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1.
Traffic Inj Prev ; 23(1): 17-22, 2022.
Article in English | MEDLINE | ID: mdl-34813406

ABSTRACT

OBJECTIVES: Traffic crashes under low-visibility conditions are frequent and serious. The aim of this study was to investigate how the road environment affects the severity of pedestrian-vehicle and vehicle-vehicle collisions under low-visibility conditions. METHODS: The injury severity of pedestrian-vehicle collisions and vehicle-vehicle collisions under low-visibility conditions was set as the dependent variable and divided into 2 categories: "killed or severe injury collision" and "slight injury collision." Ten variables, including environment conditions, road traffic facility status, collision characteristics, and road attributes, were selected as independent factors according to the existing research and the traffic collision data set. Based on 656 valid pedestrian-vehicle collisions and 1,430 valid vehicle-vehicle collisions under low-visibility conditions, 2 random parameter logit models were established to evaluate the impacts of influencing factors on the severity of pedestrian-vehicle collisions and vehicle-vehicle collisions, in which the effect of unobserved heterogeneity was accounted for. RESULTS: The results show that visibility, presence of a roadside protection, road type, road pavement condition, and road alignment were significant factors affecting the severity of pedestrian-vehicle collisions. In addition, the presence of a median divider, location of the collision, road type, road surface condition, road pavement condition, and road alignment were significant factors affecting the severity of vehicle-vehicle collisions. Furthermore, the injury severity of both pedestrian-vehicle collisions and vehicle-vehicle collisions under low-visibility conditions on highways, poor road pavement, and non-straight-line sections was more likely to be fatal or serious. CONCLUSION: These results have implications for the design of more effective strategies to reduce casualties from traffic crashes under low-visibility conditions.


Subject(s)
Pedestrians , Wounds and Injuries , Accidents, Traffic/prevention & control , Humans , Logistic Models , Risk Factors , Wounds and Injuries/epidemiology
2.
J Safety Res ; 70: 135-147, 2019 09.
Article in English | MEDLINE | ID: mdl-31847989

ABSTRACT

BACKGROUND: In China, despite the decrease in average road traffic fatalities per capita, the fatality rate and injury rate have been increasing until 2015. PURPOSE: This study aims to analyze the road traffic accident severity in China from a macro viewpoint and various aspects and illuminate several key causal factors. From these analyses, we propose possible countermeasures to reduce accident severity. METHOD: The severity of traffic accidents is measured by human damage (HD) and case fatality rate (CFR). Different categorizations of national road traffic census data are analyzed to evaluate the severity of different types of accidents and further to demonstrate the key factors that contribute to the increase in accident severity. Regional data from selected major municipalities and provinces are also compared with national traffic census data to verify data consistency. RESULTS: From 2000 to 2016, the overall CFR and HD of road accidents in China have increased by 19.0% and 63.7%, respectively. In 2016, CFR of freight vehicles is 33.5% higher than average; late-night accidents are more fatal than those that occur at other periods. The speeding issue is severely becoming worse. In 2000, its CFR is only 5.3% higher than average, while in 2016, the number is 42.0%. Conclusion and practical implementation: A growing trend of accident severity was found to be contrasting to the decline of road traffic accidents. From the analysis of casual factors, it was confirmed that the release way of the impact energy and the protection worn by the victims are key variables contributing to the severity of road traffic accidents.


Subject(s)
Accidents, Traffic/statistics & numerical data , Mortality/trends , Accidents, Traffic/mortality , China , Humans , Motor Vehicles
3.
Lancet ; 390(10104): 1781-1791, 2017 Oct 14.
Article in English | MEDLINE | ID: mdl-29047445

ABSTRACT

Transportation-related risk factors are a major source of morbidity and mortality in China, where the expansion of road networks and surges in personal vehicle ownership are having profound effects on public health. Road traffic injuries and fatalities have increased alongside increased use of motorised transport in China, and accident injury risk is aggravated by inadequate emergency response systems and trauma care. National air quality standards and emission control technologies are having a positive effect on air quality, but persistent air pollution is increasingly attributable to a growing and outdated vehicle fleet and to famously congested roads. Urban design favours motorised transport, and physical activity and its associated health benefits are hindered by poor urban infrastructure. Transport emissions of greenhouse gases contribute substantially to regional and global climate change, which compound public health risks from multiple factors. Despite these complex challenges, technological advances and innovations in planning and policy stand to make China a leader in sustainable, healthy transportation.


Subject(s)
Accidents, Traffic/prevention & control , Accidents, Traffic/statistics & numerical data , Emergency Medical Services/organization & administration , Public Health , Accidents, Traffic/mortality , Air Pollution/adverse effects , Automobiles , China/epidemiology , City Planning , Climate Change , Environmental Exposure/adverse effects , Humans , Safety , Transportation , Vehicle Emissions/prevention & control , Vehicle Emissions/toxicity
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