Olsen Jonathan R, Mitchell Richard, Mackay Daniel F, Humphreys David K, Ogilvie David
Centre for Research on Environment, Society and Health, Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK.
Institute of Health and Wellbeing, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.
J Epidemiol Community Health. 2016 Nov;70(11):1088-1095. doi: 10.1136/jech-2016-207378. Epub 2016 Jun 8.
The M74 motorway extension, Glasgow, opened in June 2011. One justification for construction was an expectation that it would reduce road traffic accidents (RTAs) on local non-motorway roads. This study evaluated the impact of the extension on the number of RTAs, stratifying by accident severity.
Data for the period 1997-2014 were extracted from a UK database of reported RTAs involving a personal injury. RTA severity was defined by the level of injury: minor, severe or fatal. RTAs were assigned to (1) the local area surrounding the motorway extension, (2) a comparator area surrounding an existing motorway or (3) a control area elsewhere in the conurbation. Interrupted time-series regression with autoregressive integrated moving average (ARIMA) errors was used to determine longitudinal between-area differences in change in the number of RTAs, which might indicate an intervention effect.
Glasgow and surrounding local authorities saw a 50.6% reduction in annual RTAs (n: 5901 to 2914) between 1997 and 2014. In the intervention area, the number of recorded RTAs decreased by 50.7% (n: 758 to 374), and that of fatal/severe RTAs by 57.4% (n: 129 to 55), with similar reductions in the comparator/control areas. The interrupted time-series analysis showed no significant between-area differences in temporal trends. The reduction of pedestrian casualties was attenuated in the intervention area relative to Glasgow and surrounding authorities.
Reduction in RTAs was not associated with the motorway extension. Our findings suggest that in planning future investment, it should not be taken for granted that new road infrastructure alone will reduce RTAs in local areas. Urbanisation is proceeding rapidly worldwide, and evidence of infrastructure changes is lacking; this novel study provides important findings for future developments.
M74高速公路延长线于2011年6月在格拉斯哥开通。建设该延长线的一个理由是期望它能减少当地非高速公路道路上的道路交通事故(RTA)。本研究评估了该延长线对道路交通事故数量的影响,并按事故严重程度进行分层。
从英国一个报告涉及人身伤害的道路交通事故数据库中提取了1997 - 2014年期间的数据。道路交通事故严重程度由伤害程度定义:轻微、严重或致命。道路交通事故被分为(1)高速公路延长线周边的局部区域,(2)现有高速公路周边的对照区域,或(3)城市其他地方的控制区域。采用带有自回归积分移动平均(ARIMA)误差的中断时间序列回归来确定道路交通事故数量变化的纵向区域间差异,这可能表明存在干预效果。
1997年至2014年期间,格拉斯哥及周边地方当局的年度道路交通事故数量减少了50.6%(从5901起降至2914起)。在干预区域,记录的道路交通事故数量减少了50.7%(从758起降至374起),致命/严重道路交通事故数量减少了57.4%(从129起降至55起),对照/控制区域也有类似程度的减少。中断时间序列分析显示,各区域间在时间趋势上没有显著差异。相对于格拉斯哥及周边当局,干预区域内行人伤亡的减少幅度有所减弱。
道路交通事故的减少与高速公路延长线无关。我们的研究结果表明,在规划未来投资时,不应想当然地认为仅靠新的道路基础设施就能减少当地的道路交通事故。全球城市化进程正在迅速推进,且缺乏基础设施变化的相关证据;这项新研究为未来发展提供了重要发现。