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National Safe Routes to School program and risk of school-age pedestrian and bicyclist injury

Charles J. DiMaggio; Spiros Frangos; Guohua Li

Title:
National Safe Routes to School program and risk of school-age pedestrian and bicyclist injury
Author(s):
DiMaggio, Charles J.
Frangos, Spiros
Li, Guohua
Date:
Type:
Articles
Department(s):
Epidemiology
Volume:
26
Persistent URL:
Book/Journal Title:
Annals of Epidemiology
Publisher:
Elsevier Masson
Abstract:
Purpose Safe Routes to School (SRTS) was a federally funded transportation program for facilitating physically active commuting to and from school in children through improvements of the built environment. There is evidence that SRTS programs increase walking and bicycling in school-age children, but their impact on pedestrian and bicyclist safety has not been adequately examined. We investigate the impact and effects of the SRTS program on school-age pedestrian and bicyclist injuries in a nationwide sample in the United States. Methods Data were crash records for school-age children (5–19 years) and adults (30–64 years), in 18 U.S. states for a 16-year period (1995–2010). Multilevel negative binomial models were used to examine the association between SRTS intervention and the risk of pedestrian and bicyclist injury in children aged 5–19 years. Results SRTS was associated with an approximately 23% reduction (incidence rate ratio = 0.77, 95% confidence interval = 0.65–0.92) in pedestrian/bicyclist injury risk and a 20% reduction in pedestrian/bicyclist fatality risk (incidence rate ratio = 0.80, 95% confidence interval = 0.68–0.94) in school-age children compared to adults aged 30–64 years. Conclusions Implementation of the SRTS program appears to have contributed to improving traffic safety for school-age children in the United States.
Subject(s):
Traffic safety and children
Bicycle commuting--Safety measures
Pedestrians--Safety measures
Crash injuries
Public health
Epidemiology
Safe Routes to Schools (Project)
Publisher DOI:
https://doi.org/10.1016/j.annepidem.2016.04.002
Item views
75
Metadata:
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Suggested Citation:
Charles J. DiMaggio, Spiros Frangos, Guohua Li, , National Safe Routes to School program and risk of school-age pedestrian and bicyclist injury, Columbia University Academic Commons, .

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