Pedestrian injury and the built environment: an environmental scan of hotspots

<p>Abstract</p> <p>Background</p> <p>Pedestrian injury frequently results in devastating and costly injuries and accounts for 11% of all road user fatalities. In the United States in 2006 there were 4,784 fatalities and 61,000 injuries from pedestrian injury, and in 200...

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Main Authors: Crooks Valorie A, Cinnamon Jonathan, Schuurman Nadine, Hameed S Morad
Format: Article
Language:English
Published: BMC 2009-07-01
Series:BMC Public Health
Online Access:http://www.biomedcentral.com/1471-2458/9/233
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author Crooks Valorie A
Cinnamon Jonathan
Schuurman Nadine
Hameed S Morad
author_facet Crooks Valorie A
Cinnamon Jonathan
Schuurman Nadine
Hameed S Morad
author_sort Crooks Valorie A
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Pedestrian injury frequently results in devastating and costly injuries and accounts for 11% of all road user fatalities. In the United States in 2006 there were 4,784 fatalities and 61,000 injuries from pedestrian injury, and in 2007 there were 4,654 fatalities and 70,000 injuries. In Canada, injury is the leading cause of death for those under 45 years of age and the fourth most common cause of death for all ages Traumatic pedestrian injury results in nearly 4000 hospitalizations in Canada annually. These injuries result from the interplay of modifiable environmental factors. The objective of this study was to determine links between the built environment and pedestrian injury hotspots in Vancouver.</p> <p>Methods</p> <p>Data were obtained from the Insurance Corporation of British Columbia (ICBC) for the 6 year period from 2000 to 2005 and combined with pedestrian injury data extracted from the British Columbia Trauma Registry (BCTR) for the same period. High incident locations (hotspots) for pedestrian injury in the City of Vancouver were identified and mapped using geographic information systems (GIS), and the characteristics of the built environment at each of the hotspot locations were examined by a team of researchers.</p> <p>Results</p> <p>The analysis highlighted 32 pedestrian injury hotspot locations in Vancouver. 31 of 32 hotspots were situated on major roads. Likewise, the majority of hotspots were located on downtown streets. The 'downtown eastside' was identified as an area with multiple high-incident locations, including the 2 highest ranked pedestrian injury hotspots. Bars were present at 21 of the hotspot locations, with 11 of these locations being judged to have high alcohol establishment density.</p> <p>Conclusion</p> <p>This study highlighted the disproportionate burden of pedestrian injury centred on the downtown eastside area of Vancouver. The environmental scan revealed that important passive pedestrian safety countermeasures were only present at a minority of high-incident locations. More importantly, bars were highly associated with risk of pedestrian injury. This study is the basis for potential public health intervention by clearly indicating optimal locations for signalized pedestrian crosswalks.</p>
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spelling doaj.art-3ea706c800b145d8bdbab896565962e92022-12-21T23:22:49ZengBMCBMC Public Health1471-24582009-07-019123310.1186/1471-2458-9-233Pedestrian injury and the built environment: an environmental scan of hotspotsCrooks Valorie ACinnamon JonathanSchuurman NadineHameed S Morad<p>Abstract</p> <p>Background</p> <p>Pedestrian injury frequently results in devastating and costly injuries and accounts for 11% of all road user fatalities. In the United States in 2006 there were 4,784 fatalities and 61,000 injuries from pedestrian injury, and in 2007 there were 4,654 fatalities and 70,000 injuries. In Canada, injury is the leading cause of death for those under 45 years of age and the fourth most common cause of death for all ages Traumatic pedestrian injury results in nearly 4000 hospitalizations in Canada annually. These injuries result from the interplay of modifiable environmental factors. The objective of this study was to determine links between the built environment and pedestrian injury hotspots in Vancouver.</p> <p>Methods</p> <p>Data were obtained from the Insurance Corporation of British Columbia (ICBC) for the 6 year period from 2000 to 2005 and combined with pedestrian injury data extracted from the British Columbia Trauma Registry (BCTR) for the same period. High incident locations (hotspots) for pedestrian injury in the City of Vancouver were identified and mapped using geographic information systems (GIS), and the characteristics of the built environment at each of the hotspot locations were examined by a team of researchers.</p> <p>Results</p> <p>The analysis highlighted 32 pedestrian injury hotspot locations in Vancouver. 31 of 32 hotspots were situated on major roads. Likewise, the majority of hotspots were located on downtown streets. The 'downtown eastside' was identified as an area with multiple high-incident locations, including the 2 highest ranked pedestrian injury hotspots. Bars were present at 21 of the hotspot locations, with 11 of these locations being judged to have high alcohol establishment density.</p> <p>Conclusion</p> <p>This study highlighted the disproportionate burden of pedestrian injury centred on the downtown eastside area of Vancouver. The environmental scan revealed that important passive pedestrian safety countermeasures were only present at a minority of high-incident locations. More importantly, bars were highly associated with risk of pedestrian injury. This study is the basis for potential public health intervention by clearly indicating optimal locations for signalized pedestrian crosswalks.</p>http://www.biomedcentral.com/1471-2458/9/233
spellingShingle Crooks Valorie A
Cinnamon Jonathan
Schuurman Nadine
Hameed S Morad
Pedestrian injury and the built environment: an environmental scan of hotspots
BMC Public Health
title Pedestrian injury and the built environment: an environmental scan of hotspots
title_full Pedestrian injury and the built environment: an environmental scan of hotspots
title_fullStr Pedestrian injury and the built environment: an environmental scan of hotspots
title_full_unstemmed Pedestrian injury and the built environment: an environmental scan of hotspots
title_short Pedestrian injury and the built environment: an environmental scan of hotspots
title_sort pedestrian injury and the built environment an environmental scan of hotspots
url http://www.biomedcentral.com/1471-2458/9/233
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AT schuurmannadine pedestrianinjuryandthebuiltenvironmentanenvironmentalscanofhotspots
AT hameedsmorad pedestrianinjuryandthebuiltenvironmentanenvironmentalscanofhotspots