, assessed risk of bias, and extracted data. Ten studies were included in the review. Older people and women were found to be over-represented in non-collision injuries. Most injuries occurred during daytime hours and on weekdays. Injuries most commonly occurred whilst passengers were standing and either moving around the bus, boarding, or alighting, and whilst the bus was accelerating or decelerating. Bruising was the most common injury amongst emergency department attenders, although between 18% and 33% suffered more serious injuries such as fractures or dislocations. Many injuries to older public transport users are potentially preventable public transport needs to be safe and accessible, and to be perceived as such by older people to ensure independence in outdoor mobility.

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Published in

Journal of Transport and Health

Citation

KENDRICK, D. ... et al, 2015. Systematic review of the epidemiology of non-collision injuries occurring to older people during use of public buses in high-income countries. Journal of Transport and Health, 2 (3), pp. 394-405.

Publisher

© Elsevier

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VoR (Version of Record)

Publisher statement

This work is made available according to the conditions of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) licence. Full details of this licence are available at: https://creativecommons.org/licenses/by-nc-nd/4.0/

Publication date

2015

Notes

This article is closed access.

ISSN

2214-1405

Language

en

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