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Discover Pediatric Collections on COVID-19 and Racism and Its Effects on Pediatric Health

American Academy of Pediatrics
Article

Effectiveness of a Safe Routes to School Program in Preventing School-Aged Pedestrian Injury

Charles DiMaggio and Guohua Li
Pediatrics February 2013, 131 (2) 290-296; DOI: https://doi.org/10.1542/peds.2012-2182
Charles DiMaggio
aDepartment of Anesthesiology, Columbia University College of Physicians and Surgeons, New York, New York;
bDepartment of Epidemiology, Mailman School of Public Health, New York, New York; and
cCenter for Injury Epidemiology and Prevention, Columbia University Medical Center, New York, New York
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Guohua Li
aDepartment of Anesthesiology, Columbia University College of Physicians and Surgeons, New York, New York;
bDepartment of Epidemiology, Mailman School of Public Health, New York, New York; and
cCenter for Injury Epidemiology and Prevention, Columbia University Medical Center, New York, New York
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Abstract

Background: In 2005, the US Congress allocated $612 million for a national Safe Routes to School (SRTS) program to encourage walking and bicycling to schools. We analyzed motor vehicle crash data to assess the effectiveness of SRTS interventions in reducing school-aged pedestrian injury in New York City.

Methods: Using geocoded motor vehicle crash data for 168 806 pedestrian injuries in New York City between 2001 and 2010, annual pedestrian injury rates per 10 000 population were calculated for different age groups and for census tracts with and without SRTS interventions during school-travel hours (defined as 7 am to 9 am and 2 pm to 4 pm, Monday through Friday during September through June).

Results: During the study period, the annual rate of pedestrian injury decreased 33% (95% confidence interval [CI]: 30 to 36) among school-aged children (5- to 19-year-olds) and 14% (95% CI: 12 to 16) in other age groups. The annual rate of school-aged pedestrian injury during school-travel hours decreased 44% (95% CI: 17 to 65) from 8.0 injuries per 10 000 population in the preintervention period (2001–2008) to 4.4 injuries per 10 000 population in the postintervention period (2009–2010) in census tracts with SRTS interventions. The rate remained virtually unchanged in census tracts without SRTS interventions (0% [95% CI: –8 to 8]).

Conclusions: Implementation of the SRTS program in New York City has contributed to a marked reduction in pedestrian injury in school-aged children.

KEY WORDS
  • environment and public health
  • injuries
  • motor vehicles
  • prevention and control
  • Abbreviations:
    CI —
    confidence interval
    DOT —
    Department of Transportation
    SRTS —
    Safe Routes to School
    • Accepted October 16, 2012.
    • Copyright © 2013 by the American Academy of Pediatrics

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    Pediatrics
    Vol. 131, Issue 2
    1 Feb 2013
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    Effectiveness of a Safe Routes to School Program in Preventing School-Aged Pedestrian Injury
    Charles DiMaggio, Guohua Li
    Pediatrics Feb 2013, 131 (2) 290-296; DOI: 10.1542/peds.2012-2182

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    Effectiveness of a Safe Routes to School Program in Preventing School-Aged Pedestrian Injury
    Charles DiMaggio, Guohua Li
    Pediatrics Feb 2013, 131 (2) 290-296; DOI: 10.1542/peds.2012-2182
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