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Health Place. 2011 Jul;17(4):902-10. doi: 10.1016/j.healthplace.2011.04.009. Epub 2011 May 7.

Neighborhood-level built environment and social characteristics associated with serious childhood motor vehicle occupant injuries.

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Division of Family Health, New York State Department of Health, 2162 Corning Tower, Albany, NY, USA.


The effect of residential neighborhood characteristics on a child's risk of serious motor vehicle traffic occupant injuries was evaluated in New York State, USA, for the years 1993-2003, with particular focus on the effect of neighborhood walkability. Risk increased significantly (p < 0.0001) with decreasing street connectivity and as more workers commuted more than 30 min using means other than public transportation, along with more single-parent households and less college attainment in the neighborhood, regardless of whether New York City was in the study. After adjusting for age, gender and socio-economic community factors, the apparent loss of walkability in a child's neighborhood increases their risk of serious injury as an occupant of a motor vehicle.

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