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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

Kendrick, Denise; Drummond, Avril E.R.; Logan, Pip; Barnes, Jo; Worthington, Esme

Authors

DENISE KENDRICK denise.kendrick@nottingham.ac.uk
Professor of Primary Care Research

AVRIL DRUMMOND avril.drummond@nottingham.ac.uk
Professor of Healthcare Research

PIP LOGAN pip.logan@nottingham.ac.uk
Professor of Rehabilitation Research

Jo Barnes

Esme Worthington



Abstract

Each year more than 6,000 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 International Research 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.

Citation

Kendrick, D., Drummond, A. E., Logan, P., Barnes, J., & Worthington, E. (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), https://doi.org/10.1016/j.jth.2015.06.002

Journal Article Type Article
Acceptance Date Nov 10, 2014
Publication Date Jun 3, 2015
Deposit Date Feb 27, 2017
Publicly Available Date Feb 27, 2017
Journal Journal of Transport & Health
Electronic ISSN 2214-1405
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 2
Issue 3
DOI https://doi.org/10.1016/j.jth.2015.06.002
Keywords Safety; Public transport; Older people; Systematic review
Public URL http://eprints.nottingham.ac.uk/id/eprint/40853
Publisher URL http://www.sciencedirect.com/science/article/pii/S2214140515005095
Copyright Statement Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0

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Copyright Statement
Copyright information regarding this work can be found at the following address: http://creativecommons.org/licenses/by-nc-nd/4.0





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