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      Spatial distribution of roadway environment features related to child pedestrian safety by census tract income in Toronto, Canada

      , , , , ,
      Injury Prevention
      BMJ

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          Abstract

          Background

          Investments in traffic calming infrastructure and other street design features can enhance pedestrian safety as well as contribute to the ‘walkability’ of neighbourhoods. Pedestrian–motor vehicle collisions (PMVCs) in urban areas, however, remain common and occur more frequently in lower income neighbourhoods. While risk and protective features of roadways related to PMVC have been identified, little research exists examining the distribution of roadway environment features. This study examined the relationship between roadway environment features related to child pedestrian safety and census tract income status in Toronto.

          Methods

          Spatial cluster detection based on 2006 census tract data identified low-income and high-income census tract clusters in Toronto. Police-reported PMVC data involving children between the ages of 5 and 14 years were mapped using geographical information system. Also mapped were roadway environment features (densities of speed humps, crossing guards, local roads, one-way streets and missing sidewalks). Multivariate logistic regression was used to examine the relationship between roadway environment features (independent variables) and cluster income status (dependent variable), controlling for child census tract population.

          Results

          There were significantly fewer speed humps and local roads in low-income versus high-income clusters. Child PMVC rates were 5.4 times higher in low-income versus high-income clusters.

          Conclusion

          Socioeconomic inequities in the distribution of roadway environment features related to child pedestrian safety have policy and process implications related to the safety of child pedestrians in urban neighbourhoods.

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          Most cited references37

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          Local Indicators of Spatial Association-LISA

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            Income disparities in perceived neighborhood built and social environment attributes.

            The present study explored whether perceived neighborhood environmental attributes associated with physical activity differ by neighborhood income. Adults aged 20-65 years (n=2199; 48% female; mean age=45 years; 26% ethnic minority) were recruited from 32 neighborhoods from the Seattle, WA and Baltimore, MD regions that varied in objectively measured walkability and neighborhood income. Perceived built and social environment variables were assessed with the Neighborhood Environment Walkability Scale. There were neighborhood income disparities on 10 of 15 variables. Residents from high-income neighborhoods reported more favorable esthetics, pedestrian/biking facilities, safety from traffic, safety from crime, and access to recreation facilities than residents of low-income areas (all p's <0.001). Low-income neighborhoods may lack amenities and safety attributes that can facilitate high levels of physical activity for both transportation and recreation purposes. Copyright © 2011. Published by Elsevier Ltd.
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              Walkability and safety around elementary schools economic and ethnic disparities.

              Children's physical inactivity and obesity are growing public health problems in the U.S., especially among low-income, minority populations. Walking to school may help address these problems. This cross-sectional study examined disparities in the environmental support for walking around 73 public elementary schools in Austin TX. GIS was used to measure the neighborhood-level walkability and safety. Field audits were conducted to assess the street-level walkability. Analyses of variance and regressions were performed to analyze economic and ethnic disparities. For the top-quartile schools with higher poverty or Hispanic student percentages, the surroundings showed higher neighborhood-level walkability with shorter distances to school and more sidewalks compared with the bottom quartile. These areas, however, also had higher crash and crime rates and lower street-level walkability captured by visual quality, physical amenities, maintenance, and perceived safety. In predictions of environmental conditions using poverty and Hispanic student percentages, poverty was associated with many adverse conditions on the street level and with only two favorable situations, shorter distances to school and lower traffic volumes, on the neighborhood level. The Hispanic student percentage did not correlate with most street-level variables, but predicted both increased dangers from traffic and crime and higher neighborhood-level walkability with more sidewalks, greater density, and mixed land uses. Economic and ethnic disparities exist in the environmental support for walking, suggesting the need for tailored interventions in promoting active living. Low-income, Hispanic children are more likely to live in unsafe areas with poor street environments but with some favorable neighborhood-level conditions.
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                Author and article information

                Contributors
                (View ORCID Profile)
                Journal
                Injury Prevention
                Inj Prev
                BMJ
                1353-8047
                1475-5785
                May 20 2020
                June 2020
                June 2020
                April 01 2019
                : 26
                : 3
                : 229-233
                Article
                10.1136/injuryprev-2018-043125
                30936120
                22f6c521-41fd-4afb-ad00-cee5491c9548
                © 2019
                History

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