One-year impact of a multicomponent, street-level design intervention in Mexico City on pedestrian crashes: a quasi-experimental study
BACKGROUND: Mexico City implemented the Pasos Seguros programme to prevent pedestrian injuries and deaths at dangerous road intersections, which included street-level design changes, such as visible pedestrian crossings, sidewalk widening, refuge islands, lane reductions, pedestrian signals and adju...
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ftpubmed:oai:pubmedcentral.nih.gov:7614172 2023-05-15T18:06:14+02:00 One-year impact of a multicomponent, street-level design intervention in Mexico City on pedestrian crashes: a quasi-experimental study Cárdenas-Cárdenas, Luz Mery Barrientos Gutiérrez, Tonatiuh Quistberg, D Alex Chias-Becerril, Luis Martínez-Santiago, Armando Reséndiz Lopez, Héctor Perez Ferrer, Carolina 2023-03 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7614172/ http://www.ncbi.nlm.nih.gov/pubmed/36535752 https://doi.org/10.1136/jech-2022-219335 en eng BMJ Publishing Group http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7614172/ http://www.ncbi.nlm.nih.gov/pubmed/36535752 http://dx.doi.org/10.1136/jech-2022-219335 © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. CC-BY J Epidemiol Community Health Original Research Text 2023 ftpubmed https://doi.org/10.1136/jech-2022-219335 2023-02-19T01:31:18Z BACKGROUND: Mexico City implemented the Pasos Seguros programme to prevent pedestrian injuries and deaths at dangerous road intersections, which included street-level design changes, such as visible pedestrian crossings, sidewalk widening, refuge islands, lane reductions, pedestrian signals and adjustment of traffic light timing at these intersections. Few studies in low and middle-income countries (LMICs) have evaluated the effect of such interventions on pedestrian safety. AIM: Assess the effectiveness of the Pasos Seguros programme at reducing total, injury and fatal pedestrian-motor vehicle crashes. METHODS: Two-group quasi-experimental design. Monthly pedestrian crashes were obtained from the road incident database from Mexico City’s Citizen Contact Center. The programme’s effectiveness was evaluated by comparing 12 months preintervention to 12 months postintervention implementation using a negative binomial regression with random intercept with a difference-in-difference estimation. A qualitative comparative analysis was used to find the configuration of intersection characteristics and programme components associated with a decrease in pedestrian crashes. RESULTS: Total pedestrian crashes were reduced by 21% (RR 0.79; 95% CI 0.62 to 0.99) after implementation of Pasos Seguros programme. This reduction was observed for pedestrian injury crashes (RR 0.79; 95% CI 0.62 to 1.00) and for fatal crashes (RR 0.61; 95% CI 0.13 to 2.92) although not statistically significant for the latter. A decrease in pedestrian crashes was found at the most complex intersections where more of the programme components was implemented. CONCLUSION: The Pasos Seguros programme successfully decreased total and injury pedestrian crashes. Similar interventions may improve walking safety in other LMIC cities. Text Refuge Islands PubMed Central (PMC) Refuge Islands ENVELOPE(-67.166,-67.166,-68.350,-68.350) Journal of Epidemiology and Community Health 77 3 140 146 |
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Original Research Cárdenas-Cárdenas, Luz Mery Barrientos Gutiérrez, Tonatiuh Quistberg, D Alex Chias-Becerril, Luis Martínez-Santiago, Armando Reséndiz Lopez, Héctor Perez Ferrer, Carolina One-year impact of a multicomponent, street-level design intervention in Mexico City on pedestrian crashes: a quasi-experimental study |
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Original Research |
description |
BACKGROUND: Mexico City implemented the Pasos Seguros programme to prevent pedestrian injuries and deaths at dangerous road intersections, which included street-level design changes, such as visible pedestrian crossings, sidewalk widening, refuge islands, lane reductions, pedestrian signals and adjustment of traffic light timing at these intersections. Few studies in low and middle-income countries (LMICs) have evaluated the effect of such interventions on pedestrian safety. AIM: Assess the effectiveness of the Pasos Seguros programme at reducing total, injury and fatal pedestrian-motor vehicle crashes. METHODS: Two-group quasi-experimental design. Monthly pedestrian crashes were obtained from the road incident database from Mexico City’s Citizen Contact Center. The programme’s effectiveness was evaluated by comparing 12 months preintervention to 12 months postintervention implementation using a negative binomial regression with random intercept with a difference-in-difference estimation. A qualitative comparative analysis was used to find the configuration of intersection characteristics and programme components associated with a decrease in pedestrian crashes. RESULTS: Total pedestrian crashes were reduced by 21% (RR 0.79; 95% CI 0.62 to 0.99) after implementation of Pasos Seguros programme. This reduction was observed for pedestrian injury crashes (RR 0.79; 95% CI 0.62 to 1.00) and for fatal crashes (RR 0.61; 95% CI 0.13 to 2.92) although not statistically significant for the latter. A decrease in pedestrian crashes was found at the most complex intersections where more of the programme components was implemented. CONCLUSION: The Pasos Seguros programme successfully decreased total and injury pedestrian crashes. Similar interventions may improve walking safety in other LMIC cities. |
format |
Text |
author |
Cárdenas-Cárdenas, Luz Mery Barrientos Gutiérrez, Tonatiuh Quistberg, D Alex Chias-Becerril, Luis Martínez-Santiago, Armando Reséndiz Lopez, Héctor Perez Ferrer, Carolina |
author_facet |
Cárdenas-Cárdenas, Luz Mery Barrientos Gutiérrez, Tonatiuh Quistberg, D Alex Chias-Becerril, Luis Martínez-Santiago, Armando Reséndiz Lopez, Héctor Perez Ferrer, Carolina |
author_sort |
Cárdenas-Cárdenas, Luz Mery |
title |
One-year impact of a multicomponent, street-level design intervention in Mexico City on pedestrian crashes: a quasi-experimental study |
title_short |
One-year impact of a multicomponent, street-level design intervention in Mexico City on pedestrian crashes: a quasi-experimental study |
title_full |
One-year impact of a multicomponent, street-level design intervention in Mexico City on pedestrian crashes: a quasi-experimental study |
title_fullStr |
One-year impact of a multicomponent, street-level design intervention in Mexico City on pedestrian crashes: a quasi-experimental study |
title_full_unstemmed |
One-year impact of a multicomponent, street-level design intervention in Mexico City on pedestrian crashes: a quasi-experimental study |
title_sort |
one-year impact of a multicomponent, street-level design intervention in mexico city on pedestrian crashes: a quasi-experimental study |
publisher |
BMJ Publishing Group |
publishDate |
2023 |
url |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7614172/ http://www.ncbi.nlm.nih.gov/pubmed/36535752 https://doi.org/10.1136/jech-2022-219335 |
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ENVELOPE(-67.166,-67.166,-68.350,-68.350) |
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Refuge Islands |
geographic_facet |
Refuge Islands |
genre |
Refuge Islands |
genre_facet |
Refuge Islands |
op_source |
J Epidemiol Community Health |
op_relation |
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7614172/ http://www.ncbi.nlm.nih.gov/pubmed/36535752 http://dx.doi.org/10.1136/jech-2022-219335 |
op_rights |
© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/. |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.1136/jech-2022-219335 |
container_title |
Journal of Epidemiology and Community Health |
container_volume |
77 |
container_issue |
3 |
container_start_page |
140 |
op_container_end_page |
146 |
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