ArticleJournal of the American Geriatrics Society2026
Where Do Older Pedestrians Experience a Risk of Being Killed in a Motor Vehicle Crash?
Article in Journal of the American Geriatrics Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Where Do Older Pedestrians Experience a Risk of Being Killed in a Motor Vehicle Crash?Journal of the American Geriatrics Society · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
backgroundPopulation-level interventions are needed to address the overrepresentation of older pedestrians in deaths from traffic crashes. Data are absent on whether specific publicly licensed or public establishments are associated with increased risk to older pedestrians, despite their attractiveness as partners for government efforts. We conducted a nationwide location-based case-control study to examine the associations between publicly licensed or public establishments of daily living for older adults and the location of pedestrian fatalities in motor vehicle crashes. We also assessed etiological heterogeneity by pedestrian age and time of day.
methodsBetween 2017 and 2018, there were 10,529 locations where a pedestrian was killed (case location) across the 380 Metropolitan Statistical Areas of the conterminous United States. For each case location two matched control locations were selected. The density of residential living facilities and walkable destinations for older adults was measured within a 1-km radial buffer of each location. Data were analyzed using conditional logistic regression models, adjusting for matching factors, neighborhood composition and walkability metrics.
resultsThere was a dose-response relationship between the density of older adult walkable destinations (hospitals, health care delivery venues, health services, pharmacies, senior centers, libraries, community centers) and location case-control status by age group of the fatally struck pedestrian. The strongest pattern was observed for the 65+ age group: Adjusted Odds Ratio (AOR) = 1.61 (95% CI: 1.26-2.06) for Q2; AOR = 2.58 for Q3 (95% CI: 1.99-3.34); and AOR = 3.44 for Q4 (95% CI = 2.61-4.52). Only among the age 50-64 and 65+ age groups was the highest category of density of residential facilities (assisted living facilities, skilled nursing facilities, continuing care retirement communities) associated with fatality location case-control status.
conclusionsFuture research might explore whether prioritizing traffic safety programs near destinations where older adults commonly frequent, such as medical centers, prevents older adult pedestrian fatalities.
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Registered trials
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