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Zewdie HY, Sarmiento OL, Pinzón JD, Wilches-Mogollon MA, Arbelaez PA, Baldovino-Chiquillo L, Hidalgo D, Guzman LA, Mooney SJ, Nguyen QC, Tasdizen T, Quistberg DA. Road Traffic Injuries and the Built Environment in Bogotá, Colombia, 2015-2019: A Cross-Sectional Analysis. J Urban Health 2024:10.1007/s11524-024-00842-2. [PMID: 38589673 DOI: 10.1007/s11524-024-00842-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/15/2024] [Indexed: 04/10/2024]
Abstract
Nine in 10 road traffic deaths occur in low- and middle-income countries (LMICs). Despite this disproportionate burden, few studies have examined built environment correlates of road traffic injury in these settings, including in Latin America. We examined road traffic collisions in Bogotá, Colombia, occurring between 2015 and 2019, and assessed the association between neighborhood-level built environment features and pedestrian injury and death. We used descriptive statistics to characterize all police-reported road traffic collisions that occurred in Bogotá between 2015 and 2019. Cluster detection was used to identify spatial clustering of pedestrian collisions. Adjusted multivariate Poisson regression models were fit to examine associations between several neighborhood-built environment features and rate of pedestrian road traffic injury and death. A total of 173,443 police-reported traffic collisions occurred in Bogotá between 2015 and 2019. Pedestrians made up about 25% of road traffic injuries and 50% of road traffic deaths in Bogotá between 2015 and 2019. Pedestrian collisions were spatially clustered in the southwestern region of Bogotá. Neighborhoods with more street trees (RR, 0.90; 95% CI, 0.82-0.98), traffic signals (0.89, 0.81-0.99), and bus stops (0.89, 0.82-0.97) were associated with lower pedestrian road traffic deaths. Neighborhoods with greater density of large roads were associated with higher pedestrian injury. Our findings highlight the potential for pedestrian-friendly infrastructure to promote safer interactions between pedestrians and motorists in Bogotá and in similar urban contexts globally.
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Affiliation(s)
- Hiwot Y Zewdie
- Department of Epidemiology, University of Washington School of Public Health, University of Washington, Seattle, WA, USA.
| | | | - Jose David Pinzón
- Department of Architecture, Pontifica Universidad Javeriana, Bogotá, Colombia
| | - Maria A Wilches-Mogollon
- School of Medicine, Universidad de los Andes, Bogotá, Colombia
- Department of Industrial Engineering, School of Engineering, Universidad de Los Andes, Bogotá, Colombia
| | - Pablo Andres Arbelaez
- Center for Research and Formation in Artificial Intelligence, Universidad de los Andes, Bogotá, Colombia
| | | | - Dario Hidalgo
- Department of Industrial Engineering, Pontifica Universidad Javeriana, Bogotá, Colombia
| | - Luis Angel Guzman
- Grupo de Sostenibilidad Urbana y Regional, SUR, Department of Civil and Environmental Engineering, School of Engineering, Universidad de Los Andes, Bogotá, Colombia
| | - Stephen J Mooney
- Department of Epidemiology, University of Washington School of Public Health, University of Washington, Seattle, WA, USA
| | - Quynh C Nguyen
- Department of Epidemiology and Biostatistics, University of Maryland School of Public Health, College Park, MD, USA
| | - Tolga Tasdizen
- Department of Electrical and Computer Engineering, University of Utah, Salt Lake City, UT, USA
- Scientific Computing and Imaging Institute, University of Utah, Salt Lake City, UT, USA
| | - D Alex Quistberg
- Department of Environmental and Occupational Health, Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA
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Lemoine PD, Sarmiento OL, Pinzón JD, Meisel JD, Montes F, Hidalgo D, Pratt M, Zambrano JM, Cordovez JM, Zarama R. TransMilenio, a Scalable Bus Rapid Transit System for Promoting Physical Activity. J Urban Health 2016. [PMID: 26883031 DOI: 10.1007/s11524-015-0019-41] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/14/2023]
Abstract
Transport systems can play an important role in increasing physical activity (PA). Bogotá has been recognized for its bus rapid transit (BRT) system, TransMilenio (TM). To date, BRTs have been implemented in over 160 cities worldwide. The aim of this study was to assess the association between PA and the use of TM among adults in Bogotá. The study consists of a cross-sectional study conducted from 2010 to 2011 with 1000 adults. PA was measured using the International Physical Activity Questionnaire. In a subsample of 250 adults, PA was objectively measured using ActiGraph accelerometers. Analyses were conducted using multilevel logistic regression models. The use of TM was associated with meeting moderate-to-vigorous PA (MVPA). TM users were more likely to complete an average of >22 min a day of MVPA (odds ratio [OR] = 3.1, confidence interval [CI] = 95 % 1.4-7.1) and to walk for transportation for ≥150 min per week (OR = 1.5; CI = 95 % 1.1-2.0). The use of TM was associated with 12 or more minutes of MVPA (95 % CI 4.5-19.4, p < 0.0001). Associations between meeting PA recommendations and use of TM did not differ by socioeconomic status (p value = 0.106) or sex (p value = 0.288). The use of TM is a promising strategy for enhancing public health efforts to reduce physical inactivity through walking for transport. Given the expansion of BRTs, these results could inform the development of transport PA programs in low- to high-income countries.
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Affiliation(s)
- Pablo D Lemoine
- Department of Industrial Engineering, Faculty of Engineering, CeiBA Complex Systems Research Center, Universidad de los Andes, Bogotá, Colombia
| | - Olga L Sarmiento
- Department of Public Health, School of Medicine, CeiBA Complex Systems Research Center, Universidad de los Andes, Carrera 3 #18A-10, Bogotá, Colombia.
| | - Jose David Pinzón
- Faculty of Art and Design, Universidad Jorge Tadeo Lozano, Bogotá D.C., Colombia
| | - Jose D Meisel
- Department of Industrial Engineering, Faculty of Engineering, CeiBA Complex Systems Research Center, Universidad de los Andes, Bogotá, Colombia
| | - Felipe Montes
- Department of Industrial Engineering, Faculty of Engineering, CeiBA Complex Systems Research Center, Universidad de los Andes, Bogotá, Colombia
| | - Dario Hidalgo
- EMBARQ, The WRI Center for Sustainable Transport, Washington, DC, USA
| | - Michael Pratt
- Department of Public Health, School of Medicine, CeiBA Complex Systems Research Center, Universidad de los Andes, Carrera 3 #18A-10, Bogotá, Colombia
| | - Juan Manuel Zambrano
- Department of Public Health, School of Medicine, CeiBA Complex Systems Research Center, Universidad de los Andes, Carrera 3 #18A-10, Bogotá, Colombia
| | | | - Roberto Zarama
- Department of Industrial Engineering, Faculty of Engineering, CeiBA Complex Systems Research Center, Universidad de los Andes, Bogotá, Colombia
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