Abstract

BackgroundPedestrians distracted by digital devices or other activities are at a higher risk of injury as they cross streets. We sought to describe the incidence of pedestrians distracted by digital devices or other activities at two highly traveled urban intersections after the implementation of a pedestrian safety intervention at one of the intersections.MethodsThis was an observational field study of two urban intersections. Two investigators were stationed at each of the four corners of the intersection. Each pair of observers included one “person counter” and one “behavior counter”. The “person counter” tallied every individual who approached that corner from any of the three opposing corners. The “behavior counter” tallied every individual approaching from the three opposing corners who were exhibiting any of the following behaviors: 1) eating, 2) drinking, 3) wearing ear buds/headphones, 4) texting, 5) looking at mobile phone or reading something on mobile phone, or 6) talking on mobile phone. Every 15 min, each pair of observers rotated to the next corner of the same intersection, allowing each pair of observers to complete one 15-min observation at each of the four corners of the intersection. Intersection A had stencils at the curb cuts of each corner alerting pedestrians to put down a digital device while crossing the intersection while intersection B did not.Results1362 pedestrians were observed; of those, 19 % were distracted by another activity at both intersections. Of the total, 9 % were using ear buds/headphones; 8 % were using a digital device (talking, texting, or looking down at it); and 2 % were eating or drinking. Inter-observer validity among observers (kappa) was 98 %. Of those that were distracted, 5 % were either using an assistive device (cane, walker, motorized scooter) or walking with a child (either on foot or in stroller). There were no differences in the proportion of pedestrians who were distracted at either intersection, except that more pedestrians were talking on a cell phone while crossing intersection B.ConclusionsIt is unclear to what degree a pedestrian safety messaging campaign is effective in decreasing distraction by digital devices. Further evaluation of the effect of posted warnings about pedestrian distraction on the safety of crossing behaviors is needed.

Highlights

  • Pedestrians distracted by digital devices or other activities are at a higher risk of injury as they cross streets

  • More than half of all adult cell phone owners have experienced distracted walking encounters where they have either bumped into a distracted pedestrian or where they have physically bumped into another person or object because they were distracted by using their own cell phone (Smith 2014)

  • At intersection B, significantly more pedestrians were talking on a cell phone (4.5 % versus 2 %; X2 = 0.090; p = 0.009; OR 0.437; 95 % CI 0.232–0.828)

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Summary

Introduction

Pedestrians distracted by digital devices or other activities are at a higher risk of injury as they cross streets. In 2010, 1506 pedestrians were evaluated in US emergency departments due to injuries sustained while using a mobile phone (Nasar and Troyer 2013). The majority of those injuries were associated with talking on a mobile phone (69.5 %), but 9.1 % were associated with text messaging (Nasar and Troyer 2013). As texting becomes ubiquitous among mobile phone users, injury prevention advocates must consider the increasing risk for injury among pedestrians. The phenomenon of using a mobile electronic device for texting, talking, or listening to music by a pedestrian has been called “digital distraction”

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