Investigating the Built Environment’s Influence on Child Active Transportation Injury and Prevalence

dc.contributor.advisorHagel, Brent
dc.contributor.authorHubkaRao, Tate
dc.contributor.committeememberNettel-Aguirre, Alberto
dc.contributor.committeememberCloutier, Marie-Soleil
dc.date2024-06
dc.date.accessioned2024-04-12T17:22:19Z
dc.date.available2024-04-12T17:22:19Z
dc.date.issued2024-04-11
dc.description.abstractBackground: Motor-vehicle collisions (MVCs) are a leading cause of Canadian child active transportation injuries. Specific built environment features may reduce child injury risk while increasing active transportation prevalence; however, few studies exist evaluating the effectiveness of these features specific to this age group. Further, it is important to understand how built environment features can influence community and school wide child active transportation injuries and prevalence. Methods: Using a modified stepped-wedge trial, Chapters 3 and 4 investigated the influence of installing specific built environment features on traffic speed and volume, active transportation prevalence, and caregiver perceptions of safety. Chapters 5 and 6 used machine learning recursive partitioning trees to predict the number of child active transportation related MVCs, and the proportion of elementary students using active transportation to school, based on the built environment within respective geographical areas. Results: Chapter 3 found traffic calming curbs and in-street signs were associated with a reduction in traffic speed, depending on time-period. No significant changes in traffic volume were found immediately following installation. In-street signs were associated with a reduction of active transportation prevalence in the morning, and an increase in the afternoon. Chapter 4 found traffic calming curb installation was associated with higher proportions of caregiver perceptions of safety. Some respondents showed higher proportions of reported children walking to school at intervention locations. Chapter 5 found built environment features such as signalized intersections were predictive of annual collisions. Chapter 6 showed population density to be important in predicting active transportation prevalence to school. Conclusions: Results of this thesis support calls for a systems approach to road safety. The variability in characteristics of the urban environment that are associated with child active transportation safety and prevalence suggests that no single intervention would be as effective as a more holistic and comprehensive approach. Specific features such as traffic calming curbs and in-street signs, coupled with reductions of major roadways and increases in population density, may, together, have a considerable and lasting effect on improving active transportation safety for Canadian children.
dc.identifier.citationHubkaRao, T. (2024). Investigating the built environment’s influence on child active transportation injury and prevalence (Doctoral thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca.
dc.identifier.urihttps://hdl.handle.net/1880/118410
dc.identifier.urihttps://doi.org/10.11575/PRISM/43252
dc.language.isoen
dc.publisher.facultyGraduate Studies
dc.publisher.institutionUniversity of Calgary
dc.rightsUniversity of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.
dc.subjectInjury prevention
dc.subjectBuilt environment
dc.subjectActive transportation
dc.subjectChildren
dc.subject.classificationEpidemiology
dc.titleInvestigating the Built Environment’s Influence on Child Active Transportation Injury and Prevalence
dc.typedoctoral thesis
thesis.degree.disciplineMedicine – Community Health Sciences
thesis.degree.grantorUniversity of Calgary
thesis.degree.nameDoctor of Philosophy (PhD)
ucalgary.thesis.accesssetbystudentI require a thesis withhold – I need to delay the release of my thesis due to a patent application, and other reasons outlined in the link above. I have/will need to submit a thesis withhold application.
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