Introduction: Worldwide, road traffic accidents (RTAs) provide serious risks to public health in both developed and developing nations. For young people between the ages of 15 and 29, they are the seventh most common cause of death and the top source of injury. Overspreading, overtaking, poor road conditions, vehicle condition, driver competence, negligence and behavior, and breaking traffic laws and regulations are some of the many variables that contribute to vehicle collisions. Therefore, the aim objective of this study was to estimate human death per road traffic accident and identify its determinant factors in the North Shewa zone of Amhara regional stat of Ethiopia. Methods: A retrospective study was conducted from Insurance Companies in Debre Birehan town from 01 Jan 2018– 31 Dec 2023. All road traffic accident cases from randomly selected districts of the North Shewa zone from 01 Jan 2018– 31 Dec 2023 were included in this study. A total of 894 traffic accident cases were recorded. Data were entered and cleaned using micro soft excels and exported to Stata version 17 for analysis. Zero Inflated Poisson regression was used, and IRR with 95% CI was reported. Results: The results showed that from the 100 traffic accident cases 26 individuals getting death which is a few higher than previous studies. Out of a total of 894 road traffic cases were happened, of whomb156 traffic cases results in 234 human deaths. From 100 road traffic accident cases 26 individuals getting death with 95% CI [21/100, 31/100]. ZIP regression model was selected as the best fitted model to analyze the road traffic data since there was inflation zero outcomes with no over/under dispersion in the data set. Conclusion: Driving experience in years, education level of drivers, driver-vehicle relationship, seat belt use while driving, speed in km/hr, level of driving license, purpose of the vehicle, and pavement roughness are significantly associated with the number of deaths per road traffic accident at the α = 0.05 level of significance. The need for enforcing drivers to obey traffic rules and strong prosecution of speed limits while driving on asphalt roads appear to be the most critical parts of interventions.
Published in | American Journal of Traffic and Transportation Engineering (Volume 10, Issue 2) |
DOI | 10.11648/j.ajtte.20251002.11 |
Page(s) | 33-47 |
Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
Copyright |
Copyright © The Author(s), 2025. Published by Science Publishing Group |
Road Traffic Accidents (RTAs), Incidence Rate Ratio (IRR), Zero Inflated Poisson (ZIP), Human Death
[1] | Mekonnen, F. H. and S. Teshager, Road traffic accident: the neglected health problem in Amhara National Regional State, Ethiopia. Ethiopian Journal of Health Development, 2014. 28(1): p. 3-10. |
[2] | Azeze, M., et al., Predictors of Human Death by Road Traffic Crashes in Bahir Dar City, North Western Ethiopia; A Count Data Analysis Regression Model. Int J Theor Appl Math [Internet], 2020. 6(6): p. 95. |
[3] | Jindal, A. and S. Mukherji, World report on road traffic injury prevention. Medical Journal, Armed Forces India, 2005. 61(1): p. 91. |
[4] | Ghaffar, A., A. A. Hyder, and T. I. Masud, The burden of road traffic injuries in developing countries: the 1st national injury survey of Pakistan. Public health, 2004. 118(3): p. 211-217. |
[5] | Osoro, A., Z. Ng’ang’a, and A. Yitambe, An analysis of the incidence and causes of road traffic accident in Kisii, Central district, Kenya. IOSR Journal Of Pharmacy, 2015. 5(9): p. 41-49. |
[6] | Deresse, E., et al., Road traffic accident and management outcome among in Adama Hospital Medical College, Central Ethiopia. Pan African medical journal, 2021. 38(1). |
[7] | Gebremichael, M., et al., Prevalence and determinants of road traffic injuries in Ethiopia: Based on the 2015 STEPS survey findings. Ethiopian Journal of Health Development, 2017. 31(1): p. 340-347. |
[8] | Demo, D. H. and A. C. Acock, The impact of divorce on children. Journal of Marriage and the Family, 1988: p. 619-648. |
[9] | Hedström, E. M. and I. Waernbaum, Incidence of fractures among children and adolescents in rural and urban communities-analysis based on 9,965 fracture events. Injury epidemiology, 2014. 1: p. 1-5. |
[10] | Woldu, A. B., A. A. Desta, and T. W. Woldearegay, Magnitude and determinants of road traffic accidents in Northern Ethiopia: a cross-sectional study. BMJ open, 2020. 10(2): p. e034133. |
[11] | Geleta, D., et al., Road traffic accidents fatality and associated factors in Southwest Shoa, central Ethiopia. East African Journal of Health and Biomedical Sciences, 2020. 4(1): p. 35-46. |
[12] | Bifftu, B. B., et al., Depression among people with epilepsy in Northwest Ethiopia: a cross-sectional institution based study. BMC research notes, 2015. 8: p. 1-8. |
[13] | Getahun, W., T. Belachew, and A. D. Wolide, Burden and associated factors of anemia among pregnant women attending antenatal care in southern Ethiopia: cross sectional study. BMC research notes, 2017. 10: p. 1-7. |
[14] | Asefa, F., D. Assefa, and G. Tesfaye, Magnitude of, trends in, and associated factors of road traffic collision in central Ethiopia. BMC public health, 2014. 14: p. 1-11. |
[15] | Oltaye, Z., E. Geja, and A. Tadele, Prevalence of motorcycle accidents and its associated factors among road traffic accident patients in Hawassa University Comprehensive Specialized Hospital, 2019. Open access emergency medicine, 2021: p. 213-220. |
[16] | Baru, A., A. Azazh, and L. Beza, Injury severity levels and associated factors among road traffic collision victims referred to emergency departments of selected public hospitals in Addis Ababa, Ethiopia: the study based on the Haddon matrix. BMC emergency medicine, 2019. 19: p. 1-10. |
[17] | Mekonen, E. K., The Economic Effect of Road Traffic Accidents In Ethiopia: Evidences from Addis Ababa City. ITIHAS-The Journal of Indian Management, 2016. 6(2). |
[18] | Racioppi, F., et al., Preventing road traffic injury: a public health perspective for Europe. 2004: World Health Organization. Regional Office for Europe. |
[19] | Deresse, T., et al., Fatal Road Traffic Accidents and Associated Factors in North Shewa Zone, Central Ethiopia: A Cross-Sectional Study. Ethiopian Journal of Health Sciences, 2023. 33(6). |
[20] | Fesseha Hailu Mekonnen, F. H. M. and S. T. Sileshi Teshager, Road traffic accident: the neglected health problem in Amhara National Regional State, Ethiopia. 2014. |
[21] | Adeoye, P. O., et al., Host, vehicular and environmental factors responsible for road traffic crashes in a Nigerian city: identifiable issues for road traffic injury control. Pan African Medical Journal, 2014. 19(1). |
[22] | Retallack, A. E. and B. Ostendorf, Current understanding of the effects of congestion on traffic accidents. International journal of environmental research and public health, 2019. 16(18): p. 3400. |
[23] | Hussain, M. and J. Shi, Predictors of aberrant driving behaviors of Pakistani drivers by using proportional odds (PO) model. Asian Transport Studies, 2020. 6: p. 100005. |
[24] | Munene, B. K., Motor-cycle Crashes and Socio-economic and Demographic Characteristics of Riders. A Case Study of South Imenti Sub County, Meru County. 2022, University of Nairobi. |
[25] | Lankarani, K. B., et al., The impact of environmental factors on traffic accidents in Iran. Journal of injury and violence research, 2014. 6(2): p. 64. |
[26] | Xu, J., et al., Injury severity and contributing driver actions in passenger vehicle–truck collisions. International journal of environmental research and public health, 2019. 16(19): p. 3542. |
[27] | Wang, Y. and W. Zhang, Analysis of roadway and environmental factors affecting traffic crash severities. Transportation research procedia, 2017. 25: p. 2119-2125. |
[28] | Aga, M. A., B. T. Woldeamanuel, and M. Tadesse, Statistical modeling of numbers of human deaths per road traffic accident in the Oromia region, Ethiopia. PLoS one, 2021. 16(5): p. e0251492. |
[29] | Tadege, M., Determinants of fatal car accident risk in Finote Selam town, Northwest Ethiopia. BMC public health, 2020. 20: p. 1-8. |
[30] | Aworemi, J. R., I. A. Abdul-Azeez, and S. O. Olabode, Analytical study of the causal factors of road traffic crashes in southwestern Nigeria. Educational research, 2010. 1(4): p. 118-124. |
[31] | Gheisari, M., Identifying Influencing Factors of Road Accidents in Emerging Road Accident Black spots. 2022. |
[32] | Wedajo, T., E. T. Quezon, and M. Mohammed, Analysis of road traffic accident related of geometric design parameters in Alamata-Mehoni-Hewane section. Int. J. Sci. Eng. Res, 2017. 8(1): p. 874-881. |
[33] | Baru, A., Injury Severity Levels and Associated Factors among Road Traffic Accident Victims Referred to Emergency Departments of Selected Public Hospitals in Addis Ababa, Ethiopia: The Study Based on Haddon Matrix. 2017, Addis Ababa University. |
[34] | Qi, M., et al., Analysis of road traffic injuries and casualties in China: a ten-year nationwide longitudinal study. PeerJ, 2022. 10: p. e14046. |
[35] | Wang, C., et al., Random-Parameter multivariate negative binomial regression for modeling impacts of contributing factors on the crash frequency by crash types. Discrete Dynamics in Nature and Society, 2020. 2020: p. 1-13. |
[36] | Konlan, K. D., et al., Prevalence and pattern of road traffic accidents among commercial motorcyclists in the Central Tongu District, Ghana. The Scientific World Journal, 2020. 2020: p. 1-10. |
[37] | Pew, T., et al., Justification for considering zero-inflated models in crash frequency analysis. Transportation research interdisciplinary perspectives, 2020. 8: p. 100249. |
[38] | Subramaniyam, S., et al., Statistical analysis of variability in TnSeq data across conditions using zero-inflated negative binomial regression. BMC bioinformatics, 2019. 20: p. 1-15. |
APA Style
Alemu, A. M., Mengistie, D. T., Abebe, D. M., Alem, K. J. (2025). Risk Factors and Magnitude of Human Mortality from Road Traffic Accidents in the North Shewa Zone of the Amhara Regional State in Ethiopia. American Journal of Traffic and Transportation Engineering, 10(2), 33-47. https://doi.org/10.11648/j.ajtte.20251002.11
ACS Style
Alemu, A. M.; Mengistie, D. T.; Abebe, D. M.; Alem, K. J. Risk Factors and Magnitude of Human Mortality from Road Traffic Accidents in the North Shewa Zone of the Amhara Regional State in Ethiopia. Am. J. Traffic Transp. Eng. 2025, 10(2), 33-47. doi: 10.11648/j.ajtte.20251002.11
@article{10.11648/j.ajtte.20251002.11, author = {Afera Mekete Alemu and Dagne Tesfaye Mengistie and Dagnew Melake Abebe and Kasaneh Jigar Alem}, title = {Risk Factors and Magnitude of Human Mortality from Road Traffic Accidents in the North Shewa Zone of the Amhara Regional State in Ethiopia }, journal = {American Journal of Traffic and Transportation Engineering}, volume = {10}, number = {2}, pages = {33-47}, doi = {10.11648/j.ajtte.20251002.11}, url = {https://doi.org/10.11648/j.ajtte.20251002.11}, eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajtte.20251002.11}, abstract = {Introduction: Worldwide, road traffic accidents (RTAs) provide serious risks to public health in both developed and developing nations. For young people between the ages of 15 and 29, they are the seventh most common cause of death and the top source of injury. Overspreading, overtaking, poor road conditions, vehicle condition, driver competence, negligence and behavior, and breaking traffic laws and regulations are some of the many variables that contribute to vehicle collisions. Therefore, the aim objective of this study was to estimate human death per road traffic accident and identify its determinant factors in the North Shewa zone of Amhara regional stat of Ethiopia. Methods: A retrospective study was conducted from Insurance Companies in Debre Birehan town from 01 Jan 2018– 31 Dec 2023. All road traffic accident cases from randomly selected districts of the North Shewa zone from 01 Jan 2018– 31 Dec 2023 were included in this study. A total of 894 traffic accident cases were recorded. Data were entered and cleaned using micro soft excels and exported to Stata version 17 for analysis. Zero Inflated Poisson regression was used, and IRR with 95% CI was reported. Results: The results showed that from the 100 traffic accident cases 26 individuals getting death which is a few higher than previous studies. Out of a total of 894 road traffic cases were happened, of whomb156 traffic cases results in 234 human deaths. From 100 road traffic accident cases 26 individuals getting death with 95% CI [21/100, 31/100]. ZIP regression model was selected as the best fitted model to analyze the road traffic data since there was inflation zero outcomes with no over/under dispersion in the data set. Conclusion: Driving experience in years, education level of drivers, driver-vehicle relationship, seat belt use while driving, speed in km/hr, level of driving license, purpose of the vehicle, and pavement roughness are significantly associated with the number of deaths per road traffic accident at the α = 0.05 level of significance. The need for enforcing drivers to obey traffic rules and strong prosecution of speed limits while driving on asphalt roads appear to be the most critical parts of interventions.}, year = {2025} }
TY - JOUR T1 - Risk Factors and Magnitude of Human Mortality from Road Traffic Accidents in the North Shewa Zone of the Amhara Regional State in Ethiopia AU - Afera Mekete Alemu AU - Dagne Tesfaye Mengistie AU - Dagnew Melake Abebe AU - Kasaneh Jigar Alem Y1 - 2025/04/29 PY - 2025 N1 - https://doi.org/10.11648/j.ajtte.20251002.11 DO - 10.11648/j.ajtte.20251002.11 T2 - American Journal of Traffic and Transportation Engineering JF - American Journal of Traffic and Transportation Engineering JO - American Journal of Traffic and Transportation Engineering SP - 33 EP - 47 PB - Science Publishing Group SN - 2578-8604 UR - https://doi.org/10.11648/j.ajtte.20251002.11 AB - Introduction: Worldwide, road traffic accidents (RTAs) provide serious risks to public health in both developed and developing nations. For young people between the ages of 15 and 29, they are the seventh most common cause of death and the top source of injury. Overspreading, overtaking, poor road conditions, vehicle condition, driver competence, negligence and behavior, and breaking traffic laws and regulations are some of the many variables that contribute to vehicle collisions. Therefore, the aim objective of this study was to estimate human death per road traffic accident and identify its determinant factors in the North Shewa zone of Amhara regional stat of Ethiopia. Methods: A retrospective study was conducted from Insurance Companies in Debre Birehan town from 01 Jan 2018– 31 Dec 2023. All road traffic accident cases from randomly selected districts of the North Shewa zone from 01 Jan 2018– 31 Dec 2023 were included in this study. A total of 894 traffic accident cases were recorded. Data were entered and cleaned using micro soft excels and exported to Stata version 17 for analysis. Zero Inflated Poisson regression was used, and IRR with 95% CI was reported. Results: The results showed that from the 100 traffic accident cases 26 individuals getting death which is a few higher than previous studies. Out of a total of 894 road traffic cases were happened, of whomb156 traffic cases results in 234 human deaths. From 100 road traffic accident cases 26 individuals getting death with 95% CI [21/100, 31/100]. ZIP regression model was selected as the best fitted model to analyze the road traffic data since there was inflation zero outcomes with no over/under dispersion in the data set. Conclusion: Driving experience in years, education level of drivers, driver-vehicle relationship, seat belt use while driving, speed in km/hr, level of driving license, purpose of the vehicle, and pavement roughness are significantly associated with the number of deaths per road traffic accident at the α = 0.05 level of significance. The need for enforcing drivers to obey traffic rules and strong prosecution of speed limits while driving on asphalt roads appear to be the most critical parts of interventions. VL - 10 IS - 2 ER -