Pub Date : 2026-01-24DOI: 10.1016/j.jsr.2026.01.006
Carlos M. Ferreira-Vanegas , Héctor López-Ospina , Juan E. Pérez , Jorge I. Vélez , Guisselle A. García-Llinás
Introduction: Road crashes are a major public health concern, leading to numerous fatalities and substantial economic costs. Reducing these incidents is a key priority outlined in the United Nations Sustainable Development Goals. Existing research often identifies contributing factors, analyzes relevant variables, and proposes preventive strategies for crashes using logistic regression (LR), but lacks integrated policy optimization. Method: This study presents a Feature Policy Optimization (FPO) framework combining LR and a genetic algorithm (GA) to optimize speed limits and lighting conditions. The LR model estimates crash risk based on these factors, while the GA generates Pareto-optimal policies under constraints of budget and a minimum average speed of 50 km/h. Policies are tailored by road type, time, and location. Results: The FPO approach reduced serious crashes by 40.58% compared to baseline, and identified critical influences (such as nighttime lighting on rural roads), and recommended adaptive speed limits that balance safety and traffic flow. Conclusion: Integrating LR with GA effectively identifies and modifies key accident factors, enabling targeted, cost-effective safety interventions. Practical applications: The FPO model offers policymakers actionable, context-specific strategies for improving road safety. Its scalable framework supports implementation across diverse transportation settings, contributing to sustainable crash reduction.
{"title":"Feature Policy: A hybrid approach to minimize the severity of road crashes through interventions in predictor variables","authors":"Carlos M. Ferreira-Vanegas , Héctor López-Ospina , Juan E. Pérez , Jorge I. Vélez , Guisselle A. García-Llinás","doi":"10.1016/j.jsr.2026.01.006","DOIUrl":"10.1016/j.jsr.2026.01.006","url":null,"abstract":"<div><div><em>Introduction:</em> Road crashes are a major public health concern, leading to numerous fatalities and substantial economic costs. Reducing these incidents is a key priority outlined in the United Nations Sustainable Development Goals. Existing research often identifies contributing factors, analyzes relevant variables, and proposes preventive strategies for crashes using logistic regression (LR), but lacks integrated policy optimization. <em>Method:</em> This study presents a Feature Policy Optimization (FPO) framework combining LR and a genetic algorithm (GA) to optimize speed limits and lighting conditions. The LR model estimates crash risk based on these factors, while the GA generates Pareto-optimal policies under constraints of budget and a minimum average speed of 50 km/h. Policies are tailored by road type, time, and location. <em>Results:</em> The FPO approach reduced serious crashes by 40.58% compared to baseline, and identified critical influences (such as nighttime lighting on rural roads), and recommended adaptive speed limits that balance safety and traffic flow. <em>Conclusion:</em> Integrating LR with GA effectively identifies and modifies key accident factors, enabling targeted, cost-effective safety interventions. <em>Practical applications:</em> The FPO model offers policymakers actionable, context-specific strategies for improving road safety. Its scalable framework supports implementation across diverse transportation settings, contributing to sustainable crash reduction.</div></div>","PeriodicalId":48224,"journal":{"name":"Journal of Safety Research","volume":"96 ","pages":"Pages 300-314"},"PeriodicalIF":4.4,"publicationDate":"2026-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-23DOI: 10.1016/j.jsr.2026.01.010
James Macinko , Mia Ann Xu , Diana Silver
Background: Driving under the influence of alcohol is a serious threat to public health. While U.S. states have employed a range of measures to curb drink driving, the majority of those who engage in this behavior go undetected. Methods: Secondary analysis of the National Survey on Drug Use and Health (NSDUH) 2002–2023. Multivariable Poisson regression of self-reported drinking and driving, self-reported DUI arrests, and those who report drinking and driving but were not apprehended (undetected DUI) controlling for demographic, socioeconomic, and behavioral factors across each survey period. Results: Self-reported drink driving rates were 15% in 2002–2014 and 8.5% in 2021–2023. The highest drink driving rates observed were among White populations at about 41% in 2002–2014, and about 21% in 2021–2023. Among drink drivers, approximately 4.6% reported a DUI arrest in the past year with little change over time. Women, younger populations, non-White race, and ethnic groups and those who do not report binge drinking were less likely to report drinking and driving than their respective reference groups in all periods. For those who report drink driving in the past year, there was a 95% chance of reporting no DUI arrest in the same year. Being female, having higher income, and being White or Asian/Pacific Islander were associated with higher rates of undetected DUIs. Conclusions: While self-reported drinking and driving has declined, the majority of those who drink and drive are not detected by law enforcement. New, more effective strategies will be needed to address this significant public health problem.
{"title":"Characterizing driving under the influence arrest detection, 2002–2023","authors":"James Macinko , Mia Ann Xu , Diana Silver","doi":"10.1016/j.jsr.2026.01.010","DOIUrl":"10.1016/j.jsr.2026.01.010","url":null,"abstract":"<div><div><em>Background</em>: Driving under the influence of alcohol is a serious threat to public health. While U.S. states have employed a range of measures to curb drink driving, the majority of those who engage in this behavior go undetected. <em>Methods</em>: Secondary analysis of the National Survey on Drug Use and Health (NSDUH) 2002–2023. Multivariable Poisson regression of self-reported drinking and driving, self-reported DUI arrests, and those who report drinking and driving but were not apprehended (undetected DUI) controlling for demographic, socioeconomic, and behavioral factors across each survey period. <em>Results:</em> Self-reported drink driving rates were 15% in 2002–2014 and 8.5% in 2021–2023. The highest drink driving rates observed were among White populations at about 41% in 2002–2014, and about 21% in 2021–2023. Among drink drivers, approximately 4.6% reported a DUI arrest in the past year with little change over time. Women, younger populations, non-White race, and ethnic groups and those who do not report binge drinking were less likely to report drinking and driving than their respective reference groups in all periods. For those who report drink driving in the past year, there was a 95% chance of reporting no DUI arrest in the same year. Being female, having higher income, and being White or Asian/Pacific Islander were associated with higher rates of undetected DUIs. <em>Conclusions:</em> While self-reported drinking and driving has declined, the majority of those who drink and drive are not detected by law enforcement. New, more effective strategies will be needed to address this significant public health problem.</div></div>","PeriodicalId":48224,"journal":{"name":"Journal of Safety Research","volume":"96 ","pages":"Pages 277-284"},"PeriodicalIF":4.4,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-23DOI: 10.1016/j.jsr.2026.01.008
Lvqing Miao , Yunxin Chang , Xinke Jiang , David C. Schwebel , Lichun He , Yongjiang Shen , Huarong Wang
Objectives: Physiology, personality, and cognitive ability are all associated with safe behavior in traffic. Chronotype, an individual’s inclination to feel most alert at particular time of day, is an underexplored factor that may also affect safety. This study explores the effects of chronotype on e-bike riders’ alertness from the perspectives of behavior and hemodynamic response to cortex activation. Methods: A total of 64 Chinese riders, 34 morning-type and 30 evening-type, were recruited based on their score on the Morningness-Eveningness Questionnaire. A mixed experimental 2 (chronotype: morning-type group vs. evening-type group) * 2 (test time: a.m. vs. p.m.) design was conducted, with riders’ performance on an alertness task while engaged and cerebral cortex activation serving as outcome measures. Results: Morning-type riders had a faster response than evening-type riders when testing in the morning and evening-type riders reacted faster in the afternoon. More broadly, all riders showed greater accuracy on the alertness task in the morning. Hemodynamic response to cortex activation varied across riders and test times, with significant differences in activation of multiple channels in the primary visual cortex (PVC). Specifically, the morning-type riders showed positive activation in the morning and negative activation in the afternoon, while the evening-type riders showed negative activation at both testing times, with higher activation in the morning. The alertness of the riders demonstrates the synchronicity of brain – behavior, the activation state of some channels (CH1, CH3, CH5, CH8) in the PFC region was significantly correlated with riders’ alertness behavior. Conclusion: Chronotype affects e-bike riders’ alertness, as evidenced both by behavioral and brain activation pattern outcomes. The impact varies depending on riding time, with morning-type riders exhibiting better riding alertness in the morning and evening-type riders showing advantages in the afternoon.
{"title":"Effect of chronotype on e-bike riders’ alertness: Evidence based on behavior and fNIRS","authors":"Lvqing Miao , Yunxin Chang , Xinke Jiang , David C. Schwebel , Lichun He , Yongjiang Shen , Huarong Wang","doi":"10.1016/j.jsr.2026.01.008","DOIUrl":"10.1016/j.jsr.2026.01.008","url":null,"abstract":"<div><div><em>Objectives:</em> Physiology, personality, and cognitive ability are all associated with safe behavior in traffic. Chronotype, an individual’s inclination to feel most alert at particular time of day, is an underexplored factor that may also affect safety. This study explores the effects of chronotype on e-bike riders’ alertness from the perspectives of behavior and hemodynamic response to cortex activation. <em>Methods:</em> A total of 64 Chinese riders, 34 morning-type and 30 evening-type, were recruited based on their score on the Morningness-Eveningness Questionnaire. A mixed experimental 2 (chronotype: morning-type group vs. evening-type group) * 2 (test time: a.m. vs. p.m.) design was conducted, with riders’ performance on an alertness task while engaged and cerebral cortex activation serving as outcome measures. <em>Results:</em> Morning-type riders had a faster response than evening-type riders when testing in the morning and evening-type riders reacted faster in the afternoon. More broadly, all riders showed greater accuracy on the alertness task in the morning. Hemodynamic response to cortex activation varied across riders and test times, with significant differences in activation of multiple channels in the primary visual cortex (PVC). Specifically, the morning-type riders showed positive activation in the morning and negative activation in the afternoon, while the evening-type riders showed negative activation at both testing times, with higher activation in the morning. The alertness of the riders demonstrates the synchronicity of brain – behavior, the activation state of some channels (CH1, CH3, CH5, CH8) in the PFC region was significantly correlated with riders’ alertness behavior. <em>Conclusion:</em> Chronotype affects e-bike riders’ alertness, as evidenced both by behavioral and brain activation pattern outcomes. The impact varies depending on riding time, with morning-type riders exhibiting better riding alertness in the morning and evening-type riders showing advantages in the afternoon.</div></div>","PeriodicalId":48224,"journal":{"name":"Journal of Safety Research","volume":"96 ","pages":"Pages 292-299"},"PeriodicalIF":4.4,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-23DOI: 10.1016/j.jsr.2026.01.011
Lisa Buckley, Michelle Nicolls
Introduction: Drink driving remains a leading contributor to motor-vehicle fatalities. For young adults, a sizeable proportion of their drinking is with friends, who may have opportunity to plan ahead or potentially intervene and speak up against drink-driving. We sought to explore young adults’ preventive behaviors toward friends and the potential relevance for the classic Latané and Darley social psychology theory of bystander intervention. Method: Across two studies we interviewed 63, 18–25-year-old Australians, using semi-structured interview schedules (approximately 30–45 min). Study 1 focused on experiences and perception of driving the day after drinking; and study 2 explored online communication about drink-driving. Exploration in both studies considered strategies used to support friends and prevent drink-driving. We used a deductive theory-guided approach considering: perceptions and interpretation of risk/ danger around drink-driving, a sense of responsibility, and having the confidence to enact a prevention strategy with friends. In addition, an inductive approach was employed to explore descriptions of protective behavior. Results: The bystander theory provided an appropriate conceptualization with findings highlighting consideration of noticing and interpreting drink-driving as harmful. Findings highlighted that young adults value looking out for their friends and to a lesser extent described considerations of the challenges they had in supporting their friends. Conclusions: The descriptions provided by young adults highlight nuance and considerations made in attempts to reduce the likelihood of drink-driving. The theory provided structure to findings and highlights potential considerations in attempts to promote bystander intervention among young adults.
{"title":"Bystanding to prevent drink-driving: Young adults’ descriptions of factors that promote and restrict their behavior","authors":"Lisa Buckley, Michelle Nicolls","doi":"10.1016/j.jsr.2026.01.011","DOIUrl":"10.1016/j.jsr.2026.01.011","url":null,"abstract":"<div><div><em>Introduction:</em> Drink driving remains a leading contributor to motor-vehicle fatalities. For young adults, a sizeable proportion of their drinking is with friends, who may have opportunity to plan ahead or potentially intervene and speak up against drink-driving. We sought to explore young adults’ preventive behaviors toward friends and the potential relevance for the classic Latané and Darley social psychology theory of bystander intervention. <em>Method:</em> Across two studies we interviewed 63, 18–25-year-old Australians, using semi-structured interview schedules (approximately 30–45 min). Study 1 focused on experiences and perception of driving the day after drinking; and study 2 explored online communication about drink-driving. Exploration in both studies considered strategies used to support friends and prevent drink-driving. We used a deductive theory-guided approach considering: perceptions and interpretation of risk/ danger around drink-driving, a sense of responsibility, and having the confidence to enact a prevention strategy with friends. In addition, an inductive approach was employed to explore descriptions of protective behavior. <em>Results:</em> The bystander theory provided an appropriate conceptualization with findings highlighting consideration of noticing and interpreting drink-driving as harmful. Findings highlighted that young adults value looking out for their friends and to a lesser extent described considerations of the challenges they had in supporting their friends. <em>Conclusions:</em> The descriptions provided by young adults highlight nuance and considerations made in attempts to reduce the likelihood of drink-driving. The theory provided structure to findings and highlights potential considerations in attempts to promote bystander intervention among young adults.</div></div>","PeriodicalId":48224,"journal":{"name":"Journal of Safety Research","volume":"96 ","pages":"Pages 285-291"},"PeriodicalIF":4.4,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037069","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-19DOI: 10.1016/j.jsr.2026.01.007
Verity Truelove , Laura Mills , Oscar Oviedo-Trespalacios
Objective: Engagement in illegal phone use while driving continues to increase. To obtain a more in depth understanding of the deterrent impact of the current legal countermeasures for this behavior, this study conducted a qualitative investigation from those on the frontline of enforcement: police officers. Method: A total of 26 police officers from Queensland, Australia, completed interviews on how they view the deterrent impact of the current phone use while driving legislation, penalties, and their enforcement, using classical deterrence theory as a framework. Police officers were interviewed during and after changes to the phone use while driving legislation and penalty in their jurisdiction. A reflexive thematic analysis was conducted to analyze the data and themes were created based on the constructs within classical deterrence theory: certainty of apprehension, severity of punishment, and swiftness of punishment. Results: The findings demonstrate the factors that contribute to both strengthening and weakening the legal deterrent effect for phone use while driving from a police perspective and have important theoretical and practical implications. For example, it is suggested that phone use while driving legislation that does not differentiate the types of phone behavior can make enforcement of this offense easier, yet a higher penalty may result in drivers concealing their phones more.
{"title":"The missing piece in deterring phone use while driving: Police perspectives after legislative and penalty changes","authors":"Verity Truelove , Laura Mills , Oscar Oviedo-Trespalacios","doi":"10.1016/j.jsr.2026.01.007","DOIUrl":"10.1016/j.jsr.2026.01.007","url":null,"abstract":"<div><div><em>Objective:</em> Engagement in illegal phone use while driving continues to increase. To obtain a more in depth understanding of the deterrent impact of the current legal countermeasures for this behavior, this study conducted a qualitative investigation from those on the frontline of enforcement: police officers. <em>Method:</em> A total of 26 police officers from Queensland, Australia, completed interviews on how they view the deterrent impact of the current phone use while driving legislation, penalties, and their enforcement, using classical deterrence theory as a framework. Police officers were interviewed during and after changes to the phone use while driving legislation and penalty in their jurisdiction. A reflexive thematic analysis was conducted to analyze the data and themes were created based on the constructs within classical deterrence theory: certainty of apprehension, severity of punishment, and swiftness of punishment. <em>Results:</em> The findings demonstrate the factors that contribute to both strengthening and weakening the legal deterrent effect for phone use while driving from a police perspective and have important theoretical and practical implications. For example, it is suggested that phone use while driving legislation that does not differentiate the types of phone behavior can make enforcement of this offense easier, yet a higher penalty may result in drivers concealing their phones more.</div></div>","PeriodicalId":48224,"journal":{"name":"Journal of Safety Research","volume":"96 ","pages":"Pages 268-276"},"PeriodicalIF":4.4,"publicationDate":"2026-01-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-15DOI: 10.1016/j.jsr.2026.01.005
Brittany Shoots-Reinhard , Julie A. Mansfield , Maya Nintcheff , Ujin Bayarbadrakh , Gretchen H. Baker
Introduction: Child restraint systems (CRS) save lives in motor-vehicle crashes (MVCs) but incorrect use of CRS is common. One example is inappropriate transition between modes (e.g., rear-facing, forward-facing, and/or booster). Understanding manufacturer guidelines is therefore critical, but guidelines exceed consumer reading levels. The goal of this research is to examine the role of numeracy (i.e., math ability) in comprehension of CRS guidelines, which are highly numeric (e.g., relying on height, weight, age). Method: In an online experiment, 400 participants (who had previously completed an adaptive measure of numeracy) were shown one of six CRS usage diagrams based on major manufacturer’s guidelines and answered questions about the appropriateness of CRS mode depending on child’s height, weight, and age. We created two comprehension indices, one that allowed for two correct answers if both were appropriate and another with only the more conservative answer counting as correct. Participants also indicated perceived comprehension of the diagrams, knowledge of current CRS best practices, and prior CRS experience. Results: Average performance on CRS comprehension was 73% and 80% for the less and more conservative indices, respectively. Controlling for knowledge of CRS best practices and prior CRS experience, those higher in numeracy performed better in both perceived and actual comprehension. Perceived and actual comprehension also depended on diagram. Conclusions: Our results suggest that CRS diagrams currently used by manufacturers are somewhat well-understood by consumers, but that there is room for improvement. The results for numeracy and the differences across diagrams suggest that reducing text and visual aids could improve comprehension. Although visualizations can help under certain circumstances, they were not shown to aid comprehension here. Practical applications: Taken together, our results suggest that current manufacturer guidelines can be improved. They should be simplified by streamlining text and removing unnecessary visual aids, such as number lines.
{"title":"Numeracy and format influences comprehension of car seat recommendations","authors":"Brittany Shoots-Reinhard , Julie A. Mansfield , Maya Nintcheff , Ujin Bayarbadrakh , Gretchen H. Baker","doi":"10.1016/j.jsr.2026.01.005","DOIUrl":"10.1016/j.jsr.2026.01.005","url":null,"abstract":"<div><div><em>Introduction</em>: Child restraint systems (CRS) save lives in motor-vehicle crashes (MVCs) but incorrect use of CRS is common. One example is inappropriate transition between modes (e.g., rear-facing, forward-facing, and/or booster). Understanding manufacturer guidelines is therefore critical, but guidelines exceed consumer reading levels. The goal of this research is to examine the role of numeracy (i.e., math ability) in comprehension of CRS guidelines, which are highly numeric (e.g., relying on height, weight, age). <em>Method:</em> In an online experiment, 400 participants (who had previously completed an adaptive measure of numeracy) were shown one of six CRS usage diagrams based on major manufacturer’s guidelines and answered questions about the appropriateness of CRS mode depending on child’s height, weight, and age. We created two comprehension indices, one that allowed for two correct answers if both were appropriate and another with only the more conservative answer counting as correct. Participants also indicated perceived comprehension of the diagrams, knowledge of current CRS best practices, and prior CRS experience. <em>Results:</em> Average performance on CRS comprehension was 73% and 80% for the less and more conservative indices, respectively. Controlling for knowledge of CRS best practices and prior CRS experience, those higher in numeracy performed better in both perceived and actual comprehension. Perceived and actual comprehension also depended on diagram. <em>Conclusions:</em> Our results suggest that CRS diagrams currently used by manufacturers are somewhat well-understood by consumers, but that there is room for improvement. The results for numeracy and the differences across diagrams suggest that reducing text and visual aids could improve comprehension. Although visualizations can help under certain circumstances, they were not shown to aid comprehension here. <em>Practical applications:</em> Taken together, our results suggest that current manufacturer guidelines can be improved. They should be simplified by streamlining text and removing unnecessary visual aids, such as number lines.</div></div>","PeriodicalId":48224,"journal":{"name":"Journal of Safety Research","volume":"96 ","pages":"Pages 259-267"},"PeriodicalIF":4.4,"publicationDate":"2026-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-14DOI: 10.1016/j.jsr.2026.01.003
Nathaniel Heatwole
Introduction: Injury assessment and modeling present several challenges. Methods are needed for evaluating the severity of injury, for quantifying impacts along those gradations (e.g., economic costs), and for comparing injuries to each other and to fatalities. While a variety of methods exist, there are limited comprehensive, direct, and collated information and models available for comparing them along various dimensions or to assess their fitness for a particular purpose. Method: Three common and widely applicable injury severity scales are reviewed: hospitalized/non-hospitalized dichotomy; Abbreviated Injury Scale (AIS); and Injury Severity Score (ISS). Their advantages, limitations, caveats, and risks are discussed, and data for each are summarized (incidence, hospitalization, mortality, and economic costs). Operations research and econometrics methods are used to enumerate the theoretical range of AIS levels at each ISS value, subset these to AIS-ISS pairs that can actually occur, develop a probabilistic AIS-ISS map, transfer AIS-based cost data onto the ISS scale, and cluster ranges of severity levels according to various data features. Results: Each ISS value links to at most two valid AIS levels. The cluster assignments are somewhat stable across data features (for a given number of clusters fit), although significant variability exists. When viewed over the entire ISS range, both the average AIS (power function) and mapped ISS costs are reasonably linear, and reduced-form ISS cost and AIS-ISS linkage models are presented. Conclusions: The methodology can be applied to any injury quantity (not just costs) and represents a new development in the understanding of the AIS-ISS relationship. Practical Applications: This improves the comparability of the scales, allows seemingly disparate AIS/ISS values to be better and more directly compared, facilitates the pooling of mixed AIS/ISS data in meta-analyses, and allows costs for the ISS scale to be quantified.
{"title":"Injury severity: Scales, incidence, hospitalization rate, mortality risk, economic costs, modeling considerations, and best practices","authors":"Nathaniel Heatwole","doi":"10.1016/j.jsr.2026.01.003","DOIUrl":"10.1016/j.jsr.2026.01.003","url":null,"abstract":"<div><div><em>Introduction:</em> Injury assessment and modeling present several challenges. Methods are needed for evaluating the severity of injury, for quantifying impacts along those gradations (e.g., economic costs), and for comparing injuries to each other and to fatalities. While a variety of methods exist, there are limited comprehensive, direct, and collated information and models available for comparing them along various dimensions or to assess their fitness for a particular purpose. <em>Method</em>: Three common and widely applicable injury severity scales are reviewed: hospitalized/non-hospitalized dichotomy; Abbreviated Injury Scale (AIS); and Injury Severity Score (ISS). Their advantages, limitations, caveats, and risks are discussed, and data for each are summarized (incidence, hospitalization, mortality, and economic costs). Operations research and econometrics methods are used to enumerate the theoretical range of AIS levels at each ISS value, subset these to AIS-ISS pairs that can actually occur, develop a probabilistic AIS-ISS map, transfer AIS-based cost data onto the ISS scale, and cluster ranges of severity levels according to various data features. <em>Results</em>: Each ISS value links to at most two valid AIS levels. The cluster assignments are somewhat stable across data features (for a given number of clusters fit), although significant variability exists. When viewed over the entire ISS range, both the average AIS (power function) and mapped ISS costs are reasonably linear, and reduced-form ISS cost and AIS-ISS linkage models are presented. <em>Conclusions</em>: The methodology can be applied to any injury quantity (not just costs) and represents a new development in the understanding of the AIS-ISS relationship. <em>Practical Applications</em>: This improves the comparability of the scales, allows seemingly disparate AIS/ISS values to be better and more directly compared, facilitates the pooling of mixed AIS/ISS data in meta-analyses, and allows costs for the ISS scale to be quantified.</div></div>","PeriodicalId":48224,"journal":{"name":"Journal of Safety Research","volume":"96 ","pages":"Pages 244-258"},"PeriodicalIF":4.4,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-12DOI: 10.1016/j.jsr.2025.12.004
Michelle Nicolls, Lisa Buckley
Aims: Driving with a hangover can have significant impacts on driving ability. It has been identified that young adults experience more frequent and severe hangover symptoms compared to older adults. Given young adults have less driving experience, this may present a concern for road safety if this group of drivers engage in hangover driving. The paper involved two studies exploring young adults’ experiences with hangover driving. Methods and Results: In Study 1, 23 young adults (ranging 18–23 years; 52% female) were interviewed. Following template analyses, two themes were identified. The first theme (awareness and strategies) identified young adults understand the impacts of hangover driving on their concentration and attention, yet the risks associated with hangover driving were rarely described. The second theme (justification) identified the reasoning young adults described for hangover driving, such as they had to get home, it was only a short drive, and the behavior is not as risky as drink driving. In Study 2, 252 young adults (ranging 18–25 years; 75% female) were surveyed. Regression results revealed being male, living in non-metropolitan locations, holding an open license, experiencing hangover symptoms yearly, and having one or more hangovers in the previous month increased the likelihood of hangover driving. Conclusions: Findings provide insight into young adults’ hangover driving, yet further understanding may be required to identify ways to discourage this behavior. Practical Applications: Findings have provided directions for further research, with the aim of identifying potential ways to prevent hangover driving among young adults.
{"title":"Exploring the predictors and experiences of hangover driving in young adults","authors":"Michelle Nicolls, Lisa Buckley","doi":"10.1016/j.jsr.2025.12.004","DOIUrl":"10.1016/j.jsr.2025.12.004","url":null,"abstract":"<div><div><em>Aims:</em> Driving with a hangover can have significant impacts on driving ability. It has been identified that young adults experience more frequent and severe hangover symptoms compared to older adults. Given young adults have less driving experience, this may present a concern for road safety if this group of drivers engage in hangover driving. The paper involved two studies exploring young adults’ experiences with hangover driving. <em>Methods and Results:</em> In Study 1, 23 young adults (ranging 18–23 years; 52% female) were interviewed. Following template analyses, two themes were identified. The first theme (awareness and strategies) identified young adults understand the impacts of hangover driving on their concentration and attention, yet the risks associated with hangover driving were rarely described. The second theme (justification) identified the reasoning young adults described for hangover driving, such as they had to get home, it was only a short drive, and the behavior is not as risky as drink driving. In Study 2, 252 young adults (ranging 18–25 years; 75% female) were surveyed. Regression results revealed being male, living in non-metropolitan locations, holding an open license, experiencing hangover symptoms yearly, and having one or more hangovers in the previous month increased the likelihood of hangover driving. <em>Conclusions:</em> Findings provide insight into young adults’ hangover driving, yet further understanding may be required to identify ways to discourage this behavior. <em>Practical Applications:</em> Findings have provided directions for further research, with the aim of identifying potential ways to prevent hangover driving among young adults.</div></div>","PeriodicalId":48224,"journal":{"name":"Journal of Safety Research","volume":"96 ","pages":"Pages 239-243"},"PeriodicalIF":4.4,"publicationDate":"2026-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145976299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-10DOI: 10.1016/j.jsr.2026.01.001
Toby C.T. Mak , Thomson W.L. Wong , Debbie C.L. Chan , Duo W.C. Wong , Shamay S.M. Ng
Introduction: Falls during walking contribute significantly to injuries in older adults, with gait instability being a key risk factor. While visual search behaviors are essential for safe navigation, their relationship to instability remains unclear. This study compared visual search behaviors during walking between community-dwelling older adults with and without a fall history and examined their association with gait instability. Methods: Seventy-four older adults (mean age: 70.7 ± 3.9 years; 37 fallers, 37 non-fallers) walked at a self-selected pace along an 8-m level-ground walkway for five trials. Gait stability was assessed by variability of spatial and temporal gait parameters, where greater variability reflects reduced stability. Visual search behaviors were assessed by the percentage of total fixations and the percentage of total fixation duration directed towards the ground (floor area of the walkway), the destination (end-point of the walkway), and random areas (non-task-relevant areas). Results: No significant differences in visual search behaviors were observed between groups. In fallers, greater variability of stride time was associated with greater percentages of the number of fixations on the ground (ρ = 0.348, p = 0.043), while greater variability of step width was associated with fewer percentages of the number of fixations (ρ = -0.464, p = 0.006) and fixation duration on the destination (ρ = -0.452, p = 0.007). These associations were not apparent in non-fallers. Conclusions: Despite similar visual search behaviors between older fallers and non-fallers, fallers exhibited unique associations between reduced visual scanning towards the destination and lateral instability (i.e., increased variability of step width) during walking—an effective predictor of falls. This suggests maladaptive visuomotor behaviors and compromised gait stability may be interrelated, collectively increasing fall injury risk in older fallers. Practical Applications: The observed associations suggest that visuomotor training could be explored in fall prevention programs to improve gait safety in older fallers. Future studies should investigate causality and evaluate efficacy in hazard-rich environments.
导读:老年人走路时跌倒是造成损伤的重要原因,步态不稳定是一个关键的危险因素。虽然视觉搜索行为对安全导航至关重要,但它们与不稳定性的关系尚不清楚。本研究比较了有和没有跌倒史的社区老年人行走时的视觉搜索行为,并研究了它们与步态不稳定的关系。方法:74名老年人(平均年龄:70.7±3.9岁;跌倒者37人,非跌倒者37人)以自行选择的速度沿着8米平地人行道进行5次试验。步态稳定性通过空间和时间步态参数的变异性来评估,变异性越大,稳定性越差。视觉搜索行为通过总注视的百分比和总注视持续时间的百分比来评估,这些注视指向地面(人行道的地板区域)、目的地(人行道的终点)和随机区域(与任务无关的区域)。结果:两组学生的视觉搜索行为无显著差异。在跌倒者中,步幅变异性越大,注视地面次数的百分比越高(ρ = 0.348, p = 0.043),步幅变异性越大,注视目的地次数的百分比越低(ρ = -0.464, p = 0.006),注视时间越长(ρ = -0.452, p = 0.007)。这些关联在非肥胖者中并不明显。结论:尽管老年跌倒者和非跌倒者的视觉搜索行为相似,但跌倒者在行走过程中向目的地的视觉扫描减少与侧向不稳定性(即步宽变异性增加)之间表现出独特的关联,这是跌倒的有效预测因子。这表明不适应的视觉运动行为和步态稳定性受损可能是相互关联的,共同增加了老年跌倒者跌倒损伤的风险。实际应用:观察到的关联表明,视觉运动训练可以在预防跌倒项目中进行探索,以改善老年跌倒者的步态安全。未来的研究应调查因果关系,并评估在危险多的环境中的疗效。
{"title":"Gait instability in community-dwelling older fallers: How visual search behaviors reveal hidden fall risk","authors":"Toby C.T. Mak , Thomson W.L. Wong , Debbie C.L. Chan , Duo W.C. Wong , Shamay S.M. Ng","doi":"10.1016/j.jsr.2026.01.001","DOIUrl":"10.1016/j.jsr.2026.01.001","url":null,"abstract":"<div><div><em>Introduction</em>: Falls during walking contribute significantly to injuries in older adults, with gait instability being a key risk factor. While visual search behaviors are essential for safe navigation, their relationship to instability remains unclear. This study compared visual search behaviors during walking between community-dwelling older adults with and without a fall history and examined their association with gait instability. <em>Methods:</em> Seventy-four older adults (mean age: 70.7 ± 3.9 years; 37 fallers, 37 non-fallers) walked at a self-selected pace along an 8-m level-ground walkway for five trials. Gait stability was assessed by variability of spatial and temporal gait parameters, where greater variability reflects reduced stability. Visual search behaviors were assessed by the percentage of total fixations and the percentage of total fixation duration directed towards the ground (floor area of the walkway), the destination (end-point of the walkway), and random areas (non-task-relevant areas). <em>Results:</em> No significant differences in visual search behaviors were observed between groups. In fallers, greater variability of stride time was associated with greater percentages of the number of fixations on the ground (ρ = 0.348, p = 0.043), while greater variability of step width was associated with fewer percentages of the number of fixations (ρ = -0.464, p = 0.006) and fixation duration on the destination (ρ = -0.452, p = 0.007). These associations were not apparent in non-fallers. <em>Conclusions:</em> Despite similar visual search behaviors between older fallers and non-fallers, fallers exhibited unique associations between reduced visual scanning towards the destination and lateral instability (i.e., increased variability of step width) during walking—an effective predictor of falls. This suggests maladaptive visuomotor behaviors and compromised gait stability may be interrelated, collectively increasing fall injury risk in older fallers. <em>Practical Applications:</em> The observed associations suggest that visuomotor training could be explored in fall prevention programs to improve gait safety in older fallers. Future studies should investigate causality and evaluate efficacy in hazard-rich environments.</div></div>","PeriodicalId":48224,"journal":{"name":"Journal of Safety Research","volume":"96 ","pages":"Pages 223-228"},"PeriodicalIF":4.4,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145924633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-01-10DOI: 10.1016/j.jsr.2026.01.004
Vadhul Krishnan Veerakumar, Chris Lee
Introduction: Traffic Signal Countdown Timer (TSCT) displays the remaining times of green, yellow, and red intervals at a traffic signal. While TSCT has widely been implemented in various countries, there is a lack of studies that comprehensively assess the effects of TSCT on traffic safety and efficiency using a simulation based on understanding of changes in driver behavior in different signal phases in the presence of TSCT. Methods: This study investigates the impacts of TSCT on traffic safety and efficiency at signalized intersections with high truck volume along the Huron Church Road in Windsor, Ontario, Canada. Driver behavior and traffic flow were simulated using PTV Vissim for the four scenarios − no-timer, Green Signal Countdown Timer (GSCT), Red Signal Countdown Timer (RSCT), and a combination of GSCT and RSCT (GSCT + RSCT). Based on the observational data from previous field studies, changes in driver behaviors in the presence of TSCT were replicated by dynamically adjusting the simulation parameters in different signal phases using Vissim-COM interface. Results: The Crash Potential Index (CPI) decreased by 37% while the speed of the road network increased by 6% in the GSCT + RSCT scenario compared to the no-timer scenario. The RSCT reduced the CPI more than the GSCT but did not significantly improve the traffic efficiency. The increase in speed near the intersection during the green phase was observed in the GSCT scenario, whereas smoother deceleration rate of approach vehicles during the red phase was observed in the RSCT scenario. Due to these changes, the average number of vehicles entering the intersection during the green phase in each cycle increased in the GSCT + RSCT scenario. Moreover, the TSCT helped cars avoid rear-end conflicts and increased truck speed. Practical Applications: Both GSCT and RSCT can be implemented to improve traffic safety and efficiency at signalized intersections.
{"title":"Assessing impacts of traffic signal countdown timers on safety and efficiency at signalized intersections","authors":"Vadhul Krishnan Veerakumar, Chris Lee","doi":"10.1016/j.jsr.2026.01.004","DOIUrl":"10.1016/j.jsr.2026.01.004","url":null,"abstract":"<div><div><em>Introduction:</em> Traffic Signal Countdown Timer (TSCT) displays the remaining times of green, yellow, and red intervals at a traffic signal. While TSCT has widely been implemented in various countries, there is a lack of studies that comprehensively assess the effects of TSCT on traffic safety and efficiency using a simulation based on understanding of changes in driver behavior in different signal phases in the presence of TSCT. <em>Methods:</em> This study investigates the impacts of TSCT on traffic safety and efficiency at signalized intersections with high truck volume along the Huron Church Road in Windsor, Ontario, Canada. Driver behavior and traffic flow were simulated using PTV Vissim for the four scenarios − no-timer, Green Signal Countdown Timer (GSCT), Red Signal Countdown Timer (RSCT), and a combination of GSCT and RSCT (GSCT + RSCT). Based on the observational data from previous field studies, changes in driver behaviors in the presence of TSCT were replicated by dynamically adjusting the simulation parameters in different signal phases using Vissim-COM interface. <em>Results:</em> The Crash Potential Index (CPI) decreased by 37% while the speed of the road network increased by 6% in the GSCT + RSCT scenario compared to the no-timer scenario. The RSCT reduced the CPI more than the GSCT but did not significantly improve the traffic efficiency. The increase in speed near the intersection during the green phase was observed in the GSCT scenario, whereas smoother deceleration rate of approach vehicles during the red phase was observed in the RSCT scenario. Due to these changes, the average number of vehicles entering the intersection during the green phase in each cycle increased in the GSCT + RSCT scenario. Moreover, the TSCT helped cars avoid rear-end conflicts and increased truck speed. <em>Practical Applications:</em> Both GSCT and RSCT can be implemented to improve traffic safety and efficiency at signalized intersections.</div></div>","PeriodicalId":48224,"journal":{"name":"Journal of Safety Research","volume":"96 ","pages":"Pages 229-238"},"PeriodicalIF":4.4,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145924632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"工程技术","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}