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Effect of 20 mph speed limits on traffic injuries in Edinburgh, UK: a natural experiment and modelling study

Kyriaki Kokka, Glenna Nightingale, Andrew James Williams, Ali Abbas, Valentin Popov, Stephen J. Sharp, Ruth F. Hunter, Ruth Jepson, James Woodcock

2024Journal of Epidemiology & Community Health11 citationsDOIOpen Access PDF

Abstract

INTRODUCTION: There is limited research evaluating 20 mph speed limit interventions, and long-term assessments are seldom conducted either globally or within the UK. This study evaluated the impact of the phased 20 mph speed limit implementation on road traffic collisions and casualties in the City of Edinburgh, UK over approximately 3 years post implementation. METHODS: We used four sets of complementary analyses for collision and casualty rates. First, we compared rates for road segments changing to 20 mph against those at 30 mph. Second, we compared rates for the seven implementation zones in the city against paired control zones. Third, we investigated citywide casualty rate trends using generalised additive model. Finally, we used simulation modelling to predict casualty rate changes based on changes in observed speeds. RESULTS: We found a 10% (95% CI -19% to 0%) greater reduction in casualties (8% for collisions) for streets that changed to 20 mph compared with those staying at 30 mph. However, the reduction was similar, 8% (95% CI -22% to 5%) for casualties (10% collisions), in streets that were already at 20 mph. In the implementation zones, we found a 20% (95% CI -22% to -8%) citywide reduction in casualties (22% for collisions) compared with control zones; this compared with a predicted 10% (95% CI -18% to -2%) reduction in injuries based on the changes in speed and traffic volume. Citywide casualties dropped 17% (95% CI 13% to 22%) 3 years post implementation, accounting for trend. CONCLUSION: Our results indicate that the introduction of 20 mph limits resulted in a reduction in collisions and casualties 3 years post implementation. However, the effect exceeded expectations from changes in speed alone, possibly due to a wider network effect.

Topics & Concepts

Speed limitMedicinePoison controlTraffic volumeConfidence intervalInjury preventionReduction (mathematics)CollisionTransport engineeringDemographyEnvironmental healthEngineeringComputer securityMathematicsComputer scienceSociologyInternal medicineGeometryTraffic and Road SafetyInjury Epidemiology and PreventionTraffic control and management
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