Evidence map›Paper›PMID 42318446›Full record

ArticleJournal of healthy eating and active living2026

Assessing the Impact of Sharrows on Bicyclist Behavior: A three-year natural experiment in Santa Ana, California.

Mojgan Sami, Soultana Macridis, Deepak Sharma, Oladele Ogunseitan

Abstract read
In one paragraph

Article in Journal of healthy eating and active living, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Mojgan SamiDepartment of Public Health, College of Health & Human Development, California State University Fullerton, U.S.A.ORCID https://orcid.org/0000-0002-2941-3779
Soultana MacridisCentre for Active Living, University of Alberta, Canada.ORCID https://orcid.org/0000-0003-2291-9475
Deepak SharmaDepartment of Civil and Environmental Engineering, California State University Fullerton, U.S.A.ORCID https://orcid.org/0000-0001-5734-278X
Oladele OgunseitanJoe C. Wen School of Population & Public Health, University of California, U.S.A.ORCID https://orcid.org/0000-0003-1317-6219

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bicycle infrastructure preferences vary by rider experience and comfort, yet both bicyclists and motorists perceive separated bicycle lanes as safer than shared lane markings (sharrows). Despite widespread adoption, evidence on the real-world behavioral impacts of sharrows remains limited. This study evaluates a natural experiment in Santa Ana, California, where sharrows were installed in a downtown commercial corridor when separated bicycle lanes were not feasible. Researchers collected baseline data in September 2015 and follow-up data in February 2016 and early 2017, totaling 54 hours of direct bicycle observation across two target areas. Results revealed a mixed and cautionary pattern of change. West-to-East mean bicycle counts increased significantly from 0.986 (2015) to 1.734 (2016; p = 0.045) but declined to 1.500 by 2017. East-to-West counts showed modest, non-significant year-over-year growth. Critically, sidewalk riding increased significantly from 2015 to 2016 (p = 0.002) and remained elevated through 2017 (p = 0.009), and wrong-way riding increased significantly from 2015 to 2016 (p = 0.003). Female ridership declined from 2015 to 2016 (p = 0.036) but recovered by 2017. Ridership among adults over 65 declined post-installation without meaningful recovery. Overall, sharrow installation was not associated with lasting ridership gains or improved safe bicycling behavior. Declines among women and older adults suggest sharrows may not adequately meet the needs of all roadway users. Drawing on the present data and prior literature, policymakers should consider pairing sharrows with education programs, driver awareness campaigns, and enhanced infrastructure to support safety, equity, and sustained bicycling engagement.

Indexed as

active transportationbicyclingshared lane markingssharrow

Identifiers

PMID42318446
PMCPMC13274839

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.