A comprehensive study of child pedestrian crash outcomes in Ghana

Accid Anal Prev. 2023 Sep:189:107146. doi: 10.1016/j.aap.2023.107146. Epub 2023 Jun 6.

Abstract

Pedestrians are considered as one of the vulnerable road user groups. Among pedestrians of all ages, children are the most at risk. Previous studies have shown that children have inadequate knowledge of road safety and are unable to identify risks on road. Despite these limitations associated with children, society places the burden on them to protect themselves. However, to be able to adequately address child pedestrian safety issues there is the need to understand the factors that influence their crash involvement and severity of injury they sustain. To address this gap, this study performed a comprehensive analysis of historical crash data in Ghana to find holistic countermeasures for these crashes. The study used five years of child pedestrian (below 10 years) crash records obtained from the Building and Road Research Institute (BRRI) in Ghana. A temporal analysis of the data revealed that the highest number of the crashes coincide with when school-going children go to and close from school. A random parameter multinomial logit model was developed to identify crash variables that are significantly associated with child pedestrian crash outcomes. The estimation results revealed that children are likely to be killed in crashes when the driver is speeding and inattentive. Also, it was found that children walking along the road, crossing the road, and those in urban areas are more susceptible to incapacitating injury crashes. Male drivers accounted for 95.8% of child pedestrian crashes, and crashes involving male drivers are 7.8% more likely to be fatal. The findings from this study provide a deeper, data-driven understanding of child pedestrian crashes and how temporal characteristics, vehicle type, location of pedestrian, traffic operation, and environmental and human factors affect crash outcomes. These findings will help in developing countermeasures like providing conspicuous pedestrian crossings, footbridges on multi-lane high-speed roadways, and the use of school buses to convey students to help mitigate the number and severity of child pedestrian crashes in Ghana, and by extension other countries in the sub-region.

Keywords: Child pedestrian; Injury severity; Low-and Middle-Income country; Road safety.

MeSH terms

  • Accidents, Traffic / prevention & control
  • Child
  • Ghana
  • Humans
  • Logistic Models
  • Male
  • Motor Vehicles
  • Pedestrians*
  • Wounds and Injuries* / epidemiology
  • Wounds and Injuries* / prevention & control