Case Study of Crash Severity Spatial Pattern Identification in Hot Spot Analysis

Author(s):  
Myungwoo Lee ◽  
Aemal J. Khattak

Traffic crash hot spot analyses allow identification of roadway segments that may be of safety concern. Understanding geographic patterns of existing motor vehicle crashes is one of the primary steps for geostatistical-based hot spot analysis. Much of the current literature, however, has not paid particular attention to differentiating among cluster types based on crash severity levels. This study aims at building a framework for identifying significant spatial clustering patterns characterized by crash severity and analyzing identified clusters quantitatively. A case study using an integrated method of network-based local spatial autocorrelation and the Kernel density estimation method revealed a strong spatial relationship between crash severity clusters and geographic regions. In addition, the total aggregated distance and the density of identified clusters obtained from density estimation allowed a quantitative analysis for each cluster. The contribution of this research is incorporating crash severity into hot spot analysis thereby allowing more informed decision making with respect to highway safety.

2021 ◽  
Author(s):  
Benjamin Lieberman ◽  
Roy Gusinow ◽  
Ali Asgary ◽  
Nicola Luigi Bragazzi ◽  
Nalomotse Choma ◽  
...  

Author(s):  
Bahar Dadashova ◽  
Chiara Silvestri-Dobrovolny ◽  
Jayveersinh Chauhan ◽  
Marcie Perez ◽  
Roger Bligh

2017 ◽  
Author(s):  
Joong-Won Jeon ◽  
Jaewan Song ◽  
Jeong-Lim Kim ◽  
Seongyul Park ◽  
Seung-Hune Yang ◽  
...  

BMJ Open ◽  
2020 ◽  
Vol 10 (5) ◽  
pp. e037195
Author(s):  
Piotr Wilk ◽  
Shehzad Ali ◽  
Kelly K Anderson ◽  
Andrew F Clark ◽  
Martin Cooke ◽  
...  

ObjectiveThe objective of this study is to examine the magnitude and pattern of small-area geographic variation in rates of preventable hospitalisations for ambulatory care-sensitive conditions (ACSC) across Canada (excluding Québec).Design and settingA cross-sectional study conducted in Canada (excluding Québec) using data from the 2006 Canadian Census Health and Environment Cohort (CanCHEC) linked prospectively to hospitalisation records from the Discharge Abstract Database (DAD) for the three fiscal years: 2006–2007, 2007–2008 and 2008–2009.Primary outcome measurePreventable hospitalisations (ACSC).ParticipantsThe 2006 CanCHEC represents a population of 22 562 120 individuals in Canada (excluding Québec). Of this number, 2 940 150 (13.03%) individuals were estimated to be hospitalised at least once during the 2006–2009 fiscal years.MethodsAge-standardised annualised ACSC hospitalisation rates per 100 000 population were computed for each of the 190 Census Divisions. To assess the magnitude of Census Division-level geographic variation in rates of preventable hospitalisations, the global Moran’s I statistic was computed. ‘Hot spot’ analysis was used to identify the pattern of geographic variation.ResultsOf all the hospitalisation events reported in Canada during the 2006–2009 fiscal years, 337 995 (7.10%) events were ACSC-related hospitalisations. The Moran’s I statistic (Moran’s I=0.355) suggests non-randomness in the spatial distribution of preventable hospitalisations. The findings from the ‘hot spot’ analysis indicate a cluster of Census Divisions located in predominantly rural and remote parts of Ontario, Manitoba and Saskatchewan and in eastern and northern parts of Nunavut with significantly higher than average rates of preventable hospitalisation.ConclusionThe knowledge generated on the small-area geographic variation in preventable hospitalisations can inform regional, provincial and national decision makers on planning, allocation of resources and monitoring performance of health service providers.


BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e038342
Author(s):  
Jennifer Salinas ◽  
Jacquelyn Brito ◽  
Cheyenne Rincones ◽  
Navkiran K Shokar

ObjectiveThis study examines the geographical and socioeconomic factors associated with uptake of colorectal cancer (CRC) screening (colonoscopies or faecal immunochemical test (FIT) testing).DesignSecondary data analysis.SettingThe Against Colorectal Cancer in our Community (ACCION) programme was implemented in El Paso County, Texas, to increase screening rates among the uninsured and underinsured.ParticipantsWe successfully geocoded 5777 who were offered a free colonoscopy or FIT testing kit.Primary outcome measureCensus-tract CRC screening uptake average.ResultsMedicare recipient mortality (β=0.409, p-value=0.049) and % 65 years or older (β=−0.577, p value=0.000) were significant census tract contextual factors that were associated with the prevalence of CRC screening uptake in the geographically weighted Poisson regression. Neither Latino ethnicity nor immigrant concentration were significant predictors of CRC screening uptake in the ACCION programme. Hot spot analysis demonstrated that there was a significant low-value cluster in South Central El Paso. There was a similar hot spot for % 65 years or older in this same area, suggesting that uptake was lowest in an area that had the highest concentration of older adults.ConclusionThe results from this study revealed not only feasibility of hot spot analysis but also its utility in geographically tracking successful CRC screening uptake in cancer prevention and intervention programmes.


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