Pediatric emergency department visits for pedestrian injuries in relation to the enactment of Complete Streets policy

Frontiers in Public Health

Public Health

Jingzhen Yang¹  Honggang Yi²  Jordee M. Wells³  Julie C. Leonard⁴  Alex Quistberg⁵  Stephen J. Mooney⁶ 

[1] Center for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, United States;Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, United States;Department of Biostatistics, Nanjing Medical University, Nanjing, Jiangsu, China;Center for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, United States;Division of Emergency Medicine, Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH, United States;Division of Emergency Medicine, Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH, United States;Center for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, United States;Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, United States;Environmental and Occupational Health, Dornslife School of Public Health, Drexel University, Philadelphia, PA, United States;Harborview Injury Prevention and Research Center, University of Washington, Seattle, WA, United States;

关键词: pedestrian injury;    active transport policy;    Complete Streets;    emergency department visits;    public health;   

DOI  :  10.3389/fpubh.2023.1183997

 received in 2023-03-10, accepted in 2023-07-25,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionThis study aimed to evaluate the rate of pediatric emergency department (ED) visits for pedestrian injuries in relation to the enactment of the Complete Streets policy.MethodsThe National Complete Streets policies were codified by county and associated with each hospital's catchment area and date of enactment. Pedestrian injury-related ED visits were identified across 40 children's hospitals within the Pediatric Health Information System (PHIS) from 2004 to 2014. We calculated the proportion of the PHIS hospitals' catchment areas covered by any county policy. We used a generalized linear model to assess the impact of the proportion of the policy coverage on the rate of pedestrian injury-related ED visits.ResultsThe proportion of the population covered by Complete Streets policies increased by 23.9%, and pedestrian injury rates at PHIS hospitals decreased by 29.8% during the study period. After controlling for years, pediatric ED visits for pedestrian injuries did not change with increases in the PHIS catchment population with enacted Complete Streets policies.ConclusionAfter accounting for time trends, Complete Streets policy enactment was not related to observed changes in ED visits for pedestrian injuries at PHIS hospitals.

【 授权许可】

Unknown   
Copyright © 2023 Wells, Yi, Yang, Mooney, Quistberg and Leonard.