ArticleThe Lancet. Planetary health2022
Urban landscape and street-design factors associated with road-traffic mortality in Latin America between 2010 and 2016 (SALURBAL): an ecological study.
Article in The Lancet. Planetary health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed.
- Changes of Long-Term Exposure to Ultrafine Particles From 2010 to 2019 in High Income Countries in Relation to Cardiovascular Diseases.GeoHealth · 2026Article
- Traffic accident mortality in large urban areas, Argentina 2010-2016Revista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2026Article
- Residential greenness and depressive symptoms in the Mexican adult population: A cross-sectional study.Preventive medicine reports · 2026Article
- Spatial association and modeling of road traffic deaths in Thailand, 2022.Population health metrics · 2026Article
- Impact of an enhanced sobriety checkpoints programme and publicity campaign on motor vehicle collisions, injuries and deaths in Leon, MX: a synthetic control study.Injury prevention : journal of the International Society for Child and Adolescent Injury Prevention · 2026Article
- Unequal risk: Longitudinal observation of socioeconomic disparities and pedestrian mortality patterns in Cali, Colombia.PLOS global public health · 2026Article
- Built and social environment characteristics associated with motorcyclist mortality in Latin American cities from the SALURBAL study.Injury epidemiology · 2025Article
- Individual and city-level variations in heat-related road traffic deaths in Latin America.medRxiv : the preprint server for health sciences · 2025Article
- Individual and city-level variations in heat-related road traffic deaths in Latin America.Nature cities · 2025Article
- Examining the relationship between social deprivation index and pedestrian injuries in a suburban setting: Is that the only factor?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Improving complex health systems and lived environments for maternal and perinatal well-being in urban sub-Saharan Africa: the UrbanBirth Collective.Journal of global health · 2025Article
- Trends in collisions and traffic mortality rates in Mexico City: A comparison of six data sources.PloS one · 2025Article
- Urban Environments, Health, and Environmental Sustainability: Findings From the SALURBAL Study.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Review
- The effects of weather factors on road traffic casualties: Analysis on provincial panel data of China from 2006 to 2021.Heliyon · 2024Article
- Road Traffic Injuries and the Built Environment in Bogotá, Colombia, 2015-2019: A Cross-Sectional Analysis.Journal of urban health : bulletin of the New York Academy of Medicine · 2024Article
- Trends in traffic accident mortality and social inequalities in Ecuador from 2011 to 2022.BMC public health · 2024Article
- "In small places, close to home": Urban environmental impacts on child rights across four global cities.Health & place · 2023Article
- Estimating mortality and disability in Peru before the COVID-19 pandemic: a systematic analysis from the Global Burden of the Disease Study 2019.Frontiers in public health · 2023Article
- Evaluation of the national sobriety checkpoints program in Mexico: a difference-in-difference approach with variation in timing of program adoption.Injury epidemiology · 2022Article
- Links between the pandemic and urban green spaces, a perspective on spatial indices of landscape garden cities in China.Sustainable cities and society · 2022Article
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10 authors.
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Abstract
backgroundRoad-traffic injuries are a key cause of death and disability in low-income and middle-income countries, but the effect of city characteristics on road-traffic mortality is unknown in these countries. The aim of this study was to determine associations between city-level built environment factors and road-traffic mortality in large Latin American cities.
methodsWe selected cities from Argentina, Brazil, Chile, Colombia, Costa Rica, El Salvador, Guatemala, Mexico, Panama, and Peru; cities included in the analysis had a population of at least 100 000 people. We extracted data for road-traffic deaths that occurred between 2010 and 2016 from country vital registries. Deaths were grouped by 5-year age groups and sex. Road-traffic deaths were identified using ICD-10 codes, with adjustments for ill-defined codes and incomplete registration. City-level measures included population, urban development, street design, public transportation, and social environment. Associations were estimated using multilevel negative binomial models with robust variances.
findings366 cities were included in the analysis. There were 328 408 road-traffic deaths in nearly 3·5 billion person-years across all countries, with an average crude rate of 17·1 deaths per 100 000 person-years. Nearly half of the people who died were younger than 35 years. In multivariable models, road-traffic mortality was higher in cities where urban development was more isolated (rate ratio [RR] 1·05 per 1 SD increase, 95% CI 1·02-1·09), but lower in cities with higher population density (0·94, 0·90-0·98), higher gross domestic product per capita (0·96, 0·94-0·98), and higher intersection density (0·92, 0·89-0·95). Cities with mass transit had lower road mortality rates than did those without (0·92, 0·86-0·99).
interpretationUrban development policies that reduce isolated and disconnected urban development and that promote walkable street networks and public transport could be important strategies to reduce road-traffic deaths in Latin America and elsewhere.
fundingWellcome Trust.
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