Division of Emergency Medicine, Department of Pediatrics, Nationwide Children's Hospital, Columbus, OH, United States.
Department of Biostatistics, Nanjing Medical University, Nanjing, Jiangsu, China.
Front Public Health. 2023 Aug 21;11:1183997. doi: 10.3389/fpubh.2023.1183997. eCollection 2023.
This study aimed to evaluate the rate of pediatric emergency department (ED) visits for pedestrian injuries in relation to the enactment of the Complete Streets policy.
The National Complete Streets policies were codified by county and associated with each hospital's catchment area and date of enactment. Pedestrian injury-related ED visits were identified across 40 children's hospitals within the Pediatric Health Information System (PHIS) from 2004 to 2014. We calculated the proportion of the PHIS hospitals' catchment areas covered by any county policy. We used a generalized linear model to assess the impact of the proportion of the policy coverage on the rate of pedestrian injury-related ED visits.
The proportion of the population covered by Complete Streets policies increased by 23.9%, and pedestrian injury rates at PHIS hospitals decreased by 29.8% during the study period. After controlling for years, pediatric ED visits for pedestrian injuries did not change with increases in the PHIS catchment population with enacted Complete Streets policies.
After accounting for time trends, Complete Streets policy enactment was not related to observed changes in ED visits for pedestrian injuries at PHIS hospitals.
本研究旨在评估与全面街道政策颁布相关的儿科急诊就诊率（ED），评估行人受伤情况。
国家全面街道政策由县进行编码，并与每家医院的集水区和颁布日期相关联。行人受伤相关的 ED 就诊通过儿童健康信息系统（PHIS）中的 40 家儿童医院进行识别，时间跨度为 2004 年至 2014 年。我们计算了 PHIS 医院集水区内覆盖任何县政策的比例。我们使用广义线性模型来评估政策覆盖比例对行人受伤相关 ED 就诊率的影响。
在研究期间，全面街道政策覆盖的人口比例增加了 23.9%，PHIS 医院的行人受伤率下降了 29.8%。在控制年份后，PHIS 集水区内实施全面街道政策的人口增加，并未导致儿科 ED 就诊行人受伤率发生变化。
在考虑时间趋势后，全面街道政策的颁布与 PHIS 医院行人受伤 ED 就诊率的观察变化无关。
