Objectives: This retrospective observational study utilized sociodemographic and neighborhood characteristics of child non-motorists (CNMs) involved in motor-vehicle crashes (MVCs) in Utah (2019–2021), examined neighborhood sociodemographic disparities of the aforementioned CNMs, and explored the differences in CNM incidence between highly vulnerable neighborhoods and other areas. Methods: All children less than 18 years old involved in a pedestrian, cyclist, or nonmotorized scooter/skater versus motor-vehicle crash in Utah from January 1, 2019 to December 31, 2021 were included in the study population. Characteristics of CNMs and associated MVCs were reported overall and compared by occupant types. Neighborhood Area Deprivation Index (ADI), Child Opportunity Index (COI), and Social Vulnerability Index (SVI) percentile scores and quintiles were compared between CNMs, child vehicle occupants (CVOs), and all Utah children. Annual CNM incidence was compared between highly vulnerable census tracts and other areas. All group comparisons were conducted using the Kruskal-Wallis tests, Wilcoxon rank-sum tests, and Chi-square tests, with p-values < 0.05 considered statistically significant. Results: A total of 1,055 MVCs involving 1,115 CNMs were included in the analysis. The majority of MVCs occurred in metropolitan areas, between September and May, on weekdays, and during typical work hours. Children were predominantly male and at least 10 years old. Neighborhoods of child pedestrians ranked higher across all three indices for sociodemographic disparities compared to neighborhoods of child cyclists (p = 0.002 for ADI; p < 0.001 for SVI/COI). A higher proportion of CNMs resided in the most deprived neighborhoods compared to CVOs and general children population. Higher CNM incidence was observed in tracts with greater vulnerability and lower opportunity levels. Conclusions: Significant differences in neighborhood sociodemographic disparities were observed across occupant types and between CNMs, CVOs, and all Utah children. This study underscores the need for multifaceted approaches to improve the safety of CNMs in Utah.
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