Rongrong Sheng1, Shuang Zhong2, Adrian G Barnett3, Bryan J Weiner4, Jiaying Xu5, Hui Li5, Guozhang Xu5, Tianfeng He5, Cunrui Huang6. 1. Department of Health Management, School of Public Health, Sun Yat-sen University, Guangzhou, China. 2. Department of Public Administration, School of Government, Sun Yat-sen University, Guangzhou, China. 3. Institute of Health and Biomedical Innovation, School of Public Health and Social Work, School of Public Health and Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia. 4. Department of Global Health, University of Washington, Seattle. 5. Ningbo Municipal Center for Disease Control and Prevention, Ningbo, China. 6. Department of Health Management, School of Public Health, Sun Yat-sen University, Guangzhou, China. Electronic address: huangcr@mail.sysu.edu.cn.
Abstract
PURPOSE: Road safety is a major public health concern in China. However, the effectiveness of traffic laws in China is not known. We investigated the effect of traffic legislation on traffic deaths using data in Ningbo, China. METHODS: We obtained traffic fatality data from 2002 to 2014 from the Ningbo Municipal Center for Disease Control and Prevention. An interrupted time series was used to look for change points in fatalities over time. We first used multiple change-point analysis to identify whether change points existed. Then, we checked if the identified change points corresponded to major changes in traffic legislation. Finally, we used a generalized additive model to examine the magnitude of those changes on fatalities. RESULTS: A total of 12,412 traffic fatalities occurred in the study period. We detected two change points in traffic fatalities, which corresponded to the road safety law in 2004 and the Criminal Law Amendment criminalizing risky driving in 2011. The fatalities showed an 18.9% reduction (relative risk = 0.81, 95% confidence interval, 0.74-0.89) after the first change point and a further 19.2% reduction (relative risk = 0.80, 95% confidence interval, 0.74-0.89) after the second change point. CONCLUSIONS: Traffic legislation might improve road safety by spurring behavioral changes that reduce traffic deaths in China. These laws may provide a sound model for other similar countries.
PURPOSE: Road safety is a major public health concern in China. However, the effectiveness of traffic laws in China is not known. We investigated the effect of traffic legislation on traffic deaths using data in Ningbo, China. METHODS: We obtained traffic fatality data from 2002 to 2014 from the Ningbo Municipal Center for Disease Control and Prevention. An interrupted time series was used to look for change points in fatalities over time. We first used multiple change-point analysis to identify whether change points existed. Then, we checked if the identified change points corresponded to major changes in traffic legislation. Finally, we used a generalized additive model to examine the magnitude of those changes on fatalities. RESULTS: A total of 12,412 traffic fatalities occurred in the study period. We detected two change points in traffic fatalities, which corresponded to the road safety law in 2004 and the Criminal Law Amendment criminalizing risky driving in 2011. The fatalities showed an 18.9% reduction (relative risk = 0.81, 95% confidence interval, 0.74-0.89) after the first change point and a further 19.2% reduction (relative risk = 0.80, 95% confidence interval, 0.74-0.89) after the second change point. CONCLUSIONS: Traffic legislation might improve road safety by spurring behavioral changes that reduce traffic deaths in China. These laws may provide a sound model for other similar countries.
Authors: Maryam Tavakkoli; Zahra Torkashvand-Khah; Günther Fink; Amirhossein Takian; Nino Kuenzli; Don de Savigny; Daniel Cobos Muñoz Journal: Public Health Rev Date: 2022-02-21