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The influence of crossing controls and crossing location on severity of injury

among urban pedestrians

Article in Injury Prevention · September 2010

DOI: 10.1136/ip.2010.029215.394

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Linda Rothman Andrew Howard

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IP Safety 2010 abstracts

0394 THE INFLUENCE OF CROSSING CONTROLS AND

CROSSING LOCATION ON SEVERITY OF INJURY AMONG
URBAN PEDESTRIANS
L Rothman*, A Howard Correspondence: Hospital for Sick Children, 555 University
Avenue, Toronto, Ontario, M5G 1X8, Canada

10.1136/ip.2010.029215.394

Background Pedestrian injuries impose a significant burden

on society, particularly in urban environments. The objec-
tive of this study was to determine the relationship between
severity of pedestrian injury and presence of crossing con-
trols at intersections and midblock locations in a large urban
centre.
Methods The data were obtained from the City of Toronto’s
Traffic Data Centre and Safety Bureau. All police-reported
motor vehicle collisions involving pedestrians between 1
January 2000 and 31 December 2005 were included. Logistic
regression was used to assess the relationship between injury
severity and the location of the collision.
Results There were 98.6/100 000 motor vehicle versus pedes-
trian collisions. 11/100 000 of these collisions resulted in severe
injury and 1.4/100 000 resulted in fatal injury. At intersections,
absence of a crossing control conferred a 1.8 greater odds of
severe injury and a four times greater odds of fatal injury com-
pared to where controls were present. At midblock locations,
crossing controls did not reduce the odds of a severe or fatal
injury; there was a 1.5 times greater odds of either severe/fatal
injury at midblock locations compared to intersections with
crossing controls.
Discussion More intersection crossing controls would decrease
the severity of pedestrian injury by slowing down traffic.
Midblock crossing controls do not appear to have the same
effect. There were 86 fatalities which occurred at uncontrolled
midblock locations and overall, midblock fatalities represented
44% of all fatal pedestrian collisions. Effective strategies to deal
with pedestrian midblock collisions are essential, considering
the large injury burden these collisions represent.

A110 Injury Prevention 2010;16(Suppl 1):A1–A289

 Downloaded from http://injuryprevention.bmj.com/ on August 23, 2015 - Published by group.bmj.com

The influence of crossing controls and

crossing location on severity of injury among
urban pedestrians
L Rothman and A Howard

Inj Prev 2010 16: A110

doi: 10.1136/ip.2010.029215.394

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