BACKGROUND: Allowing contraflow cycling on one-way streets has been reported to reduce crash risks in Belgium and the United Kingdom. Similarly, walking against traffic on roadways without sidewalks substantially improves pedestrian safety. This study examined fatalities and head injuries sustained by pedestrians in against-traffic and with-traffic crashes. METHODS: Using police-reported crash data in Taiwan between 2011 and 2016, fatalities and head injuries were compared for pedestrians involved in against-traffic and with-traffic crashes. RESULTS: Of the 14,382 pedestrians involved in crashes, 10,749 and 3633 pedestrians in with-traffic and against-traffic crashes, respectively, were reported. Compared with pedestrians involved in against-traffic crashes, those in with-traffic crashes were more likely to sustain fatalities and head injuries. Results of logistic regression models revealed several influential factors on pedestrian fatalities and head injuries, including elderly pedestrians, male drivers, intoxicated drivers, rural roadways, unlit streets in darkness, limited sight distance, adverse weather conditions, midnight hours, and a heavy vehicle as the crash partner. CONCLUSIONS: Pedestrians in with-traffic crashes were more likely to sustain fatalities and head injuries compared with those in against-traffic crashes. Furthermore, the negative effect of walking with traffic on injuries was more pronounced in reduced-visibility conditions.

Department of Emergency Medicine School of Medicine Taipei Medical University Taipei Taiwan

Department of Emergency Medicine Shuang Ho Hospital Taipei Medical University Taipei Taiwan

Department of Emergency Medicine Taipei Municipal Wanfang Hospital Taipei Medical University Taipei Taiwan

Department of Traditional Chinese Medicine Taipei Medical University Hospital Taipei Taiwan

Department of Traffic Psychology CDV Transport Research Centre Brno Czech Republic

Graduate Institute of Injury Prevention and Control College of Public Health Taipei Medical University Taipei Taiwan

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Pucher J, Dill J, Handy S. Infrastructure, programs, and policies to increase bicycling: an international review. Prev Med. 2010;50:S106–S125. doi: 10.1016/j.ypmed.2009.07.028. PubMed DOI

Ryley T, Davies D. Further developments in the design of contra-flow cycling schemes. TRL REPORT. 1998.

Vandenbulcke G, Thomas I, Panis LI. Predicting cycling accident risk in Brussels: a spatial case–control approach. Accid Anal Prev. 2014;62:341–357. doi: 10.1016/j.aap.2013.07.001. PubMed DOI

Kim J-K, Kim S, Ulfarsson GF, Porrello LA. Bicyclist injury severities in bicycle–motor vehicle accidents. Accid Anal Prev. 2007;39(2):238–251. doi: 10.1016/j.aap.2006.07.002. PubMed DOI

Yan X, Ma M, Huang H, Abdel-Aty M, Wu C. Motor vehicle–bicycle crashes in Beijing: irregular maneuvers, crash patterns, and injury severity. Accid Anal Prev. 2011;43(5):1751–1758. doi: 10.1016/j.aap.2011.04.006. PubMed DOI

The Florida Statutes.https://www.flsenate.gov/Laws/Statutes/2018/2316.2130 Accessed on 8 Jan 2019.

Balk SA, Tyrrell RA, Brooks JO, Carpenter TL. Highlighting human form and motion information enhances the conspicuity of pedestrians at night. Perception. 2008;37(8):1276–1284. doi: 10.1068/p6017. PubMed DOI

Fontaine H, Gourlet Y. Fatal pedestrian accidents in France: a typological analysis. Accid Anal Prev. 1997;29(3):303–312. doi: 10.1016/S0001-4575(96)00084-X. PubMed DOI

Luoma J, Peltola H. Does facing traffic improve pedestrian safety? Accid Anal Prev. 2013;50:1207–1210. doi: 10.1016/j.aap.2012.09.023. PubMed DOI

Han Y, Yang J, Mizuno K, Matsui Y. Effects of vehicle impact velocity, vehicle front-end shapes on pedestrian injury risk. Traffic Inj Prev. 2012;13(5):507–518. doi: 10.1080/15389588.2012.661111. PubMed DOI

Liu W, Su S, Qiu J, Zhang Y, Yin Z. Exploration of pedestrian head injuries—collision parameter relationships through a combination of retrospective analysis and finite element method. Int J Environ Res Public Health. 2016;13(12):1250. doi: 10.3390/ijerph13121250. PubMed DOI PMC

Dunbar G. International conference of traffic and transport psychology. 2005. Using epidemiological data to address psychological questions about pedestrian behaviour.

Schofer JL, Christoffel KK, Donovan M, Lavigne JV, Tanz RR, Wills KE. Child pedestrian injury taxonomy based on visibility and action. Accid Anal Prev. 1995;27(3):317–333. doi: 10.1016/0001-4575(94)00074-V. PubMed DOI

NPA (National Police Administration). Road traffic and accident analysis 2017. National Police Administration, Ministry of the Interior. Taipei: Institute of Transportation, Ministry of Transportation and Communication; 2018.

Olszewski P, Szagała P, Wolański M, Zielińska A. Pedestrian fatality risk in accidents at unsignalized zebra crosswalks in Poland. Accid Anal Prev. 2015;84:83–91. doi: 10.1016/j.aap.2015.08.008. PubMed DOI

McHugh ML. The chi-square test of independence. Biochem Med. 2013;23(2):143–149. doi: 10.11613/BM.2013.018. PubMed DOI PMC

Mian J, Caird JK. The effects of speed and orientation on recognition judgments of retro-reflectively clothed pedestrians at night. Transport Res F: Traffic Psychol Behav. 2018;56:185–199. doi: 10.1016/j.trf.2018.04.006. DOI

Spainhour LK, Wootton IA, Sobanjo JO, Brady PA. Causative factors and trends in Florida pedestrian crashes. Transp Res Rec. 2006;1982(1):90–98. doi: 10.1177/0361198106198200112. DOI

Yu C-Y. Built environmental designs in promoting pedestrian safety. Sustainability. 2015;7(7):9444–9460. doi: 10.3390/su7079444. DOI

Graw M, König HG. Fatal pedestrian–bicycle collisions. Forensic Sci Int. 2002;126(3):241–247. doi: 10.1016/S0379-0738(02)00085-3. PubMed DOI

Siddiqui N, Chu X, Guttenplan M. Crossing locations, light conditions, and pedestrian injury severity. Transp Res Rec. 2006;1982:141–149. doi: 10.1177/0361198106198200118. DOI

Kim J-K, Ulfarsson GF, Shankar VN, Mannering FL. A note on modeling pedestrian-injury severity in motor-vehicle crashes with the mixed logit model. Accid Anal Prev. 2010;42(6):1751–1758. doi: 10.1016/j.aap.2010.04.016. PubMed DOI

Schoon J. Sight distance for disabled pedestrians at crossings: methodology comparison with other modes. Transp Res Rec. 2013;2393:174–182. doi: 10.3141/2393-20. DOI

Zegeer C, Stewart R, Huang H, Lagerwey P. Safety effects of marked versus unmarked crosswalks at uncontrolled locations: analysis of pedestrian crashes in 30 cities. Transp Res Rec. 2001;1773:56–68. doi: 10.3141/1773-07. DOI

Maki T, Kajzer J, Mizuno K, Sekine Y. Comparative analysis of vehicle–bicyclist and vehicle–pedestrian accidents in Japan. Accid Anal Prev. 2003;35(6):927–940. doi: 10.1016/S0001-4575(02)00101-X. PubMed DOI

Lefler DE, Gabler HC. The fatality and injury risk of light truck impacts with pedestrians in the United States. Accid Anal Prev. 2004;36(2):295–304. doi: 10.1016/S0001-4575(03)00007-1. PubMed DOI

Oh C, Kang Y-s, Kim W. Assessing the safety benefits of an advanced vehicular technology for protecting pedestrians. Accid Anal Prev. 2008;40(3):935–942. doi: 10.1016/j.aap.2007.10.010. PubMed DOI

Wan J, Wu C, Zhang Y, Houston RJ, Chen CW, Chanawangsa P. Drinking and driving behavior at stop signs and red lights. Accid Anal Prev. 2017;104:10–17. doi: 10.1016/j.aap.2017.04.008. PubMed DOI

Behnood A, Mannering FL. The effects of drug and alcohol consumption on driver injury severities in single-vehicle crashes. Traffic Inj Prev. 2017;18(5):456–462. doi: 10.1080/15389588.2016.1262540. PubMed DOI

Ogden EJ, Moskowitz H. Effects of alcohol and other drugs on driver performance. Traffic Inj Prev. 2004;5(3):185–198. doi: 10.1080/15389580490465201. PubMed DOI

Lowenfels AB, Miller TT. Alcohol and trauma. Ann Emerg Med. 1984;13(11):1056–1060. doi: 10.1016/S0196-0644(84)80070-0. PubMed DOI

Elvik R, Mysen A. Incomplete accident reporting: meta-analysis of studies made in 13 countries. Transp Res Rec. 1999;1665(1):133–140. doi: 10.3141/1665-18. DOI

Plevin RE, Kaufman R, Fraade-Blanar L, Bulger EM. Evaluating the potential benefits of advanced automatic crash notification. Prehosp Disaster Med. 2017;32(2):156–164. doi: 10.1017/S1049023X16001473. PubMed DOI

Llamazares J, Useche SA, Montoro L, Alonso F. Commuting accidents of Spanish professional drivers: when occupational risk exceeds the workplace. Int J Occup Saf Ergon. 2019;(just-accepted):1–26. 10.1080/10803548.2019.1619993. PubMed