Document Type : Original Article
Authors
- Abbas Ostadtaghizadeh 1
- Leila kouchakinejad-Eramsadati 1
- Ali Asgary 2
- Enayatollah Homaie Rad 3
- Jon Mark Hirshon 4
1 Department of Health in Emergencies and Disasters, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
2 2. School of Administrative Studies, Faculty of Liberal Arts & Professional Studies, York University, Toronto, Canada
3 3. Social Determinants of Health Research Center, Trauma Institute, Guilan University of Medical Sciences, Rasht, Iran.
4 Departments of Emergency Medicine and of Epidemiology and Public Health, University of Maryland School of Medicine, USA
Abstract
Abstract
Objective: The increasing trend of pedestrian collisions reflects the ineffective identification and prevention of the contributing factors to these incidents. Leveraging the experiences of local traffic experts can provide valuable insights into pinpointing the associated risk factors. This study aimed to elucidate the experiences of experts regarding the factors influencing pedestrian collisions in Iran.
Methods: A qualitative study was conducted utilizing conventional content analysis with an inductive approach from 2023 to 2024. A total of 26 experts were purposefully selected from across Iran. Data were collected through individual face-to-face interviews, guided by a semi-structured interview guideline developed by a panel of experts containing open-ended questions. All stages of data analysis were performed manually using the Graneheim and Lundman approach (2004). To ensure trustworthiness, four strategies proposed by Lincoln and Guba were also employed.
Results: The results revealed two main categories: direct factors and underlying factors, with nine subcategories. The category of direct factors encompassed five subcategories including driver, pedestrian, road and streets, vehicle, and geographic factors, all of which directly influence pedestrian road traffic collision. The category of underlying factors included four subcategories; governance factors, social determinants, cultural conditions, and economic status.
Conclusions: The findings showed what set of risk factors are associated with pedestrian collision according to experts’ experiences. We recommend future qualitative studies to investigate in-depth the high-risk behaviors of pedestrians and drivers. These findings also suggest the utility of systematic review studies on the strategies that developing and successful countries have used so far to prevent or reduce pedestrian collisions.
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