Passenger Drivers’ Behaviour, Car Maintenance Practices, Safety Procedure Knowledge, and Motor Vehicle Crash Involvement in a Selected Region of Ghana
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Abstract
Abstract
Background: Motor vehicle crash involvement normally results in a wide range of injuries and often in permanent disability.
Objective: In line with this, the current study attempts to investigate the extent to which passenger drivers’ behaviour, car maintenance practices, and safety procedure knowledge influence motor vehicle crash involvement in a selected region of Ghana.
Methods: The study made use of a cross-sectional descriptive design and lends itself to a positivist approach. Data were solicited from 720 participants and were processed with SPSS version 27. Frequency distribution, chi-square test, and binary logistic regression were used to summarise the data. The frequency distribution was used to summarise participants’ responses into proportions, and the chi-square test was used to test the hypotheses postulated in the study, either to confirm or reject the null hypotheses. However, the binary logistic regression was used to assess the effects of the explanatory variables on the outcome variable.
Results: The study found that ensuring headlights and other indicators function correctly was positively correlated with motor vehicle crash involvement in the selected region of Ghana. It emerged that a relationship existed between passenger drivers’ behaviour (p < 0.001), car maintenance practices (p < 0.001), as well as drivers’ safety procedure knowledge (p < 0.001), and motor vehicle crash involvement in the selected region of Ghana.
Conclusion: The current study established a significant relationship between motor vehicle crash involvement and factors such as functional headlights and their indicators, drivers’ behaviour, car maintenance practices, and safety procedure knowledge in the selected region of Ghana. Based on this, the study recommends that targeted interventions should be implemented to improve vehicle maintenance, enhance driver education on road safety procedures, and promote responsible driving behaviour to reduce motor vehicle crash involvement in the region.
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Centers for Disease Control and Prevention (CDC). Transportation Safety [Internet]. 2024 May 16. Available from: https://www.cdc.gov/transportation-safety/global/index.html
World Health Organization (WHO). Road traffic injuries [Internet]. 2023 Dec 13. Available from: https://www.who.int/news-room/fact-sheets/detail/road-traffic-injuries
United Nations. Road Safety Week: African nations steer towards reducing deaths [Internet]. 2023 May 15. Available from: https://news.un.org/en/story/2023/05/1136627
Segui-Gomez M, Addo-Ashong T, Raffo VI, Venter P. Road Safety Data in Africa: A proposed minimum set of road safety indicators for data collection, analysis, and reporting [Internet]. 2021. Available from: https://documents1.worldbank.org/curated/en/099015103232236266/pdf/P15331704d332f0430b90a081f4c34d90fa.pdf
World Health Organization, African Region. Road Safety [Internet]. 2025. Available from: https://www.afro.who.int/health-topics/road-safety
Jorgensen, Brownell, Pepin (JBP) Legal. Motor Vehicle Accidents: Causes and Legal Implications [Internet]. 2024 Jan 12. Available from: https://www.jbplegal.com/blog/motor-vehicle-accidents-causes-and-legal-implications//
Zeng Y, Qiang Y, Zhang N, Yang X, Zhao Z, Wang X. An Influencing Factors Analysis of Road Traffic Accidents Based on the Analytic Hierarchy Process and the Minimum Discrimination Information Principle. Sustainability. 2024;16(16):6767. Available from: https://doi.org/10.3390/su16166767
Okyere P, Agyei-Baffour P, Harris MJ, Mock C, Yankson IK, Donkor P, et al. Barriers to the enforcement of mandatory seat belt laws in Ghana: an exploratory study. Health Promot Int. 2021;36(5):1300-9. Available from: https://doi.org/10.1093/heapro/daaa107
Kargar S, Ansari-Moghaddam A, Ansari H. The prevalence of seat belt use among drivers and passengers: a systematic review and meta-analysis. J Egypt Public Health Assoc. 2023;98(1):14. Available from: https://doi.org/10.1186/s42506-023-00139-3
Bendak S. Seat belt utilization in Saudi Arabia and its impact on road accident injuries. Accid Anal Prev. 2005;37(2):367-71. Available from: https://doi.org/10.1016/j.aap.2004.10.007
Harris GT, Olukoga IA. A cost-benefit analysis of an enhanced seat belt enforcement program in South Africa. Inj Prev. 2005;11(2):102-5. https://doi.org/10.1136/ip.2004.007179
Nichols JL, Tippetts AS, Fell JC, Eichelberger AH, Haseltine PW. The effects of primary enforcement laws and fine levels on seat belt usage in the United States. Traffic Inj Prev. 2014;15(6):640-4. https://doi.org/10.1080/15389588.2013.857017
Lourens A, Sinclair M, Willems B, Young T. Education, incentive, and engineering-based interventions to promote the use of seat belts. Cochrane Database Syst Rev. 2024;1(1):CD011218. https://doi.org/10.1002/14651858.cd011218.pub2
Crandall JR, Bhalla KS, Madeley NJ. Designing road vehicles for pedestrian protection. BMJ. 2002;324(7346):1145-8. https://doi.org/10.1136/bmj.324.7346.1145
Ahmad H, Naeem R, Feroze A, Zia N, Shakoor A, Khan UR, et al. Teaching children road safety through storybooks: an approach to child health literacy in Pakistan. BMC Pediatr. 2018;18(1):31. https://doi.org/10.1186/s12887-018-0982-5
Negi NS, Schmidt K, Morozova I, Addis T, Kidane S, Nigus A, Kumar N, Mullin S, Murukutla N. Effectiveness of a Drinking and Driving Campaign on Knowledge, Attitudes, and Behavior Among Drivers in Addis Ababa. Front Sustain Cities. 2020;2:563350. https://doi.org/10.3389/frsc.2020.563350
Pérez K, Marí-Dell'Olmo M, Tobias A, Borrell C. Reducing road traffic injuries: effectiveness of speed cameras in an urban setting. Am J Public Health. 2007;97(9):1632-7. https://doi.org/10.2105/ajph.2006.093195
Treviño-Siller S, Pacheco-Magaña LE, Bonilla-Fernández P, Rueda-Neria C, Arenas-Monreal L. An educational intervention in road safety among children and teenagers in Mexico. Traffic Inj Prev. 2017;18(2):164-170. https://doi.org/10.1080/15389588.2016.1224344
Graphic Online | Graphic Communications Group Ltd. 2,276 people died in road accidents last year [Internet]. January 16, 2024. Available from: https://www.graphic.com.gh/news/general-news/ghana-news-2-276-died-in-road-accidents-last-year.html
Ghana News Agency. NRSA: More road deaths, injuries reported in 2025 crashes [Internet]. June 17, 2025. Available from: https://gna.org.gh/2025/06/nrsa-more-road-deaths-injuries-reported-in-2025-crashes/
Mekonnen TH, Tesfaye YA, Moges HG, Gebremedin RB. Factors associated with risky driving behaviors for road traffic crashes among professional car drivers in Bahirdar city, northwest Ethiopia, 2016: a cross-sectional study. Environ Health Prev Med. 2019 Mar 9;24(1):17. Available from: https://doi.org/10.1186/s12199-019-0772-1
Gyimah N. Contributing Factors to Road Accidents in Ghana. Mathews J Emergency Med. 2023;8(1):48. Available from: https://doi.org/10.30654/MJEM.10048
Taiwo OA, Mahmud N, Hassan SA, Mohsin RB. Influence of commercial drivers’ risky behavior on accident involvement: moderating effect of positive driving behavior. J Eng Appl Sci. 2024;71:68. Available from: https://doi.org/10.1186/s44147-024-00403-z
Almatar KM. Perception of drivers toward road safety and factors that cause road accidents in Riyadh city of Saudi Arabia. Front Built Environ. 2024;10:1367553. Available from: https://doi.org/10.3389/fbuil.2024.1367553
Abbas AK, Hefny AF, Abu-Zidan FM. Seatbelts and road traffic collision injuries. World J Emerg Surg. 2011;6:18. Available from: https://doi.org/10.1186/1749-7922-6-18
Fouda Mbarga N, Abubakari AR, Aminde LN, Morgan AR. Seatbelt use and risk of major injuries sustained by vehicle occupants during motor-vehicle crashes: a systematic review and meta-analysis of cohort studies. BMC Public Health. 2018;18:1413. Available from: https://doi.org/10.1186/s12889-018-6280-1
Mesic A, Damsere-Derry J, Feldacker C, Mooney SJ, Gyedu A, Mock C, et al. Identifying emerging hot spots of road traffic injury severity using spatiotemporal methods: longitudinal analyses on major roads in Ghana from 2005 to 2020. BMC Public Health. 2024;24:1609. Available from: https://doi.org/10.1186/s12889-024-18915-x
Mesic A, Stewart B, Opoku I, Wagenaar BH, Andoh Mohammed B, Abdul Matinue S, et al. “We are pleading for the government to do more”: Road user perspectives on the magnitude, contributing factors, and potential solutions to road traffic injuries and deaths in Ghana. PLoS ONE. 2024;19(5):e0300458. Available from: https://doi.org/10.1371/journal.pone.0300458
Heydari S, Hickford A, McIlroy R, Turner J, Bachani AM. Road Safety in Low-Income Countries: State of Knowledge and Future Directions. Sustainability. 2019;11(22):6249. Available from: https://doi.org/10.3390/su11226249
Agblevor EA, Darko NA, Acquah PA, Addom S, Mirzoev T, Agyepong IA. “We have nice policies but…”: implementation gaps in the Ghana adolescent health service policy and strategy (2016–2020). Front Public Health. 2023;11:1198150. Available from: https://doi.org/10.3389/fpubh.2023.1198150
Nawaz I, Cuenen A, Wets G, Janssens D. Acceptability of Children's Road Safety Education in Pakistan: A Mixed-Method Approach to Exploring Parents’ and Teachers’ Perspectives. Societies. 2025;15(1):18. Available from: https://doi.org/10.3390/soc15010018
Kenin A, Dzokoto V, Osei-Tutu A, Asamoah-Gyadu K. Ghanaian values in motion: A content analysis of slogans on commercial vehicles in Accra. Journal for Cultural Research. 2024;28(4):378–392. Available from: https://doi.org/10.1080/14797585.2024.2364636
Stanford Encyclopedia of Philosophy. Positivism and the separation of law and morals [Internet]. 2019 [cited 2025 Jul 17]. Available from: https://plato.stanford.edu/entries/legal-positivism/
Simkus J. Cross-Sectional Study: Definition, Designs & Examples [Internet]. 2023 [cited 2025 Jul 17]. Available from: https://www.simplypsychology.org/what-is-a-cross-sectional-study.html
Hecker J, Kalpokas N. The Ultimate Guide to Qualitative Research - Part 1: The Basics [Internet]. 2025 [cited 2025 Jul 17]. Available from: https://atlasti.com/guides/qualitative-research-guide-part-1/data-collection
Ranganathan P, Caduff C. Designing and validating a research questionnaire - Part 1. Perspect Clin Res. 2023 Jul-Sep;14(3):152-155. Available from: https://doi.org/10.4103/picr.picr_140_23
Jones TL, Baxter MA, Khanduja V. A quick guide to survey research. Ann R Coll Surg Engl. 2013;95(1):5-7. Available from: https://doi.org/10.1308/003588413x13511609956372
Krejcie RV, Morgan DW. Determining Sample Size for Research Activities. Educational and Psychological Measurement. 1970;30(3):607-610. Available from: https://doi.org/10.1177/001316447003000308
Cohen J. A power primer. Psychological Bulletin. 1992;112:155-159. Available from: https://doi.org/10.1037//0033-2909.112.1.155
Elfil M, Negida A. Sampling methods in Clinical Research: an Educational Review. Emerg (Tehran). 2017;5(1):e52. Available from: https://pubmed.ncbi.nlm.nih.gov/28286859/
Cociu S, Ioncu O, Ciobanu D, Cebanu S. Road Safety Knowledge and Attitudes Among Drivers. One Health & Risk Management. 2023;4:25-32. Available from: https://doi.org/10.38045/ohrm.2023.2.04
Chakrabartya N, Guptab K. Analysis of Driver Behaviour and Crash Characteristics during Adverse Weather Conditions. Procedia - Social and Behavioral Sciences. 2013;104:1048–1057. Available from: http://dx.doi.org/10.1016/j.sbspro.2013.11.200
Fowode K, Nwaogazie I, Anyanwu B. Effect of Safety Education Intervention on Knowledge of Road Accident Prevention among Drivers in Lagos State, Nigeria. Open Journal of Safety Science and Technology. 2023;13:89-100. Available from: https://doi.org/10.4236/ojsst.2023.133005
Annam S, Cheranchery MF, Chakraborty A, Maitra S. Areas of intervention for enhancing the knowledge of safe driving: An experience in West Bengal, India. Case Studies on Transport Policy. 2023;13:101065. Available from: https://doi.org/10.1016/j.cstp.2023.101065
Scribbr. Reliability vs. Validity in Research | Difference, Types and Examples [Internet]. 2025. Available from: https://www.scribbr.com/methodology/reliability-vs-validity/
Noble H, Smith J. Ensuring validity and reliability in qualitative research. Evidence-Based Nursing. 2025. Advance online publication. Available from: https://doi.org/10.1136/ebnurs-2024-104232
Babbie ER. The Practice of Social Research. Cengage Learning; 2010.
Cohen L, Manion L, Morrison K, Morrison RB. Research methods in education. 2007. Available from: https://islmblogblog.wordpress.com/wp-content/uploads/2016/05/rme-edu-helpline-blogspot-com.pdf
Oliver V. 301 Smart Answers to Tough Business Etiquette Questions. Skyhorse Publishing; 2010.
Wilson J. Essentials of Business Research: A Guide to Doing Your Research Project. SAGE Publications; 2010.
U.S Department of Transportation. The Influence of Rear Turn Signal Characteristics on Crash Risk. DOT HS 811 037 [Internet]. 2008. Available from: https://deepblue.lib.umich.edu/bitstream/handle/2027.42/64479/102444.pdf;sequence=1
Owsley C, Ball K, McGwin G Jr, Sloane ME, Roenker DL, White MF, et al. Visual processing impairment and risk of motor vehicle crash among older adults. JAMA. 1998;279(14):1083-8. https://doi.org/10.1001/jama.279.14.1083
Davis SJ, Denga R, Shlanta P, Cades D. Understanding overdriving: Human factors considerations in heavy vehicle headlight visibility and stopping distance. Proceedings of the Human Factors and Ergonomics Society Annual Meeting. 2023;67(1):1316-1321. https://doi.org/10.1177/21695067231194340
Boboc RG, Voinea GD, Buzdugan ID, Antonya C. Talking on the Phone While Driving: A Literature Review on Driving Simulator Studies. Int J Environ Res Public Health. 2022;19(17):10554. https://doi.org/10.3390/ijerph191710554
Chandrasekaran L, Crookes A, Lansdown TC. 'Driver situation awareness - investigating the effect of passenger experience'. Transportation Research Part F: Traffic Psychology and Behaviour. 2019;61:152-162. https://doi.org/10.1016/j.trf.2017.12.007
Leproust S, Lagarde E, Salmi LR. Systematic screening for unsafe driving due to medical conditions: still debatable. BMC Public Health. 2008;8:27. https://doi.org/10.1186/1471-2458-8-27
Rizzo M. Impaired driving from medical conditions: a 70-year-old man trying to decide if he should continue driving. JAMA. 2011 Mar 9;305(10):1018-26. https://doi.org/10.1001/jama.2011.252
Han W, Zhao J. Driver behaviour and traffic accident involvement among professional urban bus drivers in China. Transportation Research Part F: Traffic Psychology and Behaviour. 2020;74:184-197. https://doi.org/10.1016/j.trf.2020.08.007
Intini P, Berloco N, Coropulis S, Fonzone A, Ranieri V. Aberrant behaviors of drivers involved in crashes and related injury severity: Are there variations between the major cities in the same country? Journal of Safety Research. 2024;89:64-82. https://doi.org/10.1016/j.jsr.2024.01.010
Graphic. Indiscipline on Our Roads: When Does It Stop? Africa Regional Centre, Accra [Internet]. 2024 Jun 10 [cited 2025 Jul 17]. Available from: https://cuts-accra.org/indiscipline-on-our-roads-when-does-it-stop/
Magaña VC, Scherz WD, Seepold R, Madrid NM, Pañeda XG, Garcia R. The Effects of the Driver's Mental State and Passenger Compartment Conditions on Driving Performance and Driving Stress. Sensors (Basel). 2020;20(18):5274. Available from: https://doi.org/10.3390/s20185274
Ouimet MC, Pradhan AK, Simons-Morton BG, Divekar G, Mehranian H, Fisher DL. The effect of male teenage passengers on male teenage drivers: findings from a driving simulator study. Accid Anal Prev. 2013;58:132-9. Available from: https://doi.org/10.1016/j.aap.2013.04.024
Caird JK, Simmons SM, Wiley K, Johnston KA, Horrey WJ. Does Talking on a Cell Phone, With a Passenger, or Dialing Affect Driving Performance? An Updated Systematic Review and Meta-Analysis of Experimental Studies. Human Factors. 2018;60(1):101-133. Available from: https://doi.org/10.1177/0018720817748145
Huisingh C, Griffin R, McGwin G Jr. The prevalence of distraction among passenger vehicle drivers: a roadside observational approach. Traffic Inj Prev. 2015;16(2):140-6. Available from: https://doi.org/10.1080/15389588.2014.916797
Adanu EK, Dzinyela R, Okafor S, Jones S. Injury-severity analysis of crashes involving defective vehicles and accounting for the underlying socioeconomic mediators. Heliyon. 2024;10(5):e26944. Available from: https://doi.org/10.1016/j.heliyon.2024.e26944
Melrose Law. The Relationship Between Car Maintenance and Accident Prevention [Internet]. 2023 [cited 2025 Jul 17]. Available from: https://mountainverdict.com/the-relationship-between-car-maintenance-and-accident-prevention/
Sohail A, Cheema MA, Ali ME, Toosi AN, Rakha HA. Data-driven approaches for road safety: A comprehensive systematic literature review. Safety Science. 2023;158:105949. Available from: https://doi.org/10.1016/j.ssci.2022.105949
Kogani M, Almasi SA, Ansari-Mogaddam A, Dalvand S, Okati-Aliabad H, Tabatabaee SM, et al. Relationship between using a cell phone and the risk of accidents with motor vehicles: An analytical cross-sectional study. Chin J Traumatol. 2020;23(6):319-323. Available from: https://doi.org/10.1016/j.cjtee.2020.08.002
Delgado MK, Wanner KJ, McDonald C. Adolescent Cellphone Use While Driving: An Overview of the Literature and Promising Future Directions for Prevention. Media Commun. 2016;4(3):79-89. Available from: https://doi.org/10.17645/mac.v4i3.536
Donkor I, Gyedu A, Edusei AK, Ebel BE, Donkor P. Mobile phone use among commercial drivers in Ghana: An important threat to road safety. Ghana Med J. 2018;52(3):122-126. Available from: https://doi.org/10.4314/gmj.v52i3.3
Luke R. Current and Future Trends in Driver Behaviour and Traffic Safety Scholarship: An African Research Agenda. International Journal of Environmental Research and Public Health. 2023;20(5):4290. Available from: https://doi.org/10.3390/ijerph20054290
Topolšek D, Babić D, Fiolić M. The effect of road safety education on the relationship between drivers’ errors, violations, and accidents: Slovenian case study. Eur. Transp. Res. Rev. 2019;11:18. Available from: https://doi.org/10.1186/s12544-019-0351-y
Najmi A, Waller T, Memarpour M, Nair D, Rashidi TH. A human behaviour model and its implications in the transport context. Transportation Research Interdisciplinary Perspectives. 2023;18:100800. Available from: https://doi.org/10.1016/j.trip.2023.100800
Hasan H, Nayeem A, Patel D, Al-Sheikh O, Jalayer M. Seat belt compliance behavior of drivers and passengers: A review of data collection, analysis, contributing factors, and safety countermeasures. Accident Analysis & Prevention. 2025;214:107968. Available from: https://doi.org/10.1016/j.aap.2025.107968
Ivers R, Senserrick T, Boufous S, Stevenson M, Chen HY, Woodward M, et al. Novice drivers' risky driving behavior, risk perception, and crash risk: findings from the DRIVE study. Am J Public Health. 2009 Sep;99(9):1638-44. Available from: https://doi.org/10.2105/ajph.2008.150367
Yellman MA, Bryan L, Sauber-Schatz EK, Brener N. Transportation Risk Behaviors Among High School Students — Youth Risk Behavior Survey, United States, 2019. MMWR Suppl. 2020;69(Suppl-1):77–83. Available from: http://dx.doi.org/10.15585/mmwr.su6901a9
Ontario, Ministry of Transportation. Maintaining your vehicle. 2025 Jan 20. Available from: https://www.ontario.ca/document/official-mto-drivers-handbook/maintaining-your-vehicle
Ministry of Roads and Highways. Ghana Driver’s Guide. 2022. Available from: https://mrh.gov.gh/wp-content/uploads/2022/09/Ghana-Drivers-Guide-_Final_Signed.pdf
Sever T, Contissa G. Automated driving regulations – where are we now? Transportation Research Interdisciplinary Perspectives. 2024;24:101033. Available from: https://doi.org/10.1016/j.trip.2024.101033
Turner B, Job S, Mitra S. Guide for Road Safety Interventions: Evidence of What Works and What Does Not Work. Washington, DC., USA: World Bank; 2021. Available from: https://documents1.worldbank.org/curated/en/206691614060311799/pdf/Guide-for-Road-Safety-Interventions-Evidence-of-What-Works-and-What-Does-Not-Work.pdf
Laberge-Nadeau C, Maag U, Bourbeau R. The effects of age and experience on accidents with injuries: should the licensing age be raised? Accid Anal Prev. 1992;24(2):107-16. Available from: https://doi.org/10.1016/0001-4575(92)90027-g
Grinerud, K. Work-Related Driving of Heavy Goods Vehicles: Factors That Influence Road Safety and the Development of a Framework for Safety Training. Safety. 2022;8(2):43. Available from: https://doi.org/10.3390/safety8020043
Ghana Shippers Authority. Road Safety Workshop organised for Haulage Truck Drivers. 2018 Feb 27. Available from: https://shippers.org.gh/index.php/road-safety-workshop-organised-haulage-truck-drivers/
WHO. Global Status Report on Road Safety. Summary, 2015. 2015. Available from: http://www.who.int/violence_injury_prevention/road_safety_status/2015/en/
Engström I, Gregersen NP, Granström K, Nyberg A. Young drivers--Reduced crash risk with passengers in the vehicle. Accident Analysis & Prevention. 2008;40(1):341-8. Available from: https://doi.org/10.1016/j.aap.2007.07.001
Boyle R. Why do I need to have my car inspected? 2024. Available from: https://www.airswift.com/blog/vehicle-maintenance-and-inspection
Ryb GE, Dischinger PC, Read KM, Kufera JA. PTSD after severe vehicular crashes. Ann Adv Automot Med. 2009;53:177-93. Available from: https://pubmed.ncbi.nlm.nih.gov/20184843/