Perception of drivers toward road safety and factors that cause road accidents in Riyadh city of Saudi Arabia

Injury as a result of road traffic accidents (RTA) is one of the leading causes of death and disability-adjusted life years. Strategies to handle this major public health problem, which has significant consequences for the Saudi economy and families, have been underway for many years but with very little success. This study's main aim is to determine respondents' perceptions of traffic safety and the factors that lead to road traffic accidents. It is a cross-sectional study conducted on randomly selected university students, faculty drivers, and visitors using King Saud University's parking facility. Data were collected from 381 drivers using a pretested questionnaire, which comprises questions intended to attain the study's objectives. The critical factors affecting traffic safety are public information followed by road maintenance, Garage, vehicle inspection, Road design and equipment, Training of drivers, Sanctions and Police enforcement, Protective devices and vehicle design, and post-accidental care. Road traffic accidents were found to be 39.0% with respondents aged less than 20 years, followed by ages between 20-35 years, which was 34.8%, and only 2.4% above 50 years. The most frequent occurrence of road traffic accidents was angle collision (39.0%) and back collision (18.9%), followed by hitting a fixed object (17.7%). Distraction habits during driving include cell phone usage (56.7%), followed by smoking (24.4%), and eating and drinking (18.9%) while driving. The most common traffic violations were increased speed limit (48.1) and loss of driving license (11.8%). The most common injuries were head (39.0%) and limbs (22.0%). A significant association between drivers' age during the accident and distraction habits has been found (p < 0.000). The study demonstrated that drinking/eating, cell phone use, and violation of traffic rules are significant reasons for RTA. The findings of this study will contribute to a more comprehensive knowledge of road traffic accidents for the formation of effective strategies and evidence-based policies for the prevention of accidents.