Road Traffic Injury Prevention Research Articles

Čimbenici povezani s osljedama u cestovnom prometu i njihovom težinom

Road traffic injuries cause considerable losses to individuals, their families, and to nations as a whole. Factors related to road traffic injuries and to the severity of such injuries have not been fully elucidated or evaluated. The aim of this study was to explore factors related to road traffic injuries and their severity in cohort of 200 road traffic accident (RTA) survivors from Eastern Croatia. Sustaining injury was associated with rural residence (p=0.032), lower education level (p=0.001), unemployment (p=0.001), being single (p=0.014), under average self-assessed economic status (p=0.001), alcohol abstinence (p=0.018), use of medications (p=0.031), self-assessed life-threat (p<0.001), pain after the RTA (p<0.001), hospitalization after the RTA (p<0.001), hospitalization duration (p<0.001), surgery (p=0.048), rehabilitation following the RTA (p=0.001) and PTSD symptoms (p=0.001). Injury severity was associated with lower education level (p=0.013), unemployment (p=0.004), being single (p=0.017), under average self-assessed economic status (p<0.001), alcohol abstinence (p=0.042), use of medications (p=0.014), self-assessed life-threat (p<0.001), pain after the RTA (p<0.001), being a pedestrian or a cyclist (p=0.011), hospitalization after the RTA (p<0.001), hospitalization duration (p<0.001), surgery (p<0.001), rehabilitation following the RTA (p=0.001), depression (p<0.001) and PTSD symptoms (p<0.001). In order to more adequately prevent road traffic injuries knowledge about factors associated with such injuries and their severity should be base for the creation of specific prevention programs at regional and national level.

Identifying Patterns of Pedestrian Crashes in Urban Metropolitan Roads in India using Association Rule Mining

Pedestrian safety is an important component of efforts to prevent road traffic injuries. Pedestrians constitute to around 22% of the total deaths occurring on the world roads. According to the recent report by the Ministry of Road Transport and Highways (MoRTH), Government of India, the number of pedestrian-related deaths was 15,746 (10.5%) of total persons killed in the country during the year 2016. This high proportion of mortality and severity injury among pedestrians necessitates more investigation to identify determinants to reduce crashes in the future. The present research used the Apriori algorithm of supervised association rule mining to identify the patterns of pedestrian severity injury in urban Indian metropolitan city, Chennai. Using the RADMS database of the government of Tamilnadu, vehicle-pedestrian crashes were analyzed for recent two years between 2015 and 2016. The results highlight the fact that middle-aged pedestrians are more vulnerable to road traffic crashes. Exceeding speed limits than the posted speed, especially in the highways, results in fatal crashes among pedestrians. Vehicle-pedestrian crashes are frequent at sites where there are no median separators when drivers do not respect the right of way rules. The findings of the present study will help the traffic safety professionals to understand patterns of crashes and take necessary countermeasures to decrease pedestrian injury-related crashes potentially.

Increase Capacity in Injury Research in Eastern Europe – the iCREATE Project

Abstract Introduction Injury rates are highest among LMICs. Many of the leading injury causes are increasing disproportionately in LMICs compared with high income countries. Although medical and public health education in each of these countries has been growing over the last several years, injury and violence prevention has not yet been recognized as a priority. The iCREATE project aims to create a critical mass of injury researchers from multiple disciplines and to engage agencies and stakeholders in conducting high impact research that reduces the burden of injuries and violence in the LMICs of Armenia, Georgia, and Rep. of Moldova. Progress Based on priority needs in our partner countries and the expertise of the training team, the project focuses on: road traffic injury prevention, prevention of violence against women and children and acute care. Although it is the first project of capacity building in injury research implemented in these countries, the partnership builds on and translates existing successful infrastructure. The lead of the project (University of Iowa) has conducted similar projects in other countries from Eastern Europe and one of the training sites (Babes-Bolyai University) is currently a partner in the project. Activities include skill-building workshops; summer classes; long-term degree-based and professional development training; focused exploratory research projects; and collaborative data infrastructure projects. The focus is on long-term MPH and PhD training in order to build research and leadership skills focused on injury prevention in the partner institutions. Some results of the first three project years are implementation of Injury prevention Curricula in three medical universities from the partner countries, and a Center of Injury and Violence Prevention established in Armenia. Furthermore, 33 trainees were trained, 8 hospitals implemented injury registries and 12446 registry records were collected so far across 3 countries.

Barriers to and Facilitators of Road Traffic Injuries Prevention in Iran; A Qualitative Study.

Objective:To identify the barriers to and facilitators of the prevention of road traffic accidents (RTIs) in Iran.Methods:In this qualitative study 42 key stakeholders and experts in the field of traffic injuries in Iran were selected based on purpose and theoretical sampling to reach informational saturation. Their views concerning barriers to and facilitators of the prevention of traffic injuries in Iran were studied using semi-structured interviews. Data were analyzed using Content Analysis method.Results:Five themes were identified: structural barriers, organizational barriers and planning, socio-cultural barriers, scientific barriers, and inter-sector barriers and 22 sub-themes were extracted. The lack of lead agency, which was among structural barriers, was selected as the main barrier. The five general facilitators included: sensitization of society and authorities, improving the resources and infrastructure (software and hardware), increasing the attention to safety of vehicles and roads, increasing the information and awareness, and use of expert manpower. The sensitization of society and authorities was selected as the most important facilitator.Conclusion:According to the key experts, the barriers of policy changes to prevent the RTIs are more numerous than its facilitators. Therefore, planning and paying more attention to removing these barriers and promoting the facilitators seems necessary to reduce RTIs. Having a lead agency in this regard should be the highest priority.

Beliefs and performances of elementary school students to prevent road traffic injuries, using Health Belief Model: a study from Hamadan, Iran

:Background:Road traffic injuries (RTIs) are important health problems and increasing knowledge on their prevention-related issues can be credible. This study aims to assess beliefs and performances of students to prevent road traffic injuries and their related factors, using Health Belief Model (HBM).Methods:This cross-sectional study carried out on a random sample of 500 fourth and fifth grades students of elementary schools in Hamadan city, west of Iran. The data gathering tool was a self-administered questionnaire designed on the basis of HBM constructs and also the knowledge and performance of the students in relation to prevent RTIs. To increase the accuracy of this study, the students’ road-crossing behaviors were observed in a simulated street in the school, using an observation checklist. Data were analyzed by SPSS 16.Results:The mean age of the participants was 10.51±0.50. About preventing RTIs, the mean scores of the students’ knowledge was 64.139, and regarding HBM constructs, the mean scores of their perceived susceptibility, perceived severity, perceived benefits, perceived barriers and self-efficacy were 82.817, 82.453, 82.451, 89.917, 84.343 and 91.250, respectively. The mean score of the students’ self-reported performances about traffic injury prevention was 48.750 and the mean score of their observed road-crossing behavior in the simulated street was 45.000. The final model of multiple linear regressions showed that the students’ sex (p=0.001), their knowledge (p less than 0.001), perceived susceptibility (p=0.002), perceived barriers (p=0.032), self-efficacy (p=0.001), and their observed road-crossing behaviors (p=0.019) predict the students’ self-reported injury prevention performances.Conclusions:Regarding prevention of RTIs, knowledge and performance of the studied students are undesirable. The study findings can help designing more appropriate prevention programs for them.

Comparative Study of Stewardship of Road Traffic Injuries Prevention with a Focus on the Role of Health System; Three Pioneer Countries and Three Similar to Iran.

To compare the stewardship of road traffic accidents (RTIs) prevention in three pioneer countries and three similar ones to Iran. In this descriptive comparative study, the United States of America, Sweden, and Brazil as the pioneer countries in RTIs prevention were compared to the India, Pakistan, and Turkey as the countries socioeconomically similar to Iran. Embase, PubMed, Scopus, IranDoc, IranMedex, SID, and MagIran were searched. Also a hand search conducted on websites and search engines using related keywords. In the pioneer countries in RTIs prevention there was a delegation to a particular organization. In the other three countries a part of the Ministry of Transportation had the overall responsibility of RTIs. In Iran there was uncertainty in the stewardship of RTIs prevention. There was little evidence on the role and activities of health systems in RTIs prevention. It seems necessary to define a lead agency organization on RTIs prevention in Iran with sufficient authority and resources. This study also recommends conducting reliable studies to investigate the possible roles that the health system of a country can assume regarding the RTIs prevention.

Management of Preventable Deaths due to Road Traffic Injuries in Prehospital Phase; a Qualitative Study.

Prehospital care plays an important role in decreasing the number of deaths due to road traffic injuries (RTIs). This study aimed to identify the challenges of preventable deaths due to RTIs in the prehospital phase based on the attitudes of stakeholders. Conventional content analysis of qualitative study was used to analyze the data. The participants were 24 RTI prevention experts from fire-fighting organization, traffic police, the Red Crescent, Emergency Medical Services staff, emergency medicine specialists, and hospital emergency nurses who were selected by means of purposive sampling. Data were collected using unstructured interviews and analyzed by means of data coding, followed by extracting sub-categories, and main categories. Six main categories were extracted as the major challenges of preventable deaths in RTIs in the prehospital phase including "poor management of the crash scene" with two subcategories of lack of rapid access to the patient and lack of scene safety, "lack of adequate rules and regulations" with two subcategories of lack of protocols and guidelines and lack of clear duties checklists, "poor management of time" with two subcategories of elongated response time at the crash scene and elongated time of victim transport, "low quality of training" with two subcategories of insufficient training of Emergency Medical Services (EMS) staff and inadequate public training, "poor communication and coordination" with two subcategories of poor communication of EMS staff and lack of uniform commandership at the crash scene, and "low quality of victim management" with two subcategories of low quality of clinical care and lack of accurate clinical assessment. The following measures are necessary to reduce preventable deaths due to RTIs in the prehospital phase: accurate clinical assessment of the victim on the scene, provision of high quality and accurate clinical care, enforcement of legal obligations and using protocols in the field of victim management, coordination of the involved organizations through identifying the duties and responsibilities of each organization, and full management of the crash scene by assigning a unique commander to each unit and creation of the highest level of safety on crash scene.

Comparative study of stewardship of Road traffic injuries prevention with a focus on the role of ‎health system: Three pioneer countries and three similar to Iran

Background: Road traffic injuries (RTIs) are one of the main public health problems in almost all countries ‎which lead to 1.2 million ‎deaths and 50 million injuries annually. In this regard, studying the ‎role of involved organizations and the health ‎system can be helpful. So this study is performed ‎with the aim of comparing the stewardship of RTIs prevention in ‎three pioneer countries and ‎three similar ones to Iran. ‎ ‎ Methods: In this descriptive comparative study, the United States of America, Sweden, and Brazil as the ‎pioneer countries in RTIs prevention were compared to the India, Pakistan, and Turkey as the ‎countries socioeconomically similar to Iran. Embase, PubMed, Scopus, IranDoc, IranMedex, ‎SID, and MagIran were searched. Also a hand search conducted on websites and search engines ‎using related keywords. ‎ Results: In the pioneer countries in RTIs prevention there was a delegation to a particular organization. ‎In the other three countries a part of the Ministry of Transportation had the overall ‎responsibility of RTIs. In Iran there was uncertainty in the stewardship of RTIs prevention. ‎There was little evidence on the role and activities of health systems in RTIs prevention.‎ Conclusion: It seems necessary to define a lead agency organization on RTIs prevention in Iran with ‎sufficient authority and resources. This study also recommends conducting reliable studies to ‎investigate the possible roles that the health system of a country can assume regarding the RTIs ‎prevention.‎

Social Differences in the Prevalence of Road Traffic Injuries among Pedestrians, and Vehicle and Motorcycle Users in Iran: Results of a National Multiple Indicator Demographic and Health Survey (IrMIDHS, 2010).

Background:Traffic injuries are considered as the most important health issues for different countries in the world, especially developing countries that are experiencing rapid social changes. The purpose of this study was to investigate the prevalence of road traffic injuries (RTIs) and its socioeconomic differences among road users in Iran as it is one of the countries with high rates of accidents in the world. The study population included all people in Iran. The target sample was 3,096 clusters consisting of 2,187 urban and 909 rural households.Methods:Source of the raw data was the Iran's Multiple Indicator Demographic and Health Survey (IrMIDHS) 2010, which is a multi-stage stratified cluster-random cross-sectional study. The logistic regression has been performed for investigating the socioeconomic determinants which influence the RTIs among pedestrian, vehicle, and motorcycle users.Results:The prevalence of RTIs is 13.8 (95% CI: 13.1, 14.5) per 1,000 people in the year leading up to the study. The injured groups included pedestrians (14.37%), vehicles (38.36%), motorcyclists (43.37%), and 3.9% of users injured with other vehicles. A total of 78.3% of the injured people underwent outpatient treatment or were hospitalized. The mean age in these three groups was significantly increased (27.9, 32.5, 33.4, respectively), and the proportion of men decreased (89.2, 75.2, and 60.6).Conclusions:RTIs in Iran are higher than previous estimates due to consideration of non-hospitalized cases. Considering the high contribution of human factors in developing countries, these measures should prioritize vulnerable groups.

Complexities of Road Safety Interventions in Low and Middle Income Countries (LMICs) posed a major challenge in achieving Decade Goal- Lessons for the next span

Background: Most of the Low and Middle Income Countries in the world unsucessful to reduce the fifty percent of the Road Traffic Injury (RTI) deaths, which was target set in the last decade goals (2011-2020). This failure is largely due to the result of complexities of the problem itself, its causes, designing and implementing interventions and evaluation of Road Traffic Injury in low resource settings. The paper aimed to explore the nature of these complexities and provide a direction to address the RTIs efficiently in next decade in LMICs. Methods: Review of literatures related to the RTI prevention in LMICs especially nature of problem, factors related to RTIs and policy & interventions. Special emphasis was given on the complexity of road transport system, perception of road safety issues, road user’s behavior, public health system and policy maker’s behavior in LMIC context. The Global Status Reports on Road Safety were critically analyzed to explore the complexities of road safety related to low resources. Results: The complexities related to the RTI prevention in LMICs are mostly expressed on its i) incorrect perception of the problem, ii) factors related to RTIs, iii) multi-dimensional preventive approach, iv) inequalities in health and well-being, v) complicated evaluation modalities. Factors linked to incorrect perception of RTI problem are insufficient information, societal insights about the RTIs and health system’s inability to capture the RTI events. Complex risk factors of RTIs related to demographic, social, environmental, and economic and inequity that exists in low resource settings and most of them are interlinked. There is no one- single approach effective for RTI prevention. Conclusion: Although RTI is a leading killer of productive peoples in many LMICs, it failed to create enough importance in national and global policy issues as magnitude and causes and interventions of RTIs are unclear, and complex. So the complex RTI landscaping hinders in priority setting, resource allocation and prevention efforts. It is high time to reinvent new strategies beside existing preventive approach for RTIs prevention considering all these complexities in LMICs through intensive research.

Beliefs and performances of elementary school students to prevent road traffic injuries, using Health Belief Model: a study from Hamadan, Iran.

Road traffic injuries (RTIs) are important health problems and increasing knowledge on their prevention-related issues can be credible. This study aims to assess beliefs and performances of students to prevent road traffic injuries and their related factors, using Health Belief Model (HBM). This cross-sectional study carried out on a random sample of 500 fourth and fifth grades students of elementary schools in Hamadan city, west of Iran. The data gathering tool was a self-administered questionnaire designed on the basis of HBM constructs and also the knowledge and performance of the students in relation to prevent RTIs. To increase the accuracy of this study, the students' road-crossing behaviors were observed in a simulated street in the school, using an observation checklist. Data were analyzed by SPSS 16. The mean age of the participants was 10.51±0.50. About preventing RTIs, the mean scores of the students' knowledge was 64.139, and regarding HBM constructs, the mean scores of their perceived susceptibility, perceived severity, perceived benefits, perceived barriers and self-efficacy were 82.817, 82.453, 82.451, 89.917, 84.343 and 91.250, respectively. The mean score of the students' self-reported performances about traffic injury prevention was 48.750 and the mean score of their observed road-crossing behavior in the simulated street was 45.000. The final model of multiple linear regressions showed that the students' sex (p=0.001), their knowledge (p less than 0.001), perceived susceptibility (p=0.002), perceived barriers (p=0.032), self-efficacy (p=0.001), and their observed road-crossing behaviors (p=0.019) predict the students' self-reported injury prevention performances. Regarding prevention of RTIs, knowledge and performance of the studied students are undesirable. The study findings can help designing more appropriate prevention programs for them.

Barriers and Facilitators of Road Traffic Injuries Prevention in Iran: A Qualitative Study

Background: Identifying the barriers to and facilitators of the prevention of traffic injuries from the ‎perspective of the key stakeholders and experts seems indispensable. Objectives: The present ‎study aims to identify the barriers to and facilitators of the prevention of traffic injuries in Iran. ‎ Methods: In this qualitative study with conventional Content-Analysis approach, 42 key stakeholders and ‎experts in the field of traffic injuries in Iran were selected based on purpose and theoretical ‎sampling to reach informational saturation and their views concerning barriers to and ‎facilitators of the prevention of traffic injuries in Iran were studied using semi-structured ‎interviews. Data was analyzed using Content-Analysis method. ‎ Results: Five main barriers including: structural barriers, organizational barriers and planning, socio-‎cultural barriers, scientific barriers and intersectional barriers and 22 sub-themes were ‎extracted. The lack of lead agency, which was among structural barriers, was selected as the ‎main barrier. In addition, five general facilitators including sensitization of society and ‎authorities, use modern of facilities and equipment, increase of attention to safety (vehicles and ‎roads), increase of information and awareness, use of expert manpower were extracted. The ‎sensitization of society and authorities was selected as the most important facilitator. ‎ Conclusion: From key expert’s viewpoint, the barriers to the prevention of traffic injuries are more than their ‎facilitators. Therefore, planning and paying more attention to removing these barriers and ‎promoting the facilitators seems necessary to reduce traffic Injuries. Select a lead agency with ‎adequate powers and resources can be the highest priority of intervention.‎

Regulatory and road engineering interventions for preventing road traffic injuries and fatalities among vulnerable (non-motorised and motorised two-wheel) road users in low- and middle-income countries

Regulatory and road engineering interventions for preventing road traffic injuries and fatalities among vulnerable (non-motorised and motorised two-wheel) road users in low- and middle-income countries

Childhood road traffic injuries in Canada \u2013 a provincial comparison of transport injury rates over time

BackgroundIn Canada, road traffic injuries are the leading cause of death among children and youth ≤19. Across the country, there is variability in road traffic injury prevention policies and legislation. Our objective was to compare pediatric road traffic related injury hospitalization and death rates across Canadian provinces.MethodsPopulation-based hospitalization and death rates per 100,000 were analyzed using data from the Discharge Database and provincial coroner’s reports. Road traffic related injuries sustained by children and youth ≤19 years were analyzed by province and cause between 2006 and 2012.ResultsThe overall transport-related injury morbidity rate for children in Canada was 70.91 per 100,000 population between 2006 and 2012. The Canadian population-based injury hospitalization rates from all transport-related causes significantly decreased from 85.51 to 58.77 per 100,000 (− 4.42; p < 0.01; − 5.42; − 3.41) during the study period. Saskatchewan had the highest overall transport related morbidity rate (135.69 per 100,000), and Ontario had the lowest (47.12 per 100,000). Similar trends were observed for mortality rates in Canada.ConclusionsTransport-related injuries among children and youth have significantly decreased in Canada from 2006 to 2012; however the rates vary by province and cause.

Cost-effectiveness of strategies to prevent road traffic injuries in eastern sub-Saharan Africa and Southeast Asia: new results from WHO-CHOICE

BackgroundRoad safety has been receiving increased attention through the United Nations Decade of Action on Road Safety, and is also now specifically addressed in the sustainable development goals 3.6 and 11.2. In an effort to enhance the response to Road Traffic Injuries (RTIs), this paper aims to examine the cost effectiveness of proven preventive interventions and forms part of an update of the WHO-CHOICE programme.MethodsGeneralized cost-effectiveness analysis (GCEA) approach was used for our analysis. GCEA applies a null reference case, in which the effects of currently implemented interventions are subtracted from current rates of burden, in order to identify the most efficient package of interventions. A population model was used to arrive at estimates of intervention effectiveness. All heath system costs required to deliver the intervention, regardless of payer, were included. Interventions are considered to be implemented for 100 years. The analysis was undertaken for eastern sub-Saharan Africa and Southeast Asia.ResultsIn Southeast Asia, among individual interventions, drink driving legislation and its enforcement via random breath testing of drivers at roadside checkpoints, at 80% coverage, was found to be the most cost-effective intervention. Moreover, the combination of “speed limits + random breath testing + motorcycle helmet use”, at 90% coverage, was found to be the most cost-effective package. In eastern sub-Saharan Africa, enforcement of speed limits via mobile/handheld cameras, at 80% coverage, was found to be the most cost-effective single intervention. The combination of “seatbelt use + motorcycle helmet use + speed limits + random breath testing” at 90% coverage was found to be the most cost-effective intervention package.ConclusionThis study presents updated estimates on cost-effectiveness of practical, evidence-based strategies that countries can use to address the burden of RTIs. The combination of individual interventions that enforces simultaneously multiple road safety measures are proving to be the most cost-effective scenarios. It is important to note, however, that, in addition to enacting and enforcing legislation on the risk factors highlighted as part of this paper, countries need to have a coordinated, multi-faceted strategy to improve road safety.

Epidemiology of Road Traffic Injuries among Elderly People; A Systematic Review and Meta-Analysis.

Objective:To systematically review the epidemiological patterns and interventions for prevention of road traffic injuries (RTIs) among elderly. Methods:Searching keywords including: accident, trauma, road injury, road traffic injuries, aging, old, elder, strategy, intervention, road traffic crash prevention and traffic accident in databases including, Google scholar, SID, IranMedex, PubMed and Scopus. English and non-Persian articles, articles presented in congresses, articles that considered elderly people to have age under than 60 years were excluded. The reporting quality of articles was assessed by two experts using Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) check list.Results:RTIs compromised 23.6% of total injuries among elderly. The most frequent injuries were about car accidents (51.4%). Pedestrian injuries composed 48.1% of the RTIs. Head and neck (32.1%) were most injured body parts. There was a significant difference between elderly and non-elderly people in terms of RTIs associated mortality (Odd=2.57 [1.2-5.4 CI 95%]). Overall 25 main domains of intervention and 73 subordinate domains were extracted in five categories (human, road and environment, tools and cars, medical, legal and political issues). Conclusion:According to the notable prevalence and fatality of RTIs, lack of sufficient studies and valid evidence of the present study can provide an appropriate evidence for better interventions for RTIs prevention among elderly.

Performance of Police-Assistant Students Compared with the Other Students in Schools of Hamadan, Concerning the Prevention of Road Traffic Injuries

Performance of Police-Assistant Students Compared with the Other Students in Schools of Hamadan, Concerning the Prevention of Road Traffic Injuries

School Area Road Safety Assessment and Improvements (SARSAI) programme reduces road traffic injuries among children in Tanzania

PurposeTo determine the impact of a paediatric road traffic injury (RTI) prevention programme in urban Sub-Saharan Africa.SettingDares Salaam, Republic of Tanzania.MethodsHousehold surveys were conducted in catchment areas around 18 primary...

Improving the timeliness and accuracy of injury severity data in road traffic accidents in an emerging economy setting.

Road traffic injuries (RTIs) are among the leading causes of injury and fatality worldwide. RTI casualties are continually increasing in Taiwan; however, because of a lack of an advanced method for classifying RTI severity data, as well as the fragmentation of data sources, road traffic safety and health agencies encounter difficulties in analyzing RTIs and their burden on the healthcare system and national resources. These difficulties lead to blind spots during policy-making for RTI prevention and control. After compiling classifications applied in various countries, we summarized data sources for RTI severity in Taiwan, through which we identified data fragmentation. Accordingly, we proposed a practical classification for RTI severity, as well as a feasible model for collecting and integrating these data nationwide. This model can provide timely relevant data recorded by medical professionals and is valuable to healthcare providers. The proposed model's pros and cons are also compared to those of other current models.

Effectiveness of Interventions for Prevention of Road Traffic Injuries in Iran and Some Methodological Issues: A Systematic Review.

To review the effectiveness of Road Traffic Injuries (RTIs) interventions implemented for prevention of RTIs in Iran and to introduce some methodological issues. Required data in this systematic review study were collected through searching the following key words: "Road Traffic Injuries", "Road Traffic accidents", "Road Traffic crashes", "prevention", and Iran in PubMed, Cochrane Library electronic databases, Google Scholar, Scopus, MagIran, SID and IranMedex. Some of the relevant journals and web sites searched manually. Reference lists of the selected articles were also checked. Gray literature search and expert contact was also conducted. Out of 569 retrieved articles, finally 8 articles included. Among the included studies the effectiveness of 10 interventions were assessed containing: seat belt, enforcements of laws and legislations, educational program, wearing helmet, Antilock Braking System (ABS), motorcyclists' penalty enforcement, pupil liaisons' education, provisional driver licensing, Road bumps and traffic improvement's plans. In 7 studies (9 interventions) reduction of RTIs rate were reported. Decreased rate of mortality from RTIs were reported in three studies. Only one study had mentioned financial issue (Anti-lock Brake System intervention). Inadequate data sources, inappropriate selection of statistical index and not mention about the control of Confounding Variables (CV), the most common methodological issues were. The results of most interventional studies conducted in Iran supported the effect of the interventions on reduction of RTIs. However due to some methodological or reporting shortcoming the results of these studies should be interpreted cautiously.