Built environment influence on the incidence of elderly pedestrian collisions in a medium-large city in southern Brazil: a spatial analysis.

IF 2.3 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH International Journal of Injury Control and Safety Promotion Pub Date : 2023-09-01 DOI:10.1080/17457300.2023.2204503

Mariana Teixeira da Silva, Pedro Henrique Iora, Miyoko Massago, Amanda de Carvalho Dutra, Júlia Loverde Gabella, Lincoln Luís Silva, Fernanda Shizue Nishida Carignano, Eniuce Menezes de Souza, Armstrong Mbi Obale, João Ricardo Nickenig Vissoci, Anjni Patel Joiner, Catherine Ann Staton, Oscar Kenji Nihei, Luciano de Andrade

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Abstract

Trauma disproportionately affects vulnerable road users, especially the elderly. We analyzed the spatial distribution of elderly pedestrians struck by vehicles in the urban area of Maringa city, from 2014 to 2018. Hotspots were obtained by kernel density estimation and wavelet analysis. The relationship between spatial relative risks (RR) of elderly run-overs and the built environment was assessed through Qualitative Comparative Analysis (QCA). Incidents were more frequent in the central and southeast regions of the city, where the RR was up to 2.58 times higher. The QCA test found a significant association between elderly pedestrian victims and the presence of traffic lights, medical centers/hospitals, roundabouts and schools. There is an association between higher risk of elderly pedestrians collisions and specific elements of built environments in Maringa, providing fundamental data to help guide public policies to improve urban mobility aimed at protecting vulnerable road users and planning an age-friendly city.

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巴西南部某大中城市建筑环境对老年行人碰撞发生率的影响:空间分析

创伤对弱势道路使用者，尤其是老年人的影响尤为严重。分析了2014 - 2018年马林加市城区老年行人被车辆撞击的空间分布特征。通过核密度估计和小波分析得到热点。采用定性比较分析(QCA)方法，对老年人踩踏的空间相对风险(RR)与建成环境的关系进行了评价。在城市的中部和东南部地区，事件更为频繁，那里的RR高达2.58倍。QCA测试发现，老年行人受害者与交通灯、医疗中心/医院、环形交叉路口和学校的存在存在显著关联。在马林加，老年行人碰撞风险较高与建筑环境的特定要素之间存在关联，这为帮助指导公共政策改善城市流动性提供了基础数据，旨在保护弱势道路使用者，并规划一个老年人友好型城市。

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来源期刊

International Journal of Injury Control and Safety Promotion PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.40

自引率

13.00%

发文量

期刊介绍： International Journal of Injury Control and Safety Promotion (formerly Injury Control and Safety Promotion) publishes articles concerning all phases of injury control, including prevention, acute care and rehabilitation. Specifically, this journal will publish articles that for each type of injury: •describe the problem •analyse the causes and risk factors •discuss the design and evaluation of solutions •describe the implementation of effective programs and policies The journal encompasses all causes of fatal and non-fatal injury, including injuries related to: •transport •school and work •home and leisure activities •sport •violence and assault