Socioeconomic and behavioral factors of road traffic accidents among drivers in Ethiopia: systematic review and meta analysis.

Background: Road traffic accidents (RTAs) are a pressing public health issue in Ethiopia, exacerbated by rapid urbanization and motorization. Despite efforts, escalating rates persist due to various factors like human behavior and road infrastructure deficiencies. This study addresses the need for comprehensive data on RTAs in Ethiopia, aiming to uncover socioeconomic and behavioral factors to inform evidence-based policies.

Methods: A systematic review and meta-analysis were conducted from March to April 2024, adhering to PRISMA guidelines. Major databases like Google Scholar, PubMed, and the Cochrane Library were searched using specific keywords related to RTAs and Ethiopia. Studies conducted between 2014 and 2024 were included, with eligibility criteria. Data extraction followed a standardized Microsoft Excel format. Study quality was assessed using the JBI checklist, with high-quality articles included. Statistical analysis, conducted using STATA version 17, included descriptive analysis, forest plots for RTA prevalence, and examination of publication bias using Egger and Begs tests. Subgroup analysis and meta-regression explored moderating factors and sources of heterogeneity.

Results: The systematic review identified eight studies meeting inclusion criteria, conducted between 2014 and 2022. RTA prevalence was 36% (95% CI: 23; 49). Sensitivity analysis confirmed the robustness of the estimated prevalence. Publication bias was detected via Egger's test, though Begg's test was non-significant. Meta-regression found no significant influence of publication year or sample size on RTA prevalence. Socioeconomic factors like income level and driving experience, alongside behavioral factors like traffic rule violations and substance use, were identified as key drivers of RTAs in Ethiopia.

Conclusions: The study highlights the significant burden of road traffic accidents in Ethiopia, influenced by socioeconomic and behavioral factors. Socioeconomic factors such as income level and driving experience, along with behavioral factors like traffic rule violations and substance use, emerged as prominent determinants of RTAs. Policymakers should prioritize evidence-based interventions targeting these factors to improve road safety nationwide.