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The Relationship between Objectively Measured Walking and Risk of Pedestrian–Motor Vehicle Collision

Quistberg, D. Alex; Howard, Eric J.; Hurvitz, Philip M.; Moudon, Anne V.; Ebel, Beth E.; Rivara, Frederick P.; Saelens, Brian E. (2017). The Relationship between Objectively Measured Walking and Risk of Pedestrian–Motor Vehicle Collision. American Journal Of Epidemiology, 185(9), 810 – 821.

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Abstract

Safe urban walking environments may improve health by encouraging physical activity, but the relationship between an individual's location and walking pattern and the risk of pedestrian-motor vehicle collision is unknown. We examined associations between individuals' walking bouts and walking risk, measured as mean exposure to the risk of pedestrian-vehicle collision. Walking bouts were ascertained through integrated accelerometry and global positioning system data and from individual travel-diary data obtained from adults in the Travel Assessment and Community Study (King County, Washington) in 2008-2009. Walking patterns were superimposed onto maps of the historical probabilities of pedestrian-vehicle collisions for intersections and midblock segments within Seattle, Washington. Mean risk of pedestrian-vehicle collision in specific walking locations was assessed according to walking exposure (duration, distance, and intensity) and participant demographic characteristics in linear mixed models. Participants typically walked in areas with low pedestrian collision risk when walking for recreation, walking at a faster pace, or taking longer-duration walks. Mean daily walking duration and distance were not associated with collision risk. Males walked in areas with higher collision risk compared with females, while vehicle owners, residents of single-family homes, and parents of young children walked in areas with lower collision risk. These findings may suggest that pedestrians moderate collision risk by using lower-risk routes.

Keywords

Traffic Accidents; Confidence Intervals; Geographic Information Systems; Health Promotion; Maps; Research Funding; Walking; Accelerometry; Physical Activity; Data Analysis Software; Diary (literary Form); Descriptive Statistics; Risk Factors; Washington (state); Accidents; Environment Design; Global Positioning Systems; Pedestrians; Risk Assessment; Traffic; Physical-activity; Built Environment; Traffic Safety; Accident Risk; Injury Rates; Route-choice; Exposure; Gps; Travel; Accidents, Traffic

Framing the Question: Is Shrinking Good or Bad?

Moudon, Anne Vernez. (2019). Framing the Question: Is Shrinking Good or Bad? Journal Of Urban Design, 24(1), 66 – 68.

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Keywords

Urban Planning; Unemployment; Cost Of Living; Balance Of Trade; Medical Care; Economic Development; Demography; Decision Making; Framing

Association of Neighborhood Physical Activity Opportunities with Incident Cardiovascular Disease in the Cardiovascular Health Study

Garg, Parveen K.; Platt, Jonathan M.; Hirsch, Jana A.; Hurvitz, Philip; Rundle, Andrew; Biggs, Mary Lou; Psaty, Bruce M.; Moore, Kari; Lovasi, Gina S. (2021). Association of Neighborhood Physical Activity Opportunities with Incident Cardiovascular Disease in the Cardiovascular Health Study. Health & Place, 70.

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Abstract

We determined associations of cumulative exposures to neighborhood physical activity opportunities with risk of incident cardiovascular disease (CVD). We included 3595 participants from the Cardiovascular Health Study recruited between 1989 and 1993 (mean age = 73; 60% women; 11% black). Neighborhood environment measures were calculated using Geographic Information Systems (GIS) and annual information from the National Establishment Time Series database, including the density of (1) walking destinations and (2) physical activity/ recreational facilities in a 1- and 5-km radius around the respondent's home. Incident CVD was defined as the development of myocardial infarction, stroke, or cardiovascular death and associations with time to incident CVD were estimated using Cox proportional hazards models. A total of 1986 incident CVD cases occurred over a median follow-up of 11.2 years. After adjusting for baseline and time-varying individual and neighborhood-level confounding, a one standard deviation increase in walking destinations and physical activity/recreational facilities within 5 km of home was associated with a respective 7% (95% confidence interval (CI) = 0.87-0.99) and 12% (95% CI = 0.73-1.0) decreased risk of incident CVD. No significant associations were noted within a 1-km radius. Efforts to improve the availability of physical activity resources in neighborhoods may be an important strategy for lowering CVD.

Keywords

Cardiovascular Diseases; Physical Activity; Proportional Hazards Models; Geographic Information Systems; Recreation Centers; Built Environment; Cardiovascular Disease; Coronary-heart-disease; Census Tract Data; Older-adults; Longitudinal Associations; Risk; Resources; Time; Atherosclerosis; Survival

Urban Form Lab

The Urban Form Lab (UFL) research aims to affect policy and to support approaches to the design and planning of more livable environments. The UFL specializes in geospatial analyses of the built environment using multiple micro-scale data in Geographic Information Systems (GIS). Current research includes the development of novel GIS routines for performing spatial inventories and analyses of the built environment, and of spatially explicit sampling techniques. Projects address such topics as land monitoring, neighborhood and street design, active transportation, non-motorized transportation safety, physical activity, and access to food environments. 

Research at the UFL has been supported by the U.S. and Washington State Departments of Transportation, the Centers for Disease Control and Prevention, the Robert Wood Johnson Foundation, the National Institutes of Health, and local agencies.

The Urban Form Lab is directed by Anne Vernez Moudon, Dr es Sc, a leading researcher and educator in quantifying the properties of the built environment as related to health and transportation behaviors. Philip M. Hurvitz, PhD, a veteran of geographic information science and data processing, leads data management and GIS work.

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