Bus Stops and Pedestrian-Motor Vehicle Collisions in Lima, Peru: A Matched Case-Control Study

Details

• Personal Author:
  Boyle LN ; Ebel BE ; Johnston BD ; Koepsell TD ; Miranda JJ ; Quistberg DA
• Description:
  Objective: To evaluate the relationship between bus stop characteristics and pedestrian-motor vehicle collisions. Methods: This was a matched case-control study where the units of study were pedestrian crossings in Lima, Peru. We performed a random sample of 11 police commissaries in Lima, Peru. Data collection occurred from February 2011 to September 2011. A total of 97 intersection cases representing 1134 collisions and 40 mid-block cases representing 469 collisions that occurred between October 2010 and January 2011, and their matched controls, were included. The main exposures assessed were presence of a bus stop and specific bus stop characteristics. The main outcome measure was occurrence of a pedestrian-motor vehicle collision. Results: Intersections with bus stops were three times more likely to have a pedestrian-vehicle collision (OR 3.28, 95% CI 1.53 to 7.03), relative to intersections without bus stops. Formal and informal bus stops were associated with higher odds of a collision at intersections (OR 6.23, 95% CI 1.76 to 22.0 and OR 2.98, 1.37 to 6.49). At mid-block sites, bus stops on a bus-dedicated transit lane were also associated with collision risk (OR 2.36, 95% CI 1.02 to 5.42). All bus stops were located prior to the intersection, contrary to practices in most high-income countries. Conclusions: In urban Lima, the presence of a bus stop was associated with a threefold increase in risk of a pedestrian collision. The highly competitive environment among bus companies may provide an economic incentive for risky practices, such as dropping off passengers in the middle of traffic and jockeying for position with other buses. Bus stop placement should be considered to improve pedestrian safety. Description provided by NIOSH
• Subjects:
  • Metals
  • Mining
  • Occupational Health
  • Safety
• Keywords:
  • Motor vehicles
  • Accidents
  • Accident analysis
  • Automobile safety
  • Transportation
  • Risk factors
• ISSN:
  1353-8047
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  OSHA Region 10 ; Washington
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Volume:
  21
• NIOSHTIC Number:
  nn:20057130
• Citation:
  Inj Prev 2015 Apr; 21(e1):e15-e22
• Contact Point Address:
  Dr D Alex Quistberg, Harborview Injury Prevention & Research Center, 325 Ninth Ave, Box 359660, Seattle, WA 98104-2499, USA
• Email:
  aquistbe@uw.edu
• Federal Fiscal Year:
  2015
• Performing Organization:
  University of Washington
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Injury Prevention
• End Date:
  20250630
• Download URL:
  https://stacks.cdc.gov/view/cdc/214574/cdc_214574_DS1.pdf
• File Type:
  [PDF - 326.83 KB]
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:8975a4b959917ac269822fc05c3112a87a0fc65c67d52871ffbb7a4ed53fa61392d36c1501c395307afa0a0e5a8b642a523d5ec0201c56abb3b8f820d5ea1786