National Safe Routes to School Program and Risk of School-Age Pedestrian and Bicyclist Injury

Details

• Alternative Title:
  Ann Epidemiol
• Personal Author:
  DiMaggio, Charles ; Frangos, Spiros ; Li, Guohua
• Description:
  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.|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.|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.|Implementation of the SRTS program appears to have contributed to improving traffic safety for school-age children in the United States.
• Subjects:
  Accidents, Traffic Adolescent Adult Age Distribution Article Bicycling Child Child, Preschool Cohort Studies Databases, Factual Female Humans Incidence Male Middle Aged Models, Statistical Pedestrians Retrospective Studies Risk Assessment Safety Management Sex Distribution United States Walking

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• Source:
  Ann Epidemiol. 26(6):412-417
• Pubmed ID:
  27230492
• Pubmed Central ID:
  PMC5248654
• Document Type:
  Journal Article
• Funding:
  R01 HD087460/HD/NICHD NIH HHS/United States ; R49 CE002096/CE/NCIPC CDC HHS/United States
• Volume:
  26
• Issue:
  6
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:42329ea9a7229549d8a8be048a0d98309a1b863ea76c423911779abd9d4d7f55
• Download URL:
  https://stacks.cdc.gov/view/cdc/43928/cdc_43928_DS1.pdf
• File Type:
  [PDF - 506.96 KB ]