Do Drivers of Small Cars Take Less Risk in Everyday Driving?

Previously reported observed data on risky everyday driving are brought together and reanalyzed in order to focus on the relation between risky driving and the size of the car being driven, as indicated by car mass. The measures of risky driving include separation between vehicles in heavy freeway traffic and speed on a two lane road. Observed seat belt use provides a third measure of driver risk. Confounding effects arising from the observed association between car mass and driver age are taken into account by segmenting the data into three driver age groups. Driver risk taking is found to increase with increasing car mass for each of these three aspects of everyday driving. The implications of these results with respect to driver fatality rates are discussed in terms of a simple model relating observed risky driving to the likelihood of involvement in a severe crash.     

A Risk-Based Method for Modeling Traffic Fatalities

We describe a risk-based analytical framework for estimating traffic fatalities that combines the probability of a crash and the probability of fatality in the event of a crash. As an illustrative application, we use the methodology to explore the role of vehicle mix and vehicle prevalence on long-run fatality trends for a range of transportation growth scenarios that may be relevant to developing societies. We assume crash rates between different road users are proportional to their roadway use and estimate case fatality ratios (CFRs) for the different vehicle-vehicle and vehicle-pedestrian combinations. We find that in the absence of road safety interventions, the historical trend of initially rising and then falling fatalities observed in industrialized nations occurred only if motorization was through car ownership. In all other cases studied (scenarios dominated by scooter use, bus use, and mixed use), traffic fatalities rose monotonically. Fatalities per vehicle had a falling trend similar to that observed in historical data from industrialized nations. Regional adaptations of the model validated with local data can be used to evaluate the impacts of transportation planning and safety interventions, such as helmets, seat belts, and enforcement of traffic laws, on traffic fatalities.     

A Revised Economic Analysis of Restrictions on the Use of Cell Phones While Driving

Evidence that cell phone use while driving increases the risk of being involved in a motor vehicle crash has led policymakers to consider prohibitions on this practice. However, while restrictions would reduce property loss, injuries, and fatalities, consumers would lose the convenience of using these devices while driving. Quantifying the risks and benefits associated with cell phone use while driving is complicated by substantial uncertainty in the estimates of several important inputs, including the extent to which cell phone use increases a driver's risk of being involved in a crash, the amount of time drivers spend using cell phones (and hence their aggregate contribution to crashes, injuries, and fatalities), and the incremental value to users of being able to make calls while driving. Two prominent studies that have investigated cell phone use while driving have concluded that the practice should not be banned. One finds that the benefits of calls made while driving substantially exceed their costs while the other finds that other interventions could reduce motor vehicle injuries and fatalities (measured in terms of quality adjusted life years) at a lower cost. Another issue is that cell phone use imposes increased (involuntary) risks on other roadway users. This article revises the assumptions used in the two previous analyses to make them consistent and updates them using recent data. The result is a best estimate of zero for the net benefit of cell phone use while driving, a finding that differs substantially from the previous study. Our revised cost-effectiveness estimate for cell phone use while driving moves in the other direction, finding that the cost per quality adjusted life year increases modestly compared to the previous estimate. Both estimates are very uncertain.     

General Deterrence of Drunk Driving: Evaluation of Recent American Policies

A testable hypothesis of deterrence theory is that efforts to increase the expected cost of criminal activity by increasing the threat of punishment should, other things being equal, reduce the crime rate. In this paper, we examine whether the incidence of drinking and driving is responsive to escalation of the punitive threat. The recent national campaign against drunk driving provides a natural experiment in which to test the predictions of deterrence theory. Using state level data over the 1975-1986 period, we report no conclusive evidence that any specific form of punitive legislation is having a measurable effect on motor vehicle fatalities. We report suggestive evidence that multiple laws designed to increase the certainty of punishment (e.g., sobriety checkpoints and preliminary breath tests) have a synergistic deterrent effect. The most striking finding is that mandatory seat belt use laws and beer taxes may be more effective at reducing drunk driving fatalities than policies aimed at general deterrence.     

Effects of Increased Auto Safety Belt Use Levels on Fatalities

To reduce the annual toll of highway deaths, more than 30 states have passed laws mandating the use of safety belts. All have been effective at raising safety belt use; equipped with different provisions and enforced with unequal care, however, they have done so to different degrees. The article estimates the relationship between attained belt use and fatalities averted. Monthly 1982-1986 fatality, collision, belt use, and other data from 64 areas in nine states were collected, then analyzed using a Poisson multiple regression model. The analysis indicates that an increase in belt use from 14-40% averts about 13% of fatalities; a more pronounced increase to 50% averts about 18%. An increase from 50-75% averts about 16% of remaining fatalities. Three significant conclusions emerge. First, previous estimates appear to have understated, in general, the overall effectiveness of belt use laws. Second, the benefits of programs to boost safety belt use in this country from its current level of about 50% to up to 75%, estimated on the basis of more direct evidence from U.S. data than previously available, appear to be very large. Third, Poisson and other multiple regression models including explicit allowance for other causal factors can usefully complement other statistical approaches in traffic safety studies.     

Child Passenger Safety: Decisions about Seating Location, Airbag Exposure, and Restraint Use

The installation of passenger-side airbags in new vehicles complicates efforts to maximize child safety in motor vehicle crashes. It has been recommended by both public and private organizations that children sit in the rear seat with proper restraint to achieve maximum safety. Drivers now need to decide whether a child should be restrained, where the child should be seated (front versus rear), and whether the child should be seated in front of a passenger-side airbag. This research was undertaken to determine which choice minimizes the risk of fatality to children. Using data from the U.S. Fatality Analysis Reporting System for calendar years 1989 to 1998, fatal vehicle crashes with child passengers younger than 13 years were analyzed. The effectiveness of passenger-side airbags and rear seating for children, by age category and restraint use, was estimated using the double-pair comparison method. For each of four age categories, the fatality risk of each possible combination of restraint use, seating location, and airbag presence was also estimated using logistic regression. Passenger airbags were associated with an increase in child fatality risk of 31% for restrained children, and 84% for unrestrained children. Passenger airbags did appear to offer protection to restrained 9- to 12-year-old children. Restraint use and rear seating were associated with statistically significant reductions in the odds of a child dying in a crash. In order to minimize child fatality risk, parents should seat children in the rear of the vehicle while using the proper child restraint system, especially in vehicles with passenger airbags. These findings support current public education efforts in the United States.     

Mandatory Belt Use and Driver Risk Taking

A study of driver behavior before and after a mandatory seat belt use law in Newfoundland found that the benefits of such legislation are not reduced by riskier driving, as has been suggested by some theorists. On average, belt use in Newfoundland increased from 16% of drivers before the law to 77% after the law. At the same time, the quality of driving changed very little when compared to control groups of Nova Scotia drivers, who were not subject to the law and whose belt use rates did not change. In only one situation did Newfoundland drivers differ from the control group in Nova Scotia: after the belt law, drivers in Newfoundland became relatively more cautious (slower) in their speeds on four-lane expressways. These data confirm the results of earlier less controlled studies that also found no changes in driving behavior following nonvoluntary changes in occupant protection. Since the "risk-compensation" hypothesis predicts such changes, it seems to have no merit in explaining changes in fatalities and injuries after occupant protection legislation.     

Exposure to Traffic and Risk of Hospitalization Due to Injuries

Research on the risk of motor vehicle injuries and their relationship with the amount of travel has been only partially analyzed. The few individual exposure assessments are related to very specific subsets of the driving and traveling populations. This study analyzes the relationship between kilometers traveled and hospitalization due to motor vehicle injuries. Twelve thousand three hundred and sixty nine Spanish university graduates from the Seguimiento Universidad de Navarra multipurpose cohort study were evaluated. They had not been hospitalized due to motor vehicle injuries at baseline and were followed up to eight years. Biannual questionnaires allowed for self‐reporting of kilometers traveled in motor vehicles, together with incidence of hospitalization. Covariates in the Cox regression models included age and gender and baseline use of safety belt while driving, driving a vehicle with driver‐side airbag, driving a motorcycle, and drinking and driving. There were 49,766 participant‐years with an average yearly travel of 7,828 km per person‐year. Thirty‐six subjects reported a first hospitalization event during this time. The adjusted hazard ratio per additional kilometer traveled was 1.00005 (95% confidence interval 1.000013 to 1.000086). Even the smallest of reductions in the amount of kilometers traveled (from an average of 3,250 km per year to 1,000) has a statistically significant protective effect on the likelihood of sustaining hospitalization due to motor vehicle injury (aHR 0.9, 95% CI 0.78 to 0.98). In light of current policies aimed to reduce motorized traffic due to environmental concerns, it may be appropriate to consider the additional health benefit related to reductions in injuries.     

Vehicle Emission Unit Risk Factors for Transportation Risk Assessments

When the transportation risk posed by shipments of hazardous chemical and radioactive materials is being assessed, it is necessary to evaluate the risks associated with both vehicle emissions and cargo-related risks. Diesel exhaust and fugitive dust emissions from vehicles transporting hazardous shipments lead to increased air pollution, which increases the risk of latent fatalities in the affected population along the transport route. The estimated risk from these vehicle-related sources can often be as large or larger than the estimated risk associated with the material being transported. In this paper, data from the U.S. Environmental Protection Agency's Motor Vehicle-Related Air Toxics Study are first used to develop latent cancer fatality estimates per kilometer of travel in rural and urban areas for all diesel truck classes. These unit risk factors are based on studies investigating the carcinogenic nature of diesel exhaust. With the same methodology, the current per-kilometer latent fatality risk factor used in transportation risk assessments for heavy diesel trucks in urban areas is revised and the analysis expanded to provide risk factors for rural areas and all diesel truck classes. These latter fatality estimates may include, but are not limited to, cancer fatalities and are based primarily on the most recent epidemiological data available on mortality rates associated with ambient air PM-10 concentrations.     

Direct Estimation of the Cost Effectiveness of Tornado Shelters

This article estimates the cost effectiveness of tornado shelters using the annual probability of a tornado and new data on fatalities per building struck by a tornado. This approach differs from recent estimates of the cost effectiveness of tornado shelters in Reference 1 that use historical casualties. Historical casualties combine both tornado risk and resident action. If residents of tornado-prone states take greater precautions, observed fatalities might not be much higher than in states with lower risk. Estimation using the tornado probability avoids this potential bias. Despite the very different method used, the estimates are 68 million US dollars in permanent homes and 6.0 million US dollars in mobile homes in Oklahoma using a 3% real discount rate, within about 10% of estimates based on historical fatalities. The findings suggest that shelters provide cost-effective protection for mobile homes in the most tornado-prone states but not for permanent homes.     

Integrating risk assessment and life cycle assessment: a case study of insulation.

Increasing residential insulation can decrease energy consumption and provide public health benefits, given changes in emissions from fuel combustion, but also has cost implications and ancillary risks and benefits. Risk assessment or life cycle assessment can be used to calculate the net impacts and determine whether more stringent energy codes or other conservation policies would be warranted, but few analyses have combined the critical elements of both methodologies In this article, we present the first portion of a combined analysis, with the goal of estimating the net public health impacts of increasing residential insulation for new housing from current practice to the latest International Energy Conservation Code (IECC 2000). We model state-by-state residential energy savings and evaluate particulate matter less than 2.5 microm in diameter (PM2.5), NOx, and SO2 emission reductions. We use past dispersion modeling results to estimate reductions in exposure, and we apply concentration-response functions for premature mortality and selected morbidity outcomes using current epidemiological knowledge of effects of PM2.5 (primary and secondary). We find that an insulation policy shift would save 3 x 10(14) British thermal units or BTU (3 x 10(17) J) over a 10-year period, resulting in reduced emissions of 1,000 tons of PM2.5, 30,000 tons of NOx, and 40,000 tons of SO2. These emission reductions yield an estimated 60 fewer fatalities during this period, with the geographic distribution of health benefits differing from the distribution of energy savings because of differences in energy sources, population patterns, and meteorology. We discuss the methodology to be used to integrate life cycle calculations, which can ultimately yield estimates that can be compared with costs to determine the influence of external costs on benefit-cost calculations.     

Health-Based Population Forecasting: Effects of Smoking on Mortality and Fertility

A microsimulation model, allowing one to forecast short- and long-term population changes conditional on the prevalence of a risk factor in a population, is presented. In this model, population changes result from the aggregation of changes in individual event histories, which, in turn, result from mortality and infertility rates recalculated in accordance with their known relative risks in population groups exposed to a risk factor. Smoking, being the most widespread and influential preventable public health risk factor, is chosen to demonstrate the abilities of the model to forecast the population effects of different hypothetical smoking prevalences. The demographic and population health effects on 20-, 50-, and 100-year projections with the current, hypothetically doubled, and hypothetically halved the current smoking prevalence are analyzed in detail. The model predicts an increase in life expectancy (0.99 year for males and 0.64 years for females), and an increase in population size (2.2-7.5% dependent on the age group) if smoking prevalence is reduced by half. Sensitivity analyses of all findings are performed. The generalization of the model to account for multiple risk factors (e.g., the simultaneous effects of alcohol consumption, obesity, and smoking) and effects on medical expenditures are discussed.     

Loss of Life Caused by the Flooding of New Orleans After Hurricane Katrina: Analysis of the Relationship Between Flood Characteristics and Mortality

In this article a preliminary analysis of the loss of life caused by Hurricane Katrina in the New Orleans metropolitan area is presented. The hurricane caused more than 1,100 fatalities in the state of Louisiana. A preliminary data set that gives information on the recovery locations and individual characteristics for 771 fatalities has been analyzed. One-third of the analyzed fatalities occurred outside the flooded areas or in hospitals and shelters in the flooded area. These fatalities were due to the adverse public health situation that developed after the floods. Two-thirds of the analyzed fatalities were most likely associated with the direct physical impacts of the flood and mostly caused by drowning. The majority of victims were elderly: nearly 60% of fatalities were over 65 years old. Similar to historical flood events, mortality rates were highest in areas near severe breaches and in areas with large water depths. An empirical relationship has been derived between the water depth and mortality and this has been compared with similar mortality functions proposed based on data for other flood events. The overall mortality among the exposed population for this event was approximately 1%, which is similar to findings for historical flood events. Despite the fact that the presented results are preliminary they give important insights into the determinants of loss of life and the relationship between mortality and flood characteristics.     

Motor vehicle recalls: Trends,patterns and emerging issues

This paper examines patterns and trends in motor vehicle safety recalls using a dataset based on 23.1 million vehicles registered in the UK between 1992 and 2002. A safety recall occurs when vehicle manufacturers call vehicles that have been sold and are in use back to their dealerships for safety-related remedial work. Safety recalls can be a strategic concern for car makers, having the potential to damage brand value, reduce stock price as well as resulting in significant direct costs. The data from this study show that the incidence of vehicle recalls is increasing—between 1998 and 2002 there was an average of over 120 recall incidents per annum in the UK, compared to less than 50 per annum between 1992 and 1994. Total numbers of vehicles recalled show no clear trend over time, but the absolute level of recalls year on year is very high: in the UK, 10.8 million vehicles were recalled during 1992–2002, representing 47% of all vehicle UK registrations in the period. Moreover, there are substantial differences in recall rates between different car manufacturers, suggesting that recall rates may be a useful indicator of process performance in the automotive design-and-production value chain. European and American producers have recall rates that are nearly three times greater than their East Asian counterparts. This paper concludes with some ideas that may explain these patterns and suggests an agenda for further research.     

Compressed Natural Gas Bus Safety: A Quantitative Risk Assessment

This study assesses the fire safety risks associated with compressed natural gas (CNG) vehicle systems, comprising primarily a typical school bus and supporting fuel infrastructure. The study determines the sensitivity of the results to variations in component failure rates and consequences of fire events. The components and subsystems that contribute most to fire safety risk are determined. Finally, the results are compared to fire risks of the present generation of diesel-fueled school buses. Direct computation of the safety risks associated with diesel-powered vehicles is possible because these are mature technologies for which historical performance data are available. Because of limited experience, fatal accident data for CNG bus fleets are minimal. Therefore, this study uses the probabilistic risk assessment (PRA) approach to model and predict fire safety risk of CNG buses. Generic failure data, engineering judgments, and assumptions are used in this study. This study predicts the mean fire fatality risk for typical CNG buses as approximately 0.23 fatalities per 100-million miles for all people involved, including bus passengers. The study estimates mean values of 0.16 fatalities per 100-million miles for bus passengers only. Based on historical data, diesel school bus mean fire fatality risk is 0.091 and 0.0007 per 100-million miles for all people and bus passengers, respectively. One can therefore conclude that CNG buses are more prone to fire fatality risk by 2.5 times that of diesel buses, with the bus passengers being more at risk by over two orders of magnitude. The study estimates a mean fire risk frequency of 2.2 x 10(-5) fatalities/bus per year. The 5% and 95% uncertainty bounds are 9.1 x 10(-6) and 4.0 x 10(-5), respectively. The risk result was found to be affected most by failure rates of pressure relief valves, CNG cylinders, and fuel piping.     

ORGANIZATIONAL CHOICE AND SOME CORRELATES OF INDIVIDUALS' EXPECTANCIES1

This study uses expectancy theory to predict the sorority choices of 121 undergraduate students. Results show that the complete, multiplicative expectancy model is only a slightly better predictor of choice behavior than other versions of the model. Several personal and situational correlates of individuals' expectancies of entering sororities also are examined. Results show significant relationships between expectancy and subjects' self-esteem, perception of value similarity with sorority members, and number of perceived friendships with sorority members.     

Who by Accident? The Social Morphology of Car Accidents

Prior studies in the sociology of accidents have shown that different social groups have different rates of accident involvement. This study extends those studies by implementing Bourdieu's relational perspective of social space to systematically explore the homology between drivers’ social characteristics and their involvement in specific types of motor vehicle accident. Using a large database that merges official Israeli road‐accident records with socioeconomic data from two censuses, this research maps the social order of road accidents through multiple correspondence analysis. Extending prior studies, the results show that different social groups indeed tend to be involved in motor vehicle accidents of different types and severity. For example, we find that drivers from low socioeconomic backgrounds are overinvolved in severe accidents with fatal outcomes. The new findings reported here shed light on the social regularity of road accidents and expose new facets in the social organization of death.     

Mediterranean Lean Production Supervisors,Teamwork and New Forms of Work Organization in Three European Car Makers

In the last ten years most European car makers havedeveloped comprehensive reorganization projectsinspired by lean manufacturing principles. A keyelement of the renewed organizational model isteamwork: through teamwork firms aim at developinginformation exchange and innovation to improveproductivity and quality standards. Basedon empirical evidence accumulated in FIAT, Renault andSeat, this paper focuses on the impact of ElementaryOrganizational Units, a common team structure adoptedin Italian, Spanish and French plants.The paper sheds light on firstline supervisors, Unit team leaders, whoseposition represents the keystone of the neworganizational model. Although the factories widelyrely on horizontal coordination and self-organizingteams, new team leaders are still crucial hierarchicallevel and their function strongly affects the plantglobal performance.     

Is It Safer to Fly or Drive?

In attempts to soothe the nascent fear of the scheduled airline traveler, passengers waiting takeoff are sometimes reminded of the cliche that they may have already completed the most dangerous part of their trip — the drive to the airport. The objective of this paper is to communicate under what conditions air travel is indeed safer than highway travel and vice versa. The conventional wisdom among risk communicators that air travel is so much safer than car travel arises from the most widely quoted death rates per billion miles for each — 0.6 for air compared to 24 for road. There are three reasons why such an unqualified comparison of aggregated fatality rates is inappropriate. First, the airline rate is passenger fatalities per passenger mile, whereas the road rate is all fatalities (any occupants, pedestrians, etc.) per vehicle mile. Second, road travel that competes with air travel is on the rural interstate system, not on average roads. Third, driver and vehicle characteristics, and driver behavior, lead to car-driver risks that vary over a wide range. Expressions derived to compare risk for drivers with given characteristics to those on airline trips of given distance showed that 40-year-old, belted, alcohol-free drivers of cars 700 pounds heavier than average are slightly less likely to be killed in 600 miles of rural interstate driving than in airline trips of the same length. Compared to this driver, 18-year-old, unbelted, intoxicated, male drivers of cars 700 pounds lighter than average have a risk over 1000 times greater. Furthermore, it is shown that the cliche above is untrue for a group of drivers having the age distribution of airline passengers.