Pediatric emergency department visits for pedestrian injuries in relation to the enactment of Complete Streets policy

IntroductionThis study aimed to evaluate the rate of pediatric emergency department (ED) visits for pedestrian injuries in relation to the enactment of the Complete Streets policy.MethodsThe National Complete Streets policies were codified by county and associated with each hospital's catchment...

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Main Authors: Jordee M. Wells, Honggang Yi, Jingzhen Yang, Stephen J. Mooney, Alex Quistberg, Julie C. Leonard
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1183997/full
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author Jordee M. Wells
Honggang Yi
Honggang Yi
Jingzhen Yang
Jingzhen Yang
Stephen J. Mooney
Alex Quistberg
Julie C. Leonard
Julie C. Leonard
Julie C. Leonard
author_facet Jordee M. Wells
Honggang Yi
Honggang Yi
Jingzhen Yang
Jingzhen Yang
Stephen J. Mooney
Alex Quistberg
Julie C. Leonard
Julie C. Leonard
Julie C. Leonard
author_sort Jordee M. Wells
collection DOAJ
description IntroductionThis study aimed to evaluate the rate of pediatric emergency department (ED) visits for pedestrian injuries in relation to the enactment of the Complete Streets policy.MethodsThe National Complete Streets policies were codified by county and associated with each hospital's catchment area and date of enactment. Pedestrian injury-related ED visits were identified across 40 children's hospitals within the Pediatric Health Information System (PHIS) from 2004 to 2014. We calculated the proportion of the PHIS hospitals' catchment areas covered by any county policy. We used a generalized linear model to assess the impact of the proportion of the policy coverage on the rate of pedestrian injury-related ED visits.ResultsThe proportion of the population covered by Complete Streets policies increased by 23.9%, and pedestrian injury rates at PHIS hospitals decreased by 29.8% during the study period. After controlling for years, pediatric ED visits for pedestrian injuries did not change with increases in the PHIS catchment population with enacted Complete Streets policies.ConclusionAfter accounting for time trends, Complete Streets policy enactment was not related to observed changes in ED visits for pedestrian injuries at PHIS hospitals.
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spelling doaj.art-2998ed9ad59946c5811adb26bdcf09772023-08-21T12:10:47ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-08-011110.3389/fpubh.2023.11839971183997Pediatric emergency department visits for pedestrian injuries in relation to the enactment of Complete Streets policyJordee M. Wells0Honggang Yi1Honggang Yi2Jingzhen Yang3Jingzhen Yang4Stephen J. Mooney5Alex Quistberg6Julie C. Leonard7Julie C. Leonard8Julie C. Leonard9Division of Emergency Medicine, Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH, United StatesDepartment of Biostatistics, Nanjing Medical University, Nanjing, Jiangsu, ChinaCenter for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, United StatesCenter for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, United StatesDepartment of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, United StatesHarborview Injury Prevention and Research Center, University of Washington, Seattle, WA, United StatesEnvironmental and Occupational Health, Dornslife School of Public Health, Drexel University, Philadelphia, PA, United StatesDivision of Emergency Medicine, Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH, United StatesCenter for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, United StatesDepartment of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, United StatesIntroductionThis study aimed to evaluate the rate of pediatric emergency department (ED) visits for pedestrian injuries in relation to the enactment of the Complete Streets policy.MethodsThe National Complete Streets policies were codified by county and associated with each hospital's catchment area and date of enactment. Pedestrian injury-related ED visits were identified across 40 children's hospitals within the Pediatric Health Information System (PHIS) from 2004 to 2014. We calculated the proportion of the PHIS hospitals' catchment areas covered by any county policy. We used a generalized linear model to assess the impact of the proportion of the policy coverage on the rate of pedestrian injury-related ED visits.ResultsThe proportion of the population covered by Complete Streets policies increased by 23.9%, and pedestrian injury rates at PHIS hospitals decreased by 29.8% during the study period. After controlling for years, pediatric ED visits for pedestrian injuries did not change with increases in the PHIS catchment population with enacted Complete Streets policies.ConclusionAfter accounting for time trends, Complete Streets policy enactment was not related to observed changes in ED visits for pedestrian injuries at PHIS hospitals.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1183997/fullpedestrian injuryactive transport policyComplete Streetsemergency department visitspublic health
spellingShingle Jordee M. Wells
Honggang Yi
Honggang Yi
Jingzhen Yang
Jingzhen Yang
Stephen J. Mooney
Alex Quistberg
Julie C. Leonard
Julie C. Leonard
Julie C. Leonard
Pediatric emergency department visits for pedestrian injuries in relation to the enactment of Complete Streets policy
Frontiers in Public Health
pedestrian injury
active transport policy
Complete Streets
emergency department visits
public health
title Pediatric emergency department visits for pedestrian injuries in relation to the enactment of Complete Streets policy
title_full Pediatric emergency department visits for pedestrian injuries in relation to the enactment of Complete Streets policy
title_fullStr Pediatric emergency department visits for pedestrian injuries in relation to the enactment of Complete Streets policy
title_full_unstemmed Pediatric emergency department visits for pedestrian injuries in relation to the enactment of Complete Streets policy
title_short Pediatric emergency department visits for pedestrian injuries in relation to the enactment of Complete Streets policy
title_sort pediatric emergency department visits for pedestrian injuries in relation to the enactment of complete streets policy
topic pedestrian injury
active transport policy
Complete Streets
emergency department visits
public health
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1183997/full
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