Estimate of the Safety Effect of All-Way Stop Control Conversion in Washington, DC

Author(s):  
Zuxuan Deng ◽  
Sergiy Kyrychenko ◽  
Taylor Lee ◽  
Richard Retting

This study evaluated safety effects associated with converting traditional stop control (TSC) to all-way stop control (AWSC) at 53 intersections in Washington, DC. The study utilized an observational treatment group and a randomly selected comparison group. Negative binomial regression modeling was used to estimate the effect of AWSC conversion on crash outcomes, control for confounding factors, and check its statistical significance. The study also examined potential covariates that could influence AWSC crash outcomes, such as the number of legs of the intersection and the functional classification of the intersecting roads. This study found an overall 36% reduction in all crashes and a 42% reduction in injury crashes associated with converting intersections from TSC to AWSC. In addition, the study revealed a statistically significant reduction in right-angle crashes along with a statistically significant increase in straight hit pedestrian crashes. For all the other collision types, including right turn, left turn, rear-end, sideswipes, and bicycle crashes, no statistically significant coefficients were found. With many “Vision Zero” cities considering increased use of AWSC to help achieve their safety goals, it is important to understand and communicate the safety effects of AWSC.

Author(s):  
Christian M. Marti ◽  
Ambra Toletti ◽  
Seraina Tresch ◽  
Ulrich Weidmann

This research identified infrastructural and operational factors that influenced the most common type of car–tram collision: cars making opposing turns in front of trams. Few studies have analyzed influences on car–tram collisions quantitatively, but none have explored predictor factors for opposing-turn crashes—a research gap addressed with this paper. The two largest Swiss tram networks, Basel and Zurich, were used for the analysis. A point-based research approach was chosen: all locations within a tram network at which a car could turn left (an opposing turn where traffic drives on the right) in front of a tram were identified. For each of these points, data on dependent and predictor variables were collected. This data set was analyzed with Poisson, negative binomial, and zero-inflated negative binomial regression models. The number of left-turning car–tram collisions was used as the dependent variable, while predictors were derived from a literature review; models were fitted by using all predictors and with forward variable selection by means of Akaike’s information criterion. Traffic volumes (cars and trams), tram speed, and dedicated left-turn lanes were found to be significantly associated with a higher frequency of car–tram collisions, whereas turning left to access a service rather than a road, left-turn restrictions, proximity to a tram stop, and perpendicular turning angles were significantly associated with a lower frequency of left-turning car–tram collisions. On the basis of these results, left turns across tramways should be restricted for cars. Remaining conflict points should be located close to tram stops, have limited tram speed, and feature perpendicular turning angles.


Author(s):  
Wesley Kumfer ◽  
David Harkey ◽  
Bo Lan ◽  
Raghavan Srinivasan ◽  
Daniel Carter ◽  
...  

A significant portion of both fatal and total crashes occurs at intersections in the United States. Skew angle may be a significant contributor to these crashes. This paper examines the effects of intersection angle on intersection safety performance. With seven years of crash data from Minnesota and five years of crash data from Ohio, random forest regression data mining and negative binomial regression models were developed to estimate crash modification functions at three-leg and four-leg stop-controlled intersections with two-lane and multilane major legs. Where possible, the results were compared between the two states and used to develop average crash modification function curves. This study shows that over half of the intersection types experience the highest number of predicted crashes when the intersection angle between roadway legs is between 50 degrees and 65 degrees. These results have practical implications for engineers and safety professionals. First, the crash modification function curves supplement and revise the guidance for intersection angle in the Highway Safety Manual and Policy on Geometric Design of Highways and Streets. Second, the functions offer new guidance to agencies planning intersection improvements. Third, the crash modification functions can be used to determine the safety effect of changes in intersection angle.


2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Jim P. Stimpson ◽  
Fernando A. Wilson ◽  
M. Kristen Peek

Purpose. This study explored whether the economic benefits of marriage mediate the association between marriage and health and if that relationship is conditional on the level of shared economic resources. Methods. Pooled, cross-sectional data from NHANES 2001–2006 were analyzed using multivariate zero-inflated negative binomial regression for the number of days of inactivity due to poor physical or mental health. Results. Persons that were divorced/separated reported the highest average number of days of inactivity (mean = 2.5) within a 30 day period, and married persons reported the lowest number of days of inactivity (mean = 1.4). Multivariate results indicated that widowed persons did not report significantly more days of inactivity than married persons. Income to poverty ratio reduced the size and eliminated statistical significance of the difference between divorced/separated and never married marital statuses compared to married persons. The interaction effect for marital status and income to poverty ratio was statistically significant suggesting that the relationship between marital status and inactivity is conditional on shared income. Conclusion. Marriage confers health protective benefits in part through pooled income relative to other marital statuses.


2021 ◽  
pp. jech-2020-215039 ◽  
Author(s):  
Anders Malthe Bach-Mortensen ◽  
Michelle Degli Esposti

IntroductionThe COVID-19 pandemic has disproportionately impacted care homes and vulnerable populations, exacerbating existing health inequalities. However, the role of area deprivation in shaping the impacts of COVID-19 in care homes is poorly understood. We examine whether area deprivation is linked to higher rates of COVID-19 outbreaks and deaths among care home residents across upper tier local authorities in England (n=149).MethodsWe constructed a novel dataset from publicly available data. Using negative binomial regression models, we analysed the associations between area deprivation (Income Deprivation Affecting Older People Index (IDAOPI) and Index of Multiple Deprivation (IMD) extent) as the exposure and COVID-19 outbreaks, COVID-19-related deaths and all-cause deaths among care home residents as three separate outcomes—adjusting for population characteristics (size, age composition, ethnicity).ResultsCOVID-19 outbreaks in care homes did not vary by area deprivation. However, COVID-19-related deaths were more common in the most deprived quartiles of IDAOPI (incidence rate ratio (IRR): 1.23, 95% CI 1.04 to 1.47) and IMD extent (IRR: 1.16, 95% CI 1.00 to 1.34), compared with the least deprived quartiles.DiscussionThese findings suggest that area deprivation is a key risk factor in COVID-19 deaths among care home residents. Future research should look to replicate these results when more complete data become available.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hai-Yang Zhang ◽  
An-Ran Zhang ◽  
Qing-Bin Lu ◽  
Xiao-Ai Zhang ◽  
Zhi-Jie Zhang ◽  
...  

Abstract Background COVID-19 has impacted populations around the world, with the fatality rate varying dramatically across countries. Selenium, as one of the important micronutrients implicated in viral infections, was suggested to play roles. Methods An ecological study was performed to assess the association between the COVID-19 related fatality and the selenium content both from crops and topsoil, in China. Results Totally, 14,045 COVID-19 cases were reported from 147 cities during 8 December 2019–13 December 2020 were included. Based on selenium content in crops, the case fatality rates (CFRs) gradually increased from 1.17% in non-selenium-deficient areas, to 1.28% in moderate-selenium-deficient areas, and further to 3.16% in severe-selenium-deficient areas (P = 0.002). Based on selenium content in topsoil, the CFRs gradually increased from 0.76% in non-selenium-deficient areas, to 1.70% in moderate-selenium-deficient areas, and further to 1.85% in severe-selenium-deficient areas (P < 0.001). The zero-inflated negative binomial regression model showed a significantly higher fatality risk in cities with severe-selenium-deficient selenium content in crops than non-selenium-deficient cities, with incidence rate ratio (IRR) of 3.88 (95% CIs: 1.21–12.52), which was further confirmed by regression fitting the association between CFR of COVID-19 and selenium content in topsoil, with the IRR of 2.38 (95% CIs: 1.14–4.98) for moderate-selenium-deficient cities and 3.06 (1.49–6.27) for severe-selenium-deficient cities. Conclusions Regional selenium deficiency might be related to an increased CFR of COVID-19. Future studies are needed to explore the associations between selenium status and disease outcome at individual-level.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ahmed Nabil Shaaban ◽  
Bárbara Peleteiro ◽  
Maria Rosario O. Martins

Abstract Background This study offers a comprehensive approach to precisely analyze the complexly distributed length of stay among HIV admissions in Portugal. Objective To provide an illustration of statistical techniques for analysing count data using longitudinal predictors of length of stay among HIV hospitalizations in Portugal. Method Registered discharges in the Portuguese National Health Service (NHS) facilities Between January 2009 and December 2017, a total of 26,505 classified under Major Diagnostic Category (MDC) created for patients with HIV infection, with HIV/AIDS as a main or secondary cause of admission, were used to predict length of stay among HIV hospitalizations in Portugal. Several strategies were applied to select the best count fit model that includes the Poisson regression model, zero-inflated Poisson, the negative binomial regression model, and zero-inflated negative binomial regression model. A random hospital effects term has been incorporated into the negative binomial model to examine the dependence between observations within the same hospital. A multivariable analysis has been performed to assess the effect of covariates on length of stay. Results The median length of stay in our study was 11 days (interquartile range: 6–22). Statistical comparisons among the count models revealed that the random-effects negative binomial models provided the best fit with observed data. Admissions among males or admissions associated with TB infection, pneumocystis, cytomegalovirus, candidiasis, toxoplasmosis, or mycobacterium disease exhibit a highly significant increase in length of stay. Perfect trends were observed in which a higher number of diagnoses or procedures lead to significantly higher length of stay. The random-effects term included in our model and refers to unexplained factors specific to each hospital revealed obvious differences in quality among the hospitals included in our study. Conclusions This study provides a comprehensive approach to address unique problems associated with the prediction of length of stay among HIV patients in Portugal.


2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Jun Heo ◽  
Won-Jun Choi ◽  
Seunghon Ham ◽  
Seong-Kyu Kang ◽  
Wanhyung Lee

Abstract Background The association between breakfast skipping and abnormal metabolic outcomes remains controversial. A comprehensive study with various stratified data is required. Objective The aim of this study was to investigate the relationship between abnormal metabolic outcomes and breakfast skipping by sex, age, and work status stratification. Methods We used data from the Korea National Health and Nutrition Examination Surveys from 2013 to 2018. A total of 21,193 (9022 men and 12,171 women) participants were included in the final analysis. The risk of metabolic outcomes linked to breakfast skipping was estimated using the negative binomial regression analysis by sex, work status, and age stratification. Results A total of 11,952 (56.4%) participants consumed breakfast regularly. The prevalence of abnormal metabolic outcomes was higher among those with irregular breakfast consumption habits. Among young male workers, negative binomial regression analysis showed that irregular breakfast eaters had a higher risk of abnormal metabolic outcomes, after adjusting for covariates (odds ratio, 1.15; 95% confidence interval, 1.03–1.27). Conclusions The risk of abnormal metabolic outcomes was significant in young men in the working population. Further studies are required to understand the association of specific working conditions (working hours or shift work) with breakfast intake status and the risk of metabolic diseases.


Author(s):  
Simo Näyhä

AbstractThis paper examines whether the anomalous summer peak in deaths from coronary heart disease (CHD) in Finland could be attributed to adverse effects of the Midsummer festival and alcohol consumption during the festival. Daily deaths from CHD and alcohol poisoning in Finland, 1961–2014, that occurred during the 7 days centering on Midsummer Day were analysed in relation to deaths during 14 to 4 days before and 4 to 14 after Midsummer Day. Daily counts of deaths from CHD among persons aged 35–64 years were regressed on days around the Midsummer period by negative binomial regression. Mortality from CHD was highest on Midsummer Day (RR 1.25 (95% confidence interval 1.12–1.31), one day after the peak in deaths from alcohol poisonings. RR for CHD on Midsummer Day was particulary high (RR = 1.43; 1.09–1.86) in the 2000s, 30% of deaths being attributable to that day. In conclusion, the anomalous and prominent summer peak in deaths from CHD in Finland is an adverse consequence of the Midsummer festival. The most likely underlying reason is heavy alcohol consumption during the festival period, especially on Midsummer Eve. In the 2000s, one third of deaths from CHD on Midsummer Day are preventable.


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