@article{ref1,
title="Child pedestrian safety knowledge, behaviour and road injury in Cape Town, South Africa",
journal="Accident analysis and prevention",
year="2017",
author="Koekemoer, Karin and Van Gesselleen, Megan and van Niekerk, Ashley and Govender, Rajen and van As, Arjan Bastiaan",
volume="99",
number="",
pages="202-209",
abstract="Pedestrian injuries are a leading cause of death among South African children, and young children residing in low-income communities are more at risk, due to various factors such as inadequate road infrastructure, exposure to traffic due to reliance on walking as a means of transport, and lack of supervision. This study used a cross-sectional, non-randomized self-report survey to assess pedestrian safety knowledge, road-crossing behaviour and pedestrian injuries of primary school children in selected low-income settings in Cape Town. The survey focused on three primary schools that had joined the Safe Kids Worldwide Model School Zone Project and was administered to 536 children aged 6-15 years, in their home language of isiXhosa. Descriptive and bivariate analyses as well as multivariate regression analyses were conducted to investigate potential predictor variables for pedestrian collision severity and unsafe road-crossing behaviour. Walking was the sole form of travel for 81% of the children, with a large proportion regularly walking unsupervised. Children who walk to or from school alone were younger and reported riskier road-crossing behaviour, although children who walk accompanied tended to have higher pedestrian collision severity. &quot;Negligent Behaviour&quot; related to road-crossing was significantly associated with higher pedestrian collision severity, with predictors of &quot;Negligent Behaviour&quot; including the lack of pedestrian safety knowledge and greater exposure to traffic in terms of time spent walking. More than half of the reported pedestrian collisions involved a bicycle, and older boys (10-15 years) were most at risk of experiencing a severe pedestrian injury. The findings substantiate emerging evidence that children in low-income settings are at greater risk for child pedestrian injury, and emphasise the need for evidence-based safety promotion and injury prevention interventions in these settings.<br><br>Copyright © 2016. Published by Elsevier Ltd.<p /> <p>Language: en</p>",
language="en",
issn="0001-4575",
doi="10.1016/j.aap.2016.11.020",
url="http://dx.doi.org/10.1016/j.aap.2016.11.020"
}