Pedestrian Injuries and the Built Environment in Colombia.

描述（由申请人提供）：交通安全是全球公共卫生的一个关键问题，发展中国家最常见的伤害与行人受伤有关。人们对这些伤害的具体风险知之甚少，对这些事件如何受到环境的调节知之甚少，尽管目前的一些证据表明建筑环境具有可改变的特征。这项国际研究发展计划涉及课程，实地培训，强大的导师和国际环境中的研究经验，以研究建筑环境与行人伤害的关系。候选人扩大了从北卡罗来纳州的大学和主要导师从西沙瓦研究所在埃尔瓦莱，卡利哥伦比亚大学的主要导师之间的现有合作，进行一个项目，评估物理特性的20个随机选择的城市地区在哥伦比亚，以确定其关联与行人受伤的发生在空间和时间。候选人在交通伤害研究和流行病学方面的经验提供了坚实的基础。这项工作将扩大他在国际城市设计和空间研究方法方面的专业知识，通过一个独特的机会来研究建筑环境的复杂影响和相互作用以及哥伦比亚城市环境中行人受伤的发生，从而投入一部分时间和资源。拟议的调查将使用Desepaz伤害监测系统的数据，该系统是在哥伦比亚卡利创建的伤害监测系统，也是拉丁美洲的模型。行人受伤的数据将被用来确定的城市建成环境功能，如邻里密度，邻里使用，道路特征与致命和非致命的伤害事件，使用多级和时空推理技术的关联。研究结果将作为后续拨款申请的基础，以评估行为和环境因素与其他伤害发生之间的相互作用。与福格蒂国际中心概述的目标相一致，该K01 IRSDA提供的研究计划，培训活动和指导将为候选人提供独特的技能，以扩大他在伤害流行病学方面的职业生涯，重点关注城市设计问题，同时解决关键的全球健康问题。公共卫生相关性：运输安全是全球公共卫生的一个关键问题，主要是在发展中国家。行人受伤是最常见的交通伤害，但很少有人知道物理建筑环境如何调节风险。本研究旨在确定发展中国家的建筑环境对行人的风险，以更好地为城市设计和规划政策提供信息。

DESCRIPTION (provided by applicant): Transportation safety is a critical issue in global public health, with the most frequent injuries in the developing world related to pedestrian injuries. Little is known about the specific risks for these injuries and much less on how these events are modulated by the environment, though some current evidence points to modifiable characteristics of the built environment. This international research development proposal involves a program of coursework, field training, strong mentorship, and research experience in an international setting to study the relationship of the built environment to pedestrian injuries. The candidate expands an existing collaboration between the primary mentor from the University of North Carolina and the primary mentor from the Cisalva Institute at the University of El Valle, Cali Colombia, to conduct a project that evaluates physical the characteristics of 20 randomly selected urban areas in Colombia to determine their association with the occurrence of pedestrian injuries in both space and time. The candidate's experience in transportation injury research and epidemiology offer a strong foundation. This work will expand his expertise in international urban design and spatial research methodologies, by engaging a committed portion of time and resources through a unique opportunity to study the complex effects of and interaction of the built environment and the occurrence of pedestrian injuries in an urban setting in Colombia. The proposed investigation will use data from the Desepaz Injury Surveillance System, an injury surveillance system created in Cali, Colombia and model in Latin America. Pedestrian injury data will be used to determine the association of the urban built environment features such as neighborhood density, neighborhood use, and roadway characteristics with fatal and non-fatal injury events using multilevel and spatiotemporal inferential techniques. The results will serve as the foundation for a subsequent grant application to evaluate the interaction between behavioral and environmental factors and the occurrence of other injuries. Consistent with the goals outlined by the Fogarty International Center, the research plan, training activities, and mentorship afforded by this K01 IRSDA will provide the candidate with unique skills to broaden his career in injury epidemiology with a focus on urban design issues while addressing a critical global health problem. PUBLIC HEALTH RELEVANCE: Transportation safety is a critical issue in global public health mostly in the developing world. Pedestrian injuries are the most common transport injuries but little is known about how the physical built environment modulates risks. This study aims to identify built environment risks to pedestrians in a developing country to better inform policies on urban design and planning.