A study of the impact of traffic investment on traffic fatalities in China, 2004 – 2020

IF 1.8 4区 医学 Q2 ORTHOPEDICS Chinese Journal of Traumatology Pub Date : 2024-07-03 DOI:10.1016/j.cjtee.2024.07.001
Li-Lu Sun, Shan Liu, Tian Lan, Xi-Ping Zou
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Abstract

Purpose

Road traffic injuries (RTIs) have been one of the most serious public health problems in China. The purpose of this study was to investigate the extent to which traffic investment affects traffic fatalities in China as well as regional differences.

Methods

The cohort study analyzed the correlation between traffic investment and traffic fatalities, incorporating additional factors such as economic conditions, road infrastructure, population density, and lighting. The selected variables included the number of traffic fatalities, traffic investment, urban per capita road area, urban road length, road mileage, urban road lighting, population size, and per capita gross domestic product. Relevant data between 2004 and 2020 were collected for an analysis using a fixed effect regression model. A p < 0.05 is considered statistically significant. To reduce the heterogeneity caused by regional differences, the provinces were divided into 6 groups according to administrative districts, and the clustering standard error analysis was carried out.

Results

Overall, there has been a significant improvement in road safety in China from 2004 to 2020, but some regions show an increase in traffic fatalities. The model reveals that traffic investment is significantly and positively correlated with the number of traffic fatalities. Holding all other factors constant, each 10,000 yuan increase in transport investment was associated with an average increase of 0.22 road traffic fatalities. In the analysis of regional differences, there was a significant positive correlation between traffic investment and traffic fatalities in the Northwest region and an increase of 10,000 yuan leads to an increase of 0.47. There was a significant negative correlation between road mileage, urban road lighting system, and population and traffic fatalities. For example, holding other factors constant, a 10,000 km reduction in road length would increase the number of traffic deaths by 45.56. The model results of urban per capita road area, urban road length, per capita gross domestic product, and the explained variables showed that p > 0.100, which was not statistically significant.

Conclusions

Therefore, traffic investments are essential for governments to develop measures to enhance road safety and reduce the risk of road fatalities. Adjusting traffic road investment and other covariates is conducive to improving traffic safety and reducing the risk of road fatalities. The road safety situation in different regions of China varies greatly. Local governments should consider the actual conditions to provide better road safety configuration policies.
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2004-2020 年中国交通投资对交通死亡事故的影响研究
目的道路交通伤害(RTI)一直是中国最严重的公共卫生问题之一。本研究旨在调查交通投资对中国交通事故死亡人数的影响程度以及地区差异。方法该队列研究分析了交通投资与交通事故死亡人数之间的相关性,并纳入了经济条件、道路基础设施、人口密度和照明等其他因素。所选变量包括交通事故死亡人数、交通投资、城市人均道路面积、城市道路长度、道路里程、城市道路照明、人口数量和人均国内生产总值。收集了 2004 年至 2020 年的相关数据,采用固定效应回归模型进行分析。P < 0.05 为具有统计学意义。为减少地区差异带来的异质性,将各省按行政区域分为 6 组,并进行聚类标准误差分析。结果总体而言,2004 年至 2020 年,中国道路交通安全状况显著改善,但部分地区交通事故死亡人数有所增加。模型显示,交通投资与交通事故死亡人数呈显著正相关。在其他因素不变的情况下,交通投资每增加 1 万元,道路交通死亡人数平均增加 0.22 人。从地区差异分析,西北地区交通投资与交通事故死亡人数呈显著正相关,每增加 1 万元,交通事故死亡人数增加 0.47 人。道路里程、城市道路照明系统、人口与交通死亡事故之间存在明显的负相关关系。例如,在其他因素不变的情况下,道路长度每减少 1 万公里,交通死亡人数将增加 45.56 人。城市人均道路面积、城市道路长度、人均国内生产总值和被解释变量的模型结果显示,P > 0.100,不具有统计学意义。调整交通道路投资和其他协变量有利于提高交通安全性,降低道路死亡风险。中国不同地区的道路安全形势差异很大。地方政府应考虑实际情况,提供更好的道路安全配置政策。
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来源期刊
CiteScore
3.80
自引率
4.80%
发文量
1707
审稿时长
28 weeks
期刊介绍: Chinese Journal of Traumatology (CJT, ISSN 1008-1275) was launched in 1998 and is a peer-reviewed English journal authorized by Chinese Association of Trauma, Chinese Medical Association. It is multidisciplinary and designed to provide the most current and relevant information for both the clinical and basic research in the field of traumatic medicine. CJT primarily publishes expert forums, original papers, case reports and so on. Topics cover trauma system and management, surgical procedures, acute care, rehabilitation, post-traumatic complications, translational medicine, traffic medicine and other related areas. The journal especially emphasizes clinical application, technique, surgical video, guideline, recommendations for more effective surgical approaches.
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