Mariana Teixeira da Silva, Pedro Henrique Iora, Miyoko Massago, Amanda de Carvalho Dutra, Júlia Loverde Gabella, Lincoln Luís Silva, Fernanda Shizue Nishida Carignano, Eniuce Menezes de Souza, Armstrong Mbi Obale, João Ricardo Nickenig Vissoci, Anjni Patel Joiner, Catherine Ann Staton, Oscar Kenji Nihei, Luciano de Andrade
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Built environment influence on the incidence of elderly pedestrian collisions in a medium-large city in southern Brazil: a spatial analysis.
Trauma disproportionately affects vulnerable road users, especially the elderly. We analyzed the spatial distribution of elderly pedestrians struck by vehicles in the urban area of Maringa city, from 2014 to 2018. Hotspots were obtained by kernel density estimation and wavelet analysis. The relationship between spatial relative risks (RR) of elderly run-overs and the built environment was assessed through Qualitative Comparative Analysis (QCA). Incidents were more frequent in the central and southeast regions of the city, where the RR was up to 2.58 times higher. The QCA test found a significant association between elderly pedestrian victims and the presence of traffic lights, medical centers/hospitals, roundabouts and schools. There is an association between higher risk of elderly pedestrians collisions and specific elements of built environments in Maringa, providing fundamental data to help guide public policies to improve urban mobility aimed at protecting vulnerable road users and planning an age-friendly city.
期刊介绍：
International Journal of Injury Control and Safety Promotion (formerly Injury Control and Safety Promotion) publishes articles concerning all phases of injury control, including prevention, acute care and rehabilitation. Specifically, this journal will publish articles that for each type of injury: •describe the problem •analyse the causes and risk factors •discuss the design and evaluation of solutions •describe the implementation of effective programs and policies The journal encompasses all causes of fatal and non-fatal injury, including injuries related to: •transport •school and work •home and leisure activities •sport •violence and assault
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