ArticleThe Lancet. Planetary health2020
A global analysis of urban design types and road transport injury: an image processing study.
Article in The Lancet. Planetary health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Traffic accident mortality in large urban areas, Argentina 2010-2016Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2026Article
- Urban Environmental Determinants and Spatiotemporal Patterns of Emergency Medical Service Response to Traumatic Injuries: A Five-Year Population-Based Study.International journal of environmental research and public health · 2026Article
- Green space exposure and active transportation during the COVID-19 pandemic: a global analysis using Apple mobility data.BMJ global health · 2025Article
- Article
- Planning and Accommodating the Micromobility Revolution and Its Impact on Public Health.American journal of public health · 2025Article
- An evolutionary game study of traffic safety risk regulation considering public participation behavior.Scientific reports · 2024Article
- Exploring the nexus of urban form, transport, environment and health in large-scale urban studies: A state-of-the-art scoping review.Environmental research · 2024Article
- Article
- Contextual factors influencing the urban mobility infrastructure interventions and policies for older adults in low- and middle-income countries: a realist review.BMC public health · 2022Review
- Urban landscape and street-design factors associated with road-traffic mortality in Latin America between 2010 and 2016 (SALURBAL): an ecological study.The Lancet. Planetary health · 2022Article
- New urban models for more sustainable, liveable and healthier cities post covid19; reducing air pollution, noise and heat island effects and increasing green space and physical activity.Environment international · 2021Review
- Article
- Could smart research ensure healthy people in disrupted cities?Journal of transport & health · 2020Review
Corrections and comments
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Authors and funding
11 authors.
Funding
Abstract
backgroundDeath and injury due to motor vehicle crashes is the world's fifth leading cause of mortality and morbidity. City and urban designs might play a role in mitigating the global burden of road transport injury to an extent that has not been captured by traditional safe system approaches. We aimed to determine the relationship between urban design and road trauma across the globe.
methodsApplying a combined convolutional neural network and graph-based approach, 1692 cities capturing one third of the world's population were classified into types based on urban design characteristics represented in sample maps. Associations between identified city types, characteristics contained within sample maps, and the burden of road transport injury as measured by disability adjusted life-years were estimated through univariate and multivariate analyses, controlling for the influence of economic activity.
findingsBetween Mar 1, 2017, and Dec 24, 2018, nine global city types based on a final sample of 1632 cities were identified. Burden of road transport injury was an estimated two-times higher (risk ratio 2·05, 95% CI 1·84-2·27) for the poorest performing city type compared with the best performing city type, culminating in an estimated loss of 8·71 (8·08-9·25) million disability-adjusted life-years per year attributable to suboptimal urban design. City types that featured a greater proportion of railed public transport networks combined with dense road networks characterised by smaller blocks showed the lowest rates of road traffic injury.
interpretationThis study highlights the important role that city and urban design plays in mitigating road transport injury burden at a global scale. It is recommended that road and transport safety efforts promote urban design that features characteristics inherent in identified high-performance city types including higher density road infrastructure and high rates of public transit.
fundingSee acknowledgments.
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