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Road safety in the political agenda: the impact on road traffic injuries
  1. Ana M Novoa1,2,
  2. Katherine Pérez1,3,
  3. Elena Santamariña-Rubio1,
  4. Marc Marí-Dell'Olmo1,3,
  5. Rogelio Cozar4,
  6. Josep Ferrando3,
  7. Rosana Peiró3,5,
  8. Aurelio Tobías6,
  9. Pilar Zori7,
  10. Carme Borrell1,3,8
  1. 1Agència de Salut Pública de Barcelona, Barcelona, Spain
  2. 2Programa de Doctorado en Biomedicina, Universitat Pompeu Fabra, Barcelona, Spain
  3. 3CIBER Epidemiología y Salud Pública (CIBERESP), Barcelona, Spain
  4. 4Ministerio de Sanidad y Consumo, Madrid, Spain
  5. 5Centro de Salud Pública de Alzira, Alzira, Spain
  6. 6Instituto de Diagnóstico Ambiental y Estudios del Agua, CSIC, Barcelona, Spain
  7. 7Dirección General de Tráfico, Madrid, Spain
  8. 8Universitat Pompeu Fabra, Barcelona, Spain
  1. Correspondence to Dr Katherine Pérez, Pl Lesseps, 1; 08023 Barcelona, Spain; cperez{at}


Background This paper aims at assessing the effectiveness of the package of road safety measures implemented after road safety was included in the political agenda in the year 2004 on the number of road traffic-injured people in Spain.

Methods An evaluation study was performed using an interrupted time-series design. The study population was people injured in road traffic crashes in Spain between 1 January 2000 and 31 December 2006. The road traffic crashes database of the General Directorate for Traffic was used. The dependent variable was the monthly number of people injured, stratified by sex, age, severity and type of road user. The explanatory variable (intervention) compared the post-intervention period (2004–6) with the pre-intervention period (2000–3). Quasi-Poisson regression models were adjusted, controlling for time trend and for seasonality.

Results Results show a reduction in the risk of being injured for both men (RR 0.91; 95% CI 0.87 to 0.95) and women (RR 0.89; 95% CI 0.85 to 0.94). Risk reductions were observed across all age groups and all road users, except for pedestrians.

Conclusions The present study suggests that prioritising road safety reduces the number of people injured in road traffic collisions.

  • Accidents
  • effectiveness
  • evaluation studies
  • injury
  • intervention studies
  • policy making
  • public health policy
  • road accidents
  • traffic
  • wounds and injuries

Statistics from


  • This paper will be included in the thesis of one of the authors (AMN) performed at the Pompeu Fabra University (UPF).

  • Funding This work was supported by the Agencia Española de Tecnologías Sanitarias (Plan Nacional de Investigación Científica, Desarrollo e Innovación Tecnológica (I+D+I) e Instituto de Salud Carlos III-Subdirección General de Evaluación y Fomento de la Investigación) (PI07/90157). The funding source has not had any involvement in the study design, in the collection, analysis and interpretation of data, in the writing of the report and in the decision to submit the paper for publication.

  • Competing interests None.

  • Ethics approval The present study was approved by the ethics committee Comitè Ètic d'Investigació Clínica – IMAS, of the Institut Municipal d'Assistència Sanitària (IMAS).

  • Provenance and peer review Not commissioned; externally peer reviewed.

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