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Epidemiology of pedestrian–MVCs by road type in Cluj, Romania
  1. Cara Hamann1,
  2. Corinne Peek-Asa2,
  3. Diana Rus3
  1. 1Injury Prevention Research Center, University of Iowa, Iowa City, Iowa, USA
  2. 2Department of Occupational and Environmental Health, University of Iowa College of Public Health, Iowa City, Iowa, USA
  3. 3Center for Health Policy and Public Health, Institute for Social Research, College of Political, Administrative and Communication Sciences, Babeş-Bolyai University, Cluj-Napoca, Romania
  1. Correspondence to Dr Cara Hamann, Injury Prevention Research Center, University of Iowa, 200 Newton Rd, 2186 WL, Iowa City, IA 52242, USA; cara-hamann{at}


Objective Pedestrian–motor vehicle (PMV) crash rates in Romania are among the highest in all of Europe. The purpose of this study was to examine the characteristics of pedestrian–MVCs in Cluj County, Romania, on the two major types of roadways: national or local.

Methods Cluj County police crash report data from 2010 were used to identify pedestrian, driver and crash characteristics of pedestrian–MVCs. Crashes with available location data were geocoded and road type (national or local) for each crash was determined. Distributions of crash characteristics were examined by road type and multivariable logistic regression models were built to determine predictors of crash road type.

Results Crashes occurring on national roads involved more teenagers and adults, while those on local roads involved more young children (0–12) and older adults (65+) (p<0.01). Crashes on national roads were more likely to have marked pedestrian crossings and shoulders compared with local crashes. Pedestrian–MVCs that involved a moving violation by the motorist were more likely to occur on national roadways (adjusted OR=1.93, 95% CI 1.07 to 3.49).

Conclusions Pedestrian–MVCs pose a considerable health burden in Romania. Results from this study suggest that factors leading to PMV crashes on national roads are more likely to involve driver-related causes compared with local roads. Intervention priorities to reduce pedestrian crashes on national roads should be directed towards driver behaviour on national roads. Further examination of driver and pedestrian behaviours related to crash risk on both national and local roads, such as distraction and speeding, is warranted.

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