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• W2067434699 abstract "Introduction Deaths due to road traffic injuries, particularly motorcycle crashes, have increased rapidly in many African nations and context-specific strategies to improve preventative behaviours are needed. Although adhering to conspicuity measures by wearing reflective safety vests is a highly effective crash prevention strategy and mandated by law among motorcycle–taxi drivers in some African countries, actual use is currently low. We aimed to test whether eliminating cost-barriers through the provision of free reflective, fluorescent motorcycle safety vests would lead to increased utilisation among a high-risk population of motorcycle–taxi drivers in Tanzania. Methods A cluster randomised controlled trial was conducted among 180 motorcycle–taxi drivers. Participants randomised to the intervention arm (90) received free, reflective, fluorescent vests; participants randomised to the control arm (90) did not receive free vests. Participants’ use of reflective vests was then observed on city streets over a three month period and differential uptake was estimated using mixed-effects logistic regression. Results Baseline use of reflective vests was 3.3% in both arms. Seventy-nine drivers in the intervention arm and 82 drivers in the control arm were observed during follow-up. The average proportion of observations during which motorcycle drivers were using a reflective vest was 9.5% in the intervention arm, compared to 2.0% in the control arm (odds ratio: 5.5, 95% confidence interval: 1.1–26.9, p-value: 0.04). Conclusion Although distribution of free reflective vests led to a statistically significant increase in vest usage, the absolute increase was modest. Additional strategies beyond removing economic barriers are important to augment adherence to road safety behaviours for injury prevention." @default.
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• W2067434699 date "2014-11-01" @default.
• W2067434699 modified "2023-10-14" @default.
• W2067434699 title "Effect of free distribution of safety equipment on usage among motorcycle–taxi drivers in Tanzania—A cluster randomised controlled trial" @default.
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• W2067434699 doi "https://doi.org/10.1016/j.injury.2014.04.034" @default.
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